A client was placed on ranitidine (Zantac) 2 days ago, and ...

[NguyenJ]

A client was placed on ranitidine (Zantac) 2 days ago, and continues to complain of ulcer pain. What is the best response by the nurse?
 
  1. We'll switch you to a different medication.
  2. You probably have something else besides an ulcer.
  3. You might not notice relief for several weeks.
  4. You should be taking the medication with food.

Question 2

An ulcer caused by H. pylori can be successfully treated with which classification of drugs?
 
  1. Antacids
  2. Proton-pump inhibitors
  3. H2-receptor blockers
  4. Antibiotics

[jamesnevil303]

Answer to Question 1

3

Rationale 1:We'll switch you to a different medication is incorrect because switching to a different medication would be premature at this point.
Rationale 2:You probably have something else besides an ulcer is incorrect because diagnosing another condition is outside the scope of nursing practice.
Rationale 3: Patients should be advised that it can take several weeks for adequate healing of an ulcer and for pain to dissipate.
Rationale 4:You should be taking the medication with food is incorrect because the medication can be taken with or without food.

Global Rationale: Patients should be advised that it can take several weeks of therapy before they gain relief from ulcer pain. Beneficial effects last 35 days after therapy is stopped.

Answer to Question 2

4

Rationale 1: Antacids neutralize the stomach acid.
Rationale 2: Proton-pump inhibitors reduce acid secretion in the stomach.
Rationale 3: H2-receptor blockers suppress the volume and acidity of stomach acid.
Rationale 4:H. pylori is associated with 80 of all duodenal ulcers and 70 of all gastric ulcers. The microorganism is well adapted to neutralize the high acidity in the gastric environment. These infections can remain active for life if not treated appropriately. Eliminating the organism causes ulcers to heal more rapidly and to remain in remission longer.

Global Rationale: H. pylori is associated with 80 of all duodenal ulcers and 70 of all gastric ulcers. The microorganism is well adapted to neutralize the high acidity in the gastric environment. These infections can remain active for life if not treated appropriately. Antibiotics treat the infection by eliminating the organism,which causes ulcers to heal more rapidly and to remain in remission longer. Antacids neutralize the stomach acid. Proton-pump inhibitors reduce acid secretion in the stomach. H2-receptor blockers suppress the volume and acidity of stomach acid.

[NguyenJ]

Thank you!

[jamesnevil303]

Always glad to help...