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Pharmacology Pre-Assessment Quiz A client has been prescribed metoclopramide. Which of the following should the nurse include in client education regarding this medication? Select one: a. Notify your provider if you experience restlessness or spasms of the face or neck. An adverse effect of Reglan is extrapyramidal symptoms. The client should stop the medication and notify the provider if these occur. b. This medication can cause urinary frequency. c. Decrease your fluid intake while taking this medication. d. This medication can cause insomnia. A 52-year-old client with a history of angina has been prescribed transdermal nitroglycerin. Which of the following adverse effects is not seen with this therapy? Select one: a. Headache b. Orthostatic hypotension c. Tolerance d. Productive cough Correct – Nitroglycerin therapy does not directly have an effect lung function. Physiologically, vasodilation should effect capillary perfusion and decrease lung secretions. A nurse is caring for a client prescribed montelukast. Which of the following should the nurse include in teaching related to this medication? Select one: a. Advise client to take the medication once daily at bedtime. Clients should take montelukast once daily at bedtime. b. If the client forgets to take the medication for a few days he can double up on doses to catch up. c. Avoid dairy products while taking this medication. d. This medication is for acute management of asthma A nurse is caring for a client prescribed ferrous sulfate for the treatment of anemia. Which of the following instructions should be included in client teaching about this medication? Select one: a. Take the medication on an empty stomach to maximize absorption. The nurse should instruct the clients to take iron on an empty stomach, such as 1 hr before meals to maximize absorption. Stomach acid increases absorption. If GI adverse effects occur, the client can take with food to increase adherence to therapy even though absorption is also Get to know the proton pump inhibitors in this nursing pharmacology guide for student nurses. Learn about proton pump inhibitors, its uses, and the nursing considerations for patients using them. The gastric acid pump or proton pump inhibitors suppress gastric acid secretion by specifically inhibiting the hydrogen-potassium adenosine triphosphate enzyme system on the secretory surface of the gastric parietal cells.
Proton Pump Inhibitors: Generic and Brand NamesHere is a table of the most commonly encountered proton pump inhibitor:
Disease spotlight: Gastroesophageal RefluxGastroesophageal reflux disease (GERD) occurs when stomach acid frequently flows back into the tube connecting the mouth and the stomach (esophagus).
What are Proton Pump Inhibitors?Proton pump inhibitors suppress the secretion of hydrochloric acid into the lumen of the stomach. Therapeutic actionsThe desired actions of antacids include the following:
IndicationAntacids are indicated for the following:
PharmacokineticsEsomeprazole, lansoprazole, and pantoprazole are available in delayed-release oral forms and as IV preparations; rabeprazole, dexlansoprazole, and omeprazole are available only in delayed-release oral forms.
Contraindications and CautionsThe following are contraindications and cautions when using proton pump inhibitors:
Adverse effectsAdverse effects when using proton pump inhibitors include:
InteractionsClinically important drug to drug interactions for proton pump inhibitors include the following drugs:
Nursing considerationsNursing considerations when using proton pump inhibitors include the following: Nursing AssessmentHistory taking and physical examination of a patient using proton pump inhibitors include:
Nursing Diagnosis and Care PlanningNursing diagnoses related to drug therapy might include the following:
Nursing Implementation with RationaleNursing interventions for patients using proton pump inhibitors include the following:
EvaluationEvaluation of a patient using proton pump inhibitors include the following:
Practice Quiz: Proton Pump InhibitorHere’s a 5-item quiz for this proton pump inhibitor study guide. Please visit our nursing test bank page for more NCLEX practice questions. 1. The physician has prescribed Nexium (esomeprazole) for a client with erosive gastritis. The nurse should administer the medication: A. 30 minutes after meals 1. Answer: B. 30 minutes before meals
2. Proton pump inhibitor use will likely result in: A. Heartburn 2. Answer: D. Achlorhydria.
3. A patient is prescribed with esomeprazole for the treatment of GERD. Upon review of current medication use, the nurse noted that the patient is taking clopidogrel. The nurse warned the patient that esomeprazole: A. Have no evidence of potential interaction with clopidogrel 3. Answer: C. Decrease the effectiveness of clopidogrel
4. A nurse is checking the nasogastric tube position of a client receiving a long term therapy of Omeprazole (Prilosec) by aspirating the stomach contents to check for the PH level. The nurse proves that correct tube placement if the PH level is? A. 5 4. Answer: A. 5
5. Prolonged use of Proton Pump Inhibitors will likely result with the following except: A. Hypermagnesemia 5. Answer: A. Hypermagnesemia
Recommended ResourcesRecommended resources and reference books. Disclosure: Includes Amazon affiliate links.
See AlsoHere are other nursing pharmacology study guides:
Gastrointestinal System Drugs
Respiratory System Drugs
Endocrine System Drugs
Autonomic Nervous System Drugs
Immune System Drugs
Chemotherapeutic Agents
Reproductive System Drugs
Nervous System Drugs
Cardiovascular System Drugs
References and SourcesThe following are the recommended supplemental reading for this proton pump inhibitor nursing pharmacology study guide:
What should the nurse identify as indication for the use of antacids?Indication. Antacids are indicated for the following: Symptomatic relief of GI hyperacidity, treatment of hyperphosphatemia, prevention of formation of phosphate urinary stones. Treatment of calcium deficiency, prevention of hypocalcemia.
What is the use of antacids quizlet?How do antacids help with stomach acid? Antacids stimulate mucous secretion that acts as a protective barrier. How does bicarbonate help in relation to stomach acid?
What drug combination will the nurse normally administer most often to treat a gastric ulcer?The standard treatment regimen uses two antibiotics and a PPI: PPIs. These drugs include omeprazole (Prilosec), lansoprazole (Prevacid), esomeprazole (Nexium), pantoprazole (Protonix) and rabeprazole (AcipHex). PPIs are important for all types of peptic ulcers, and are a critical partner in antibiotic regimens.
What group of drugs is used for peptic ulcers by suppressing the secretion of hydrochloric acid into the lumen of the stomach?Histamine H2-receptor antagonists and proton pump inhibitors are the main classes of drug used to inhibit gastric acid secretion.
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