A client with peptic ulcer disease is experiencing fewer symptoms because of the suppression of hydrochloric acid secretion into the lumen of the stomach.
What category of medication is this client most likely receiving?

Proton pump inhibitor.

Histamine-2 antagonist.

Prostaglandin.

Antipeptic agent.

Answer and Explanation

The Correct Answer is A

This is because proton pump inhibitors (PPIs) are drugs that block the enzyme that produces hydrochloric acid in the stomach, thereby reducing the amount of acid secreted into the lumen. PPIs are commonly used to treat peptic ulcer disease and gastroesophageal reflux disease.

Choice B. Histamine-2 antagonist is wrong because histamine-2 antagonists (H blockers) are drugs that block the action of histamine on the parietal cells of the stomach, thereby reducing the amount of acid secreted into the lumen.

However, PPIs are more potent and effective than H blockers in suppressing acid secretion.

Choice C. Prostaglandin is wrong because prostaglandins are substances that protect the stomach lining from the damaging effects of acid and other factors.

Prostaglandins do not directly affect the secretion of acid into the lumen, but they may increase the production of mucus and bicarbonate that buffer the acid.

Choice D. Antipeptic agent is wrong because antipeptic agents are drugs that form a protective barrier over the ulcer crater, preventing further damage from acid and pepsin.

Antipeptic agents do not affect the secretion of acid into the lumen, but they may enhance healing by creating a favorable environment for tissue repair.

Normal ranges for hydrochloric acid secretion in the stomach are 1.5 to 3.5 liters per day, with a pH of 1.5 to 3.53.

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Correct Answer is C

Explanation

The nurse should question an order for bismuth salts for a client with an allergy to aspirin because bismuth salts contain salicylates, which are chemically related to aspirin and can cause allergic reactions.

Choice A is wrong because rheumatoid arthritis is not a contraindication for bismuth salts.

Bismuth salts may have anti-inflammatory effects that could benefit clients with rheumatoid arthritis.

Choice B is wrong because viral gastroenteritis is not a contraindication for bismuth salts.

Bismuth salts may help reduce diarrhea and inflammation caused by viral gastroenteritis.

Choice D is wrong because hypertension is not a contraindication for bismuth salts.

Bismuth salts do not affect blood pressure or interact with antihypertensive medications.

A. Impaction. B. Chronic diabetic gastroparesis. C. Encopresis. D. Clients requiring diagnostic procedures.

Correct Answer is B

Explanation

Metoclopramide is a medication that increases muscle contractions in the upper digestive tract and speeds up the rate at which the stomach empties into the intestines. It is used to treat gastroparesis (slow stomach emptying) in people with diabetes, which can cause heartburn and stomach discomfort after meals.

Choice A is wrong because impaction is a condition where a large mass of dry, hard stool becomes stuck in the rectum and cannot be passed.

Metoclopramide does not treat impaction, but laxatives or enemas may be used instead.

Choice C is wrong because encopresis is a condition where a child over the age of 4 has involuntary bowel movements, usually due to chronic constipation.

Metoclopramide does not treat encopresis, but behavioral therapy, laxatives, or dietary changes may be used instead.

Choice D is wrong because metoclopramide is not used for clients requiring diagnostic procedures involving the stomach or intestines.

However, it may be used to prevent nausea and vomiting caused by chemotherapy or surgery.

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A client with peptic ulcer disease is experiencing fewer symptoms because of the suppression of hydrochloric acid secretion into the lumen of the stomach. What category of medication is this client most likely receiving?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse should question an order for bismuth salts for a client with what condition?

Correct Answer is C

Explanation

The nurse administers metoclopramide to the client with what condition?

Correct Answer is B

Explanation

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A nurse is providing client education to a client who has had corticosteroids prescribed. What drug should the nurse teach the client to avoid while taking the corticosteroids?

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A client with peptic ulcer disease is experiencing fewer symptoms because of the suppression of hydrochloric acid secretion into the lumen of the stomach.
What category of medication is this client most likely receiving?