Which medication class can be used in combination with antimicrobial agents to eradicate a Helicobacter pylori infection? A. Antacids B. Prokinetic agents C. Proton pump inhibitors D. Gastrointestinal prostaglandins ✔✔C. Proton pump inhibitors Which medication may cause breast soreness and gynecomastia? A. Cimetidine (Tagamet) B. Misoprostol (Cytotec) C. Lansoprazole (Prevacid) D. Metoclopramide (Reglan) ✔✔A. Cimetidine (Tagamet) Which medication when given to a patient taking a proton pump inhibitor may cause nystagmus? A. Clopidogrel (Plavix) B. Phenytoin (Dilantin) C. Sucralfate (Carafate) D. Warfarin (Coumadin) ✔✔B. Phenytoin (Dilantin) Which laboratory test does the nurse review before a patient takes a magnesium-based OTC antacid for heartburn? A. Gastric pH B. Electrolytes C. Liver function D. Renal function ✔✔D. Renal function Which medication could be beneficial for the treatment of intermittent heartburn? A. Misoprostol B. Esomeprazole C. Metoclopramide D. Sucralfate ✔✔B. Esomeprazole Which type of ulcer has misoprostol been known to reduce? A. Stress B. Esophageal C. Helicobacter pylori D. Nonsteroidal antiinflammatory drug (NSAID)-induced ✔✔D. Nonsteroidal antiinflammatory drug (NSAID)-induced Which antiulcer medications act by antagonizing histamine-2 (H2) receptors? Select all that apply. A. Nizatidine (Axid) B. Famotidine (Pepcid) C. Misoprostol (Cytotec) D. Cimetidine (Tagamet) E. Esomeprazole (Nexium) ✔✔A, B, D Which medications reduce gastric ulcers by inhibiting hydrogen ion pumps? Select all that apply. A. Amoxicillin (Amoxil) B. Cimetidine (Tagamet) C. Misoprostol (Cytotec) D. Pantoprazole (Protonix) E. Dexlansoprazole (Dexilant) ✔✔D, E Which class of medication is beneficial for the treatment of Zollinger-Ellison syndrome? A. Antacids B. Coating agents C. Gastrointestinal prostaglandin D. Proton pump inhibitors ✔✔D. Proton pump inhibitors Which drug class hastens emptying of the stomach when administered to a patient for treatment of a stomach disorder? A. Antacids B. Prokinetic agents C. Proton pump inhibitors D. Histamine-2 antagonists ✔✔B. Prokinetic agents Which intervention may help decrease the unpleasant chalky taste associated with taking an antacid tablet? A. Take half the dose of medication. B. Change the brand and flavor of the medication. C. Take the tablets along with antacid oral solution. D. Report to the healthcare provider immediately. ✔✔B. Change the brand and flavor of the medication. Which statement is true regarding sucralfate (Carafate)? A. Sucralfate (Carafate) can induce diarrhea as an adverse effect B. Sucralfate (Carafate) is a prokinetic agent that is used to treat duodenal ulcers. C. Sucralfate (Carafate) treats ulcers by inhibiting gastric secretions and altering gastric pH. D. Sucralfate (Carafate) is prescribed to patients who cannot tolerate other forms of antiulcer therapy. ✔✔D. Sucralfate (Carafate) is prescribed to patients who cannot tolerate other forms of antiulcer therapy. A patient asks the nurse if there is a medication to help decrease the risk of a peptic ulcer due to long-term nonsteroidal antiinflammatory drug (NSAID) use. Which drug does the nurse identify as a possibility? A. Cimetidine (Tagamet HB) B. Misoprostol (Cytotec) C. Pantoprazole (Protonix) D. Metoclopramide (Reglan) ✔✔B. Misoprostol (Cytotec) 

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