Author Question: A client has just been diagnosed with peptic ulcer disease. What first-choice drug does the nurse ... (Read 110 times)

rosent76 · **on:** Jul 23, 2018

A client has just been diagnosed with peptic ulcer disease. What first-choice drug does the nurse anticipate will be prescribed for this client?

1. Famotidine (Pepcid)
2. Magaldrate (Riopan)
3. Omeprazole (Prilosec)
4. Sodium bicarbonate (Alka-Seltzer)

Question 2

What symptom is more common to a duodenal ulcer than a gastric ulcer?

1. Nausea and vomiting
2. Anorexia
3. Postprandial pain
4. Nighttime pain

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

Answer to Question 1

1

Rationale 1: H2-receptor blockers are the drugs of first choice in treating peptic ulcers.
Rationale 2: Magaldrate (Riopan) is an antacid.
Rationale 3: Omeprazole (Prilosec) is a proton-pump inhibitor.
Rationale 4: Sodium bicarbonate (Alka-Seltzer) is an antacid.

Global Rationale: H2-receptor blockers are the drugs of first choice in treating peptic ulcers. Magaldrate (Riopan) is incorrect because it is an antacid. Omeprazole (Prilosec) is incorrect because Prilosec is a proton-pump inhibitor. Sodium bicarbonate (Alka-Seltzer) is incorrect because Alka-Seltzer is an antacid.

Answer to Question 2

3

Rationale 1: Nausea and vomiting are more common with a gastric ulcer.
Rationale 2: Anorexia is more common with a gastric ulcer.
Rationale 3: A duodenal ulcer is characterized by a gnawing or burning upper abdominal pain that occurs 13 hours after a meal. The pain is worse when the stomach is empty. Nighttime pain, nausea, and vomiting with anorexia are more common with a gastric ulcer.
Rationale 4: Nighttime pain is more common with a gastric ulcer.

Global Rationale: A duodenal ulcer is characterized by a gnawing or burning upper abdominal pain that occurs 13 hours after a meal. The pain is worse when the stomach is empty. Nighttime pain, nausea, and vomiting with anorexia are more common with a gastric ulcer.