This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A postoperative appendectomy patient has a nasogastric tube and wonders why the previous nurse told ... (Read 111 times)

Jramos095

  • Hero Member
  • *****
  • Posts: 528
on: Jul 24, 2018
A postoperative appendectomy patient has a nasogastric tube and wonders why the previous nurse told him that he was receiving an IV ulcer-preventing medication called ranitidine.
 
  The patient states that he has never had any stomach problems in his life. Which is the best response by the nurse?
  a. This medication will cause the pH in your stomach to drop.
  b. This medication helps coat your stomach while the nasogastric tube is in place.
  c. Because you are not eating after surgery, this medication will help reduce the hydrochloric acid your stomach is still secreting.
  d. The nasogastric tube will cause peptic ulcer disease. This medication will help prevent that.

Question 2

Which medication is used in the treatment of gastric reflux esophagitis and diabetic gastroparesis?
 
  a. Metoclopramide
  b. Misoprostol
  c. Pantoprazole
  d. Ranitidine


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

aadams68

  • Sr. Member
  • ****
  • Posts: 317
Reply #1 on: Jul 24, 2018
Answer to Question 1

ANS: C
Patients who are not eating still secrete hydrochloric acid from the stomach's parietal cells. H2 receptor antagonists block the H2 receptors, resulting in a decrease in the amount of acid secreted. The pH of the stomach contents then becomes less acidic, which reduces the stress of the mucosal lining of the stomach. Ranitidine causes the stomach contents to become less acidic as the amount of acid secreted decreases; consequently, the pH of the stomach rises. This is not a coating agent, and giving it parenterally will not work to coat the stomach. Increased gastric acid, not nasogastric tubes, causes peptic ulcer disease (PUD).

Answer to Question 2

ANS: A
Metoclopramide is a gastric stimulant used to relieve the symptoms of gastric reflux esophagitis and diabetic gastroparesis, aid in small bowel intubation, and stimulate gastric emptying and intestinal transit of barium after radiologic examination of the upper gastrointestinal (GI) tract. Misoprostol is used to prevent and treat gastric ulcers caused by NSAIDs, including aspirin. Pantoprazole and ranitidine do not treat gastroparesis.


Jramos095

  • Member
  • Posts: 528
Reply 2 on: Jul 24, 2018
Excellent

jojobee318

  • Member
  • Posts: 298
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

A cataract is a clouding of the eyes' natural lens. As we age, some clouding of the lens may occur. The first sign of a cataract is usually blurry vision. Although glasses and other visual aids may at first help a person with cataracts, surgery may become inevitable. Cataract surgery is very successful in restoring vision, and it is the most frequently performed surgery in the United States.

Did you know?

About 60% of newborn infants in the United States are jaundiced; that is, they look yellow. Kernicterus is a form of brain damage caused by excessive jaundice. When babies begin to be affected by excessive jaundice and begin to have brain damage, they become excessively lethargic.

Did you know?

Medications that are definitely not safe to take when breastfeeding include radioactive drugs, antimetabolites, some cancer (chemotherapy) agents, bromocriptine, ergotamine, methotrexate, and cyclosporine.

Did you know?

Though “Krazy Glue” or “Super Glue” has the ability to seal small wounds, it is not recommended for this purpose since it contains many substances that should not enter the body through the skin, and may be harmful.

Did you know?

Patients who have undergone chemotherapy for the treatment of cancer often complain of a lack of mental focus; memory loss; and a general diminution in abilities such as multitasking, attention span, and general mental agility.

Taking a Patient’s Axillary Temperature Taking a Patient’s Axillary Temperature
Electroencephalography (EEG). To perform the EEG, electrodes attached to the patient’s head pick up Electroencephalography (EEG). To perform the EEG, electrodes attached to the patient’s head pick up
Formation of the Neural Tube and Neural Tube Defects Formation of the Neural Tube and Neural Tube Defects
Patient Information Supplied When Scheduling Hospital Admissions Patient Information Supplied When Scheduling Hospital Admissions
A physician uses a portable electronic tablet to enter patient data while in the examination room. A physician uses a portable electronic tablet to enter patient data while in the examination room.
The physician uses auscultation to listen to a patient’s heart. The physician uses auscultation to listen to a patient’s heart.
Video: Inflammation Animation

For a complete list of videos, visit our video library