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 334 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
YES! Correct, THANKS for helping me on my review

mohan

  • Member
  • Posts: 362
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

Approximately one in four people diagnosed with diabetes will develop foot problems. Of these, about one-third will require lower extremity amputation.

Did you know?

Once thought to have neurofibromatosis, Joseph Merrick (also known as "the elephant man") is now, in retrospect, thought by clinical experts to have had Proteus syndrome. This endocrine disease causes continued and abnormal growth of the bones, muscles, skin, and so on and can become completely debilitating with severe deformities occurring anywhere on the body.

Did you know?

Each year in the United States, there are approximately six million pregnancies. This means that at any one time, about 4% of women in the United States are pregnant.

Did you know?

According to the CDC, approximately 31.7% of the U.S. population has high low-density lipoprotein (LDL) or "bad cholesterol" levels.

Did you know?

To maintain good kidney function, you should drink at least 3 quarts of water daily. Water dilutes urine and helps prevent concentrations of salts and minerals that can lead to kidney stone formation. Chronic dehydration is a major contributor to the development of kidney stones.

Measuring Patient Height Measuring Patient Height
Nurse examining and measuring hematuria sample from client with a UTI Nurse examining and measuring hematuria sample from client with a UTI
Patient teaching: female genetalia and reproductive tract assessment Patient teaching: female genetalia and reproductive tract assessment
Patient Teaching Methods Cont. Patient Teaching Methods Cont.
Toxoplasma gondii in the heart of an HIV patient. Toxoplasma gondii in the heart of an HIV patient.
Video: Stomach peristalsis & Enterogastric reflex

For a complete list of videos, visit our video library