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Practice Question

A nurse is taking a health history of a client who reports occasionally taking several over-the-counter medications, including an H₂ receptor antagonist (H₂RA). Which of the following outcomes indicates the H₂RA is therapeutic?

Answer Choices:

Correct Answer:

Relief of heartburn

Rationale:

💠 Mechanism of Action: H₂ receptor antagonists (like ranitidine, famotidine, cimetidine) block histamine receptors in gastric parietal cells, reducing gastric acid secretion.

💠 Therapeutic Goal: The main indication is to relieve symptoms of gastroesophageal reflux disease (GERD), peptic ulcers, and heartburn.

💠 Expected Outcome: Decreased epigastric pain and burning after meals or at night indicates effective therapy.

💠 Clinical Monitoring: Symptom relief without rebound acidity suggests optimal dosing and compliance.

💠 Other Effects: They do not affect bowel motility or gas passage, ruling out the other choices.

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This question is from EXAM THREE FA25 which contains 25 questions.

More Questions from This Exam
A nurse is teaching a client who has a new prescription for sucralfate to treat a gastric ulcer. Which of the following statements by the client indicates an understanding of the teaching?

Answer Choices:

A. "I will take this medication as needed to reduce pain."
B. "I will reduce my fluid intake with this medication."
C. "I will take this medication with an antacid."
D. "I will take this medication 1 hour before meals and at bedtime."
A nurse is teaching a client who has a duodenal ulcer about his new prescription for cimetidine. The nurse should include which of the following instructions in the teaching?

Answer Choices:

A. "Take the medication with an antacid to minimize stomach upset."
B. "Your doctor might need to reduce your theophylline dose while taking this medication."
C. "Take the medication on an empty stomach for better absorption."
D. "You should plan to take this medication for at least 6 months."
A client is prescribed lansoprazole 15 mg PO once a day. At which of the following times should the nurse administer the medication?

Answer Choices:

A. 30 minutes after lunch
B. With a bedtime snack
C. 30 minutes before breakfast
D. With dinner meal
Ondansetron would be contraindicated in a client who presents with what clinical manifestation?

Answer Choices:

A. Nausea
B. Hypertension
C. Prolonged QT interval
D. Diarrhea
From Exam
EXAM THREE FA25

25 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: Examplify Exam(s)
  • Domain: Medical-Surgical
  • Answer Choices: 4
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