A patient admitted to the hospital has a history of peptic ulcer ...

[daltonest1984]

A patient admitted to the hospital has a history of peptic ulcer disease. The patient takes ranitidine (Zantac) and sucralfate (Carafate).
 
  The patient tells the nurse that discomfort is usually controlled but that symptoms occasionally flare up. What will the nurse do?
  a. Ask the provider about ordering an endoscopic examination.
  b. Contact the provider to discuss serologic testing and an antibiotic.
  c. Contact the provider to discuss switching to a proton pump inhibitor.
  d. Counsel the patient to avoid beverages containing caffeine.

Question 2

A child who has perennial allergic rhinitis has been using an intranasal glucocorticoid. The provider has ordered montelukast (Singulair) to replace the glucocorticoid, because the child has frequent nosebleeds.
 
  When teaching this child's parents about montelukast, the nurse will include which statement?
  a. Montelukast is also effective for treating infectious rhinitis.
  b. Montelukast may cause behavior changes in your child.
  c. Montelukast will treat both congestion and rhinitis.
  d. Montelukast works best when combined with a topical decongestant.

[Laurenleakan]

Answer to Question 1

ANS: B
The recommendation for all patients with gastric or duodenal ulcers and documented Helicobacter pylori infection is treatment with antibiotics. The nurse is correct to ask about serologic testing for this organism and to suggest adding an antibiotic to this patient's regimen. An endoscopic examination is not recommended. Changing to a proton pump inhibitor may not change the symptoms. There is no evidence that caffeine contributes to peptic ulcer disease (PUD).

Answer to Question 2

ANS: B
Montelukast can cause rare but serious neuropsychiatric effects in patients, and parents should be warned of this possibility. It is not useful for treating infectious rhinitis. It does not affect congestion. It is not necessary to add a topical decongestant when using this drug for allergic rhinitis.

[daltonest1984]

TYSM

[xiaomengxian]

Excellent