Author Question: The client receives esomeprazole (Nexium). He asks the nurse why that little purple pill is better ... (Read 18 times)

swpotter12 · **on:** Jul 23, 2018

The client receives esomeprazole (Nexium). He asks the nurse why that little purple pill is better than his cimetidine (Tagamet). What is the best response by the nurse?

1. It is about the same, but a lot cheaper than your cimetidine (Tagamet).
2. It decreases acid in your stomach, better than cimetidine (Tagamet).
3. It is about the same, but has fewer side effects than your cimetidine (Tagamet).
4. It is not as effective as cimetidine (Tagamet), but kills bacteria better.

Question 2

The physician has ordered bismuth (Pepto-Bismol) for the client with a peptic ulcer who is colonized with H. Pylori. The client asks the nurse why he is receiving this drug. What is the best response by the nurse?

1. Bismuth (Pepto-Bismol) increases stomach acid to help kill bacteria.
2. Bismuth (Pepto-Bismol) helps prevent the side effects of antibiotics.
3. Bismuth (Pepto-Bismol) is effective for inhibiting bacterial growth.
4. Bismuth (Pepto-Bismol) keeps bacteria from sticking in your stomach.
5. Bismuth (Pepto-Bismol) helps relieve ulcer-related constipation.

choc0chan · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: Esomeprazole (Nexium) is not cheaper than cimetidine (Tagamet).
Rationale 2: Proton-pump inhibitors reduce acid secretion to a greater extent than H2-receptor antagonists, and have a longer duration of action.
Rationale 3: Esomeprazole (Nexium) does not have fewer side effects than cimetidine (Tagamet).
Rationale 4: Esomeprazole (Nexium) is more effective than cimetidine (Tagamet), but will not kill bacteria.

Answer to Question 2

Correct Answer: 3,4
Rationale 1: Bismuth (Pepto-Bismol) does not increase stomach acid.
Rationale 2: Bismuth (Pepto-Bismol) does not prevent the side effects of antibiotics.
Rationale 3: Bismuth compounds (Pepto-Bismol) are added to the antibiotic regimen to inhibit bacterial growth.
Rationale 4: Bismuth compounds (Pepto-Bismol) prevent H. Pylori from adhering to the gastric mucosa.
Rationale 5: Bismuth (Pepto-Bismol) is used to relieve diarrhea, not constipation.