Author Question: The nurse is providing education for a patient with peptic ulcer disease resulting from chronic ... (Read 28 times)

charchew · **on:** Jul 23, 2018

The nurse is providing education for a patient with peptic ulcer disease resulting from chronic nonsteroidal anti-inflammatory drug (NSAID) use who will begin a prescription of misoprostol (Cytotec).

The nurse evaluates that the patient understands the actions of this drug when he or she says it does what? A) Reduces the stomach's volume of hydrochloric acid
B) Increases the speed of gastric emptying
C) Protects the stomach's lining
D) Increases lower esophageal sphincter pressure

Question 2

The nurse teaches the patient at risk for coronary artery disease (CAD) that some risk factors can be controlled or modified. What modifiable factors would the nurse include?

A) Gender, obesity, family history, and smoking
B) Inactivity, stress, gender, and smoking
C) Obesity, inactivity, diet, and smoking
D) Stress, family history, and obesity

yifu223 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
Feedback:
Misoprostol is a synthetic prostaglandin that, like physiologic prostaglandin, protects the gastric mucosa. NSAIDs decrease prostaglandin production and predispose the patient to peptic ulceration. Misoprostol does not reduce gastric acidity (option A), improve emptying of the stomach (option B), or increase lower esophageal sphincter pressure (option D).

Answer to Question 2

C
Feedback:
The risk factors for CAD that can be controlled or modified include obesity, inactivity, diet, stress, and smoking. Gender and family history are risk factors that cannot be controlled.