The nurse is caring for a patient who will begin taking ...

[tatyanajohnson]

The nurse is caring for a patient who will begin taking omeprazole (Prevacid) 20 mg per day for 4 to 8 weeks to treat gastroesophageal reflux disease esophagitis. The nurse learns that the patient takes digoxin.
 
  The nurse will contact the provider for orders to
  a. decrease the dose of omeprazole.
  b. increase the dose of digoxin.
  c. increase the omeprazole to 60 mg per day.
  d. monitor for digoxin toxicity.

Question 2

A patient who is diagnosed with peptic ulcer disease has been started on a regimen that includes ranitidine (Zantac) 300 mg daily at bedtime.
 
  The patient calls the clinic 1 week later to report no relief from discomfort. What action will the nurse take?
  a. Contact the provider to discuss changing to cimetidine (Tagamet).
  b. Notify the provider to discuss increasing the dose.
  c. Reassure the patient that the drug may take 1 to 2 weeks to be effective.
  d. Suggest that the patient split the medication into twice daily dosing.

[jesse.fleming]

Answer to Question 1

ANS: D
Proton pump inhibitors can enhance the effects of digoxin, so patients should be monitored for digoxin toxicity. Changing the dose of either medication is not indicated prior to obtaining lab results that are positive for digoxin toxicity.

Answer to Question 2

ANS: C
Patients taking histamine2 blockers can expect abdominal pain to decrease after 1 to 2 weeks of drug therapy. Cimetidine is not as potent as ranitidine and interacts with many medications through the cytochrome P450 system. Three hundred milligrams is the maximum dose.

[tatyanajohnson]

TYSM

[Jsherida]

Gracias!