Author Question: The nurse is caring for a patient who has Zollinger-Ellison syndrome. Which medication order would ... (Read 27 times)

sam.t96 · **on:** Jul 23, 2018

The nurse is caring for a patient who has Zollinger-Ellison syndrome. Which medication order would the nurse question for this patient?

a. Cimetadine (Tagamet)
b. Pantoprazole (Protonix)
c. Rabeprazole (Aciphex)
d. Ranitidine (Zantac)

Question 2

A patient who has been instructed to use a liquid antacid medication to treat gastrointestinal upset asks the nurse about how to take this medication. What information will the nurse include when teaching this patient?

a. Take a laxative if constipation occurs.
b. Take 60 minutes after meals and at bedtime.
c. Take with at least 8 ounces of water to improve absorption.
d. Take with milk to improve effectiveness.

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

Answer to Question 1

ANS: A
Cimetidine is not effective for treating Zollinger-Ellison syndrome. The other medications are used to treat Zollinger-Ellison syndrome.

Answer to Question 2

ANS: B
Since maximum acid secretion occurs after eating and at bedtime, antacids should be taken 1 to 3 hours after eating and at bedtime. Taking antacids before meals slows gastric emptying time and causes increased gastrointestinal (GI) secretions. Patients should not self-treat constipation or diarrhea. Patients should use 2 to 4 ounces of water when taking to ensure that the drug enters the stomach; more than that will increase GI secretions. Antacids should not be taken with milk or foods high in vitamin D.