Pharmacology Quiz: Omeprazole and Peptic Ulcers

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Questions and Answers

The client has been taking omeprazole (Prilosec) for 4 weeks. What symptom indicates the optimal intended effect of the medication?

Constipation
Heartburn (correct)
Flatulence
Diarrhea (correct)

Which statement by the client indicates the best understanding of the medication regimen for a Helicobacter pylori infection?

The medications will kill the bacteria and stop the acid production. (correct)
These medications will coat the ulcer and decrease the acid production in my stomach. (correct)
These medications are only taken when I have pain from my ulcer. (correct)
My ulcer will heal because these medications will kill the bacteria. (correct)

What should the nurse have available for possible use after giving acetylcysteine (Mucomyst) by nebulizer?

Intubation tray
Ambu bag
Suction equipment
Nasogastric tube (correct)

The client understands the most effective use of guaifenesin (Humibid) if he or she states that they will:

Take the tablet with a full glass of water. (A), Watch for irritability as a side effect. (C) Signup and view all the answers

After administering naloxone hydrochloride for respiratory depression, the nurse checks the client for:

Sudden increase in pain (B), Pupillary changes (C), Sudden episodes of diarrhea (D) Signup and view all the answers

What condition is the client likely experiencing if they are taking isoniazid (INH) and complain of numbness and tingling in the extremities?

Hypercalcemia (B) Signup and view all the answers

What should the nurse teach the client beginning a 6-month course of therapy with isoniazid (INH)?

Drink alcohol in small amounts only. (B), Avoid vitamin supplements during therapy. (C) Signup and view all the answers

What does long-term therapy with rifampin (Rifadin) cause?

May be discontinued independently if symptoms are gone in 3 months. (A), Causes orange discoloration of sweat, tears, urine, and feces (B), Should always be taken with food or antacids (D) Signup and view all the answers

What should a patient taking ethambutol (Myambutol) report immediately?

Gastrointestinal (GI) side effects (A), Problems with visual acuity (B), Impaired sense of hearing (D) Signup and view all the answers

What should the nurse include in the client-teaching plan regarding cycloserine (Seromycin)?

It is not necessary to call the health care provider (HCP) if a skin rash occurs. (A), It is not necessary to restrict alcohol intake with this medication. (B) Signup and view all the answers

Which statement made by a postoperative client taking warfarin sodium (Coumadin) reflects the need for further teaching?

I will be certain to avoid alcohol consumption. (A), I will take my pills every day at the same time. (B), I have already called my family to pick up a Medic-Alert bracelet. (C), I will take Ecotrin (enteric-coated aspirin) for my headaches because it is coated. (D) Signup and view all the answers

What test is prescribed to monitor therapeutic effect of heparin sodium?

Hemoglobin level (A), Activated partial thromboplastin time (aPTT) (B), Hematocrit level (C), Prothrombin time (PT) (D) Signup and view all the answers

Which data collection finding indicates a potential serious complication associated with propranolol?

A baseline resting heart rate of 88 beats/min followed by a resting heart rate of 72 beats/min after two doses of the medication (B), The development of complaints of insomnia (C), The development of audible expiratory wheezes (D) Signup and view all the answers

What should a client taking isosorbide mononitrate (Imdur) do for chronic headaches caused by the medication?

Take the medication with food. (A), Contact the health care provider (HCP). (B), Cut the dose in half. (D) Signup and view all the answers

After starting tissue plasminogen activator, alteplase (Activase, tPA), which action is a priority nursing intervention?

Monitor psychosocial status. (A), Have heparin sodium available. (B) Signup and view all the answers

Study Notes

Medication Effects and Understanding

Omeprazole (Prilosec) is evaluated for optimal effects, indicated by the absence of heartburn.
Clarithromycin, esomeprazole, and amoxicillin treat Helicobacter pylori infections. Effective understanding includes their role in killing bacteria and reducing acid production.

H2-Receptor Antagonists

Common H2-receptor antagonists include:
- Nizatidine (Axid)
- Ranitidine (Zantac)
- Famotidine (Pepcid)
- Cimetidine (Tagamet)

Acetylcysteine Administration

Suction equipment should be available during acetylcysteine (Mucomyst) nebulization in case of respiratory complications.

Guaifenesin Usage

Guaifenesin (Humibid) should be taken with a full glass of water for optimal efficacy.

Naloxone Administration

After administering naloxone for respiratory depression, monitor for sudden increases in pain, indicating withdrawal effects.

Isoniazid Side Effects

Peripheral neuritis may occur with isoniazid (INH); symptoms include numbness and tingling in extremities.
Clients on INH should report yellowing of skin or eyes (jaundice) as it indicates possible liver issues.

Rifampin Considerations

Rifampin (Rifadin) can cause orange discoloration in bodily fluids including sweat and urine.

Ethambutol Monitoring

Patients must report visual acuity issues immediately while on ethambutol (Myambutol).

Cycloserine Education

Weekly serum drug-level testing is necessary for patients on cycloserine (Seromycin) to monitor for toxicity.

Tuberculosis Baseline Testing

Liver enzyme levels should be checked before initiating therapy with isoniazid (INH) for tuberculosis.

Rifabutin Side Effects

Monitor for:
- Signs of hepatitis
- Flu-like syndrome
- Low neutrophil count
- Ocular pain or blurred vision

Warfarin Discharge Instructions

Clients on warfarin should avoid taking enteric-coated aspirin (Ecotrin) for headaches, which indicates a need for further teaching.

Digoxin Therapeutic Range

The therapeutic serum level for digoxin is 0.5 to 2 ng/mL; low potassium increases toxicity risks.

Heparin Monitoring

The activated partial thromboplastin time (aPTT) is essential for monitoring therapeutic effects of heparin.

Propranolol Complications

Audible expiratory wheezes may indicate serious complications when taking propranolol (Inderal LA).

Isosorbide Mononitrate Recommendations

Chronic headaches caused by isosorbide mononitrate (Imdur) can be alleviated by taking the medication with food.

Myocardial Infarction Interventions

The priority nursing intervention when administering alteplase (Activase, tPA) is to monitor for signs of bleeding.

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Description

This quiz assesses knowledge on the use of omeprazole in treating conditions like heartburn and peptic ulcers. Test your understanding of medication effects and patient care related to Helicobacter pylori infection. Perfect for nursing students or professionals in healthcare.