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 333 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
:D TYSM

Liamb2179

  • Member
  • Posts: 365
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

As many as 20% of Americans have been infected by the fungus known as Histoplasmosis. While most people are asymptomatic or only have slight symptoms, infection can progress to a rapid and potentially fatal superinfection.

Did you know?

When intravenous medications are involved in adverse drug events, their harmful effects may occur more rapidly, and be more severe than errors with oral medications. This is due to the direct administration into the bloodstream.

Did you know?

Children of people with alcoholism are more inclined to drink alcohol or use hard drugs. In fact, they are 400 times more likely to use hard drugs than those who do not have a family history of alcohol addiction.

Did you know?

Nitroglycerin is used to alleviate various heart-related conditions, and it is also the chief component of dynamite (but mixed in a solid clay base to stabilize it).

Did you know?

Disorders that may affect pharmacodynamics include genetic mutations, malnutrition, thyrotoxicosis, myasthenia gravis, Parkinson's disease, and certain forms of insulin-resistant diabetes mellitus.

The grey nurse shark is critically endangered on the Australian east coast. The grey nurse shark is critically endangered on the Australian east coast.
Sperm in the fallopian tube. Sperm in the fallopian tube.
Coronary artery bypass graft (CABG). The grafts are often obtained from the patient’s saphenous vein Coronary artery bypass graft (CABG). The grafts are often obtained from the patient’s saphenous vein
Nurse collaboration Nurse collaboration
The patient's signature on the informed consent form indicates that the patient understands the The patient's signature on the informed consent form indicates that the patient understands the
The fuel pickup tube is part of the fuel sender and pump assembly. The fuel pickup tube is part of the fuel sender and pump assembly.
Video: Homologous chromosomes during prophase I - Animation

For a complete list of videos, visit our video library