An ulcer caused by H. pylori can be successfully treated with which classification of drugs?
H2-receptor blockers
Antacids
Proton-pump inhibitors
Antibiotics
The Correct Answer is D
A) H2-receptor blockers:
H2-receptor blockers, such as ranitidine and famotidine, are used to reduce the production of stomach acid. While they can provide symptomatic relief for ulcers by reducing acid secretion, they do not directly treat the underlying cause of the ulcer, which is the H. pylori infection.
B) Antacids:
Antacids are medications that neutralize stomach acid and can provide temporary relief from ulcer symptoms such as pain and discomfort. However, they do not eradicate the H. pylori bacteria or address the root cause of the ulcer. Antacids only provide symptomatic relief rather than treating the infection.
C) Proton-pump inhibitors:
Proton-pump inhibitors (PPIs), such as omeprazole and pantoprazole, are potent acid-suppressing medications that are commonly used to treat ulcers and gastroesophageal reflux disease (GERD). While they can help in ulcer healing by reducing acid secretion and providing symptomatic relief, they are not effective in eradicating H. pylori infection. PPIs are often used in combination with antibiotics for H. pylori eradication therapy, but they are not the primary treatment on their own.
D) Antibiotics.
H. pylori (Helicobacter pylori) is a bacteria that commonly infects the stomach lining and is a major cause of gastric and duodenal ulcers. Antibiotics are the primary treatment for H. pylori infection. The antibiotics kill the bacteria, allowing the ulcer to heal. Common antibiotics used to treat H. pylori include amoxicillin, clarithromycin, metronidazole, and tetracycline.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is normal.
Guaifenesin is an expectorant medication commonly used to help loosen and thin mucus in the airways, making it easier to cough up. Coughing up phlegm after taking guaifenesin is a typical and expected response to the medication. Therefore, reassuring the client that this is a normal effect of the medication is appropriate.
B. This requires further investigation: Coughing up phlegm after taking guaifenesin is a common and expected outcome, so further investigation is not necessary unless there are other concerning symptoms or indications.
C. This is indicative of an allergic reaction: Coughing up phlegm after taking guaifenesin is not indicative of an allergic reaction. Allergic reactions to guaifenesin are rare and typically present with more severe symptoms such as rash, itching, swelling, or difficulty breathing.
D. This means there is probably more pathology present: Coughing up phlegm after taking guaifenesin does not necessarily indicate the presence of additional pathology. Guaifenesin is intended to help clear mucus from the airways and is commonly used in the treatment of respiratory conditions associated with excess mucus production, such as cough due to cold or bronchitis.
Correct Answer is B
Explanation
A) Take as needed for pain relief.
Sucralfate is not used as an as-needed medication for pain relief. It is a gastroprotective medication that is typically taken regularly as prescribed, regardless of whether the client is experiencing pain.
B) Take the medication 1 hr before meals.
Sucralfate is a medication commonly used to treat peptic ulcer disease by forming a protective barrier over the ulcer, promoting healing and symptom relief. It should be taken on an empty stomach, at least 1 hour before meals, and at bedtime to maximize its effectiveness. Taking sucralfate before meals ensures that the medication can coat the ulcer and provide protection against gastric acid during digestion.
C) Store the medication in the refrigerator.
Sucralfate does not need to be stored in the refrigerator. It should be stored at room temperature away from moisture and heat, according to the manufacturer's instructions.
D) Take the medication with an antacid.
Sucralfate should not be taken with antacids because antacids can interfere with its effectiveness. Antacids can decrease the absorption of sucralfate, so it is important to separate the administration of sucralfate from antacids by at least 30 minutes to 1 hour.
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