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 B

Explanation

This is because antiemetics should be given to prevent motion sickness rather than after nausea or vomiting develop. Taking the medication 30 minutes before departing allows enough time for the drug to be absorbed and reach its peak effect.

Choice A is wrong because avoiding eating or drinking for 6 hours before the trip may cause dehydration and low blood sugar, which can worsen nausea and vomiting.

It is better to eat a light meal or snack before the trip and avoid spicy, greasy, or acidic foods.

Choice C is wrong because taking two doses if relief is not achieved may cause overdose and adverse effects.

Antiemetics should be taken as prescribed and not exceeded without consulting a doctor.

Choice D is wrong because increasing fluid intake to prevent urinary retention is not relevant for motion sickness.

Urinary retention is a possible side effect of some antiemetics, such as anticholinergics, but it is not a common problem for most people.

Fluid intake should be moderate and not excessive to avoid stomach distension.

A. “I will take this medication anytime I start to cough.”. B. “This medication may make me anxious and nervous.”. C. “This medication can cause drowsiness, so I will avoid driving after taking it.”. D. “I might get diarrhea, so I’ll call my provider if that happens.”.

Correct Answer is C

Explanation

This statement indicates that the patient understands the common side effect of codeine and how to prevent accidents while taking it.

Choice A is wrong because the patient should not take the medication anytime he starts to cough, but only as prescribed by the doctor.

Taking too much codeine can lead to overdose, addiction, or respiratory depression.

Choice B is wrong because this medication may not make the patient anxious and nervous, but rather sedated and relaxed.

Anxiety and nervousness are more likely to occur with decongestants, which are stimulants.

Choice D is wrong because diarrhea is not a common side effect of codeine.

In fact, codeine may cause constipation, so the patient should increase fluid and fiber intake while taking it.

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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

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Explanation

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Correct Answer is C

Explanation

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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?