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 335 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

xthemafja

  • Member
  • Posts: 348
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

Eat fiber! A diet high in fiber can help lower cholesterol levels by as much as 10%.

Did you know?

Illicit drug use costs the United States approximately $181 billion every year.

Did you know?

Adolescents often feel clumsy during puberty because during this time of development, their hands and feet grow faster than their arms and legs do. The body is therefore out of proportion. One out of five adolescents actually experiences growing pains during this period.

Did you know?

Prostaglandins were first isolated from human semen in Sweden in the 1930s. They were so named because the researcher thought that they came from the prostate gland. In fact, prostaglandins exist and are synthesized in almost every cell of the body.

Did you know?

Studies show that systolic blood pressure can be significantly lowered by taking statins. In fact, the higher the patient's baseline blood pressure, the greater the effect of statins on his or her blood pressure.

A nurse prepares a client for anesthesia and surgery. A nurse prepares a client for anesthesia and surgery.
The fallopian tube The fallopian tube
Based on this figure, what pathway is used during urinary catheterization, in which a tube is ... Based on this figure, what pathway is used during urinary catheterization, in which a tube is ...
Patient health history form Cont. Patient health history form Cont.
Shell-Tube CHE 413 Chemical Engineering Equipment Design Shell-Tube CHE 413 Chemical Engineering Equipment Design
With all vacuum lines and the intake tube removed, the valve cover can be removed after removing all ... With all vacuum lines and the intake tube removed, the valve cover can be removed after removing all ...
Video: Baroreceptor Reflex

For a complete list of videos, visit our video library