Which medication should not be crushed or chewed, and if nasogastric administration is required, a pharmacist should be consulted due to its protein-binding properties?

Correct answer: Sucralfate

Explanation

This question assesses detailed knowledge of administration instructions and specific warnings for sucralfate.

Other questions

Question 1

Which class of antiulcer agents competitively inhibits the action of histamine at the H2 receptor, resulting in inhibition of gastric acid secretion?

Question 2

For how long is a typical H. pylori treatment regimen, which includes a proton pump inhibitor and two anti-infectives, usually prescribed?

Question 3

Which antiulcer agent works by decreasing gastric acid secretion and increasing the production of protective mucus?

Question 4

According to the precautions listed for antiulcer agents, which class of drugs requires dose reduction in elderly patients and those with renal impairment?

Question 5

Which drug is noted to inhibit the ability of the liver to metabolize several drugs, thereby increasing the risk of toxicity from warfarin, theophylline, and phenytoin?

Question 6

In the nursing assessment for a patient taking histamine H2 antagonists, which specific group of patients should be routinely assessed for confusion?

Question 7

When beginning therapy with misoprostol in a woman of reproductive potential, when is the medication usually started?

Question 8

What is the minimum recommended time to separate the administration of antacids from other oral medications to avoid interference with absorption?

Question 9

How should proton pump inhibitor capsules be administered to a patient?

Question 10

According to the patient teaching section, what is a crucial piece of information to provide to women of reproductive potential about misoprostol?

Question 11

For how long should a patient be advised to continue therapy with sucralfate to ensure ulcer healing?

Question 12

Which antiulcer agent is specifically mentioned for preventing gastric ulcers in patients receiving chronic NSAID therapy?

Question 13

What is the mechanism of action for proton pump inhibitors?

Question 14

Calcium- and magnesium-containing antacids can decrease the absorption of which two classes of antibiotics?

Question 15

How should misoprostol be administered to reduce the severity of diarrhea?

Question 16

A patient asks why smoking cessation is recommended while being treated for a duodenal ulcer. What is the best response based on the provided text?

Question 17

How are liquid and powder dosage forms of antacids considered in terms of effectiveness compared to chewable tablets?

Question 18

What is the recommended timing for administering antacids to achieve maximum antacid effect?

Question 20

For how long is therapy with histamine H2 antagonists typically continued after an initial episode of a duodenal ulcer?

Question 21

A patient is taking an antiulcer agent that increases gastric pH. This can decrease the absorption of which of the following medications?

Question 22

What is the primary contraindication listed for all antiulcer agents mentioned in the chapter?

Question 23

Which antiulcer medication has a mechanism of action described as protecting the ulcer surface from further damage?

Question 24

A patient taking sucralfate is advised to increase fluid intake, dietary bulk, and exercise. What is the reason for this advice?

Question 25

In the general use section, Histamine H2-receptor antagonists and proton pump inhibitors are mentioned for managing which condition in addition to ulcers?

Question 26

Omeprazole, a proton pump inhibitor, is known to decrease the metabolism of which of the following drugs?

Question 27

Which four anti-infectives are listed as having significant activity against Helicobacter pylori?

Question 28

Patients are cautioned to consult a health care professional before taking antacids for more than how long?

Question 29

Which condition is a precaution for the use of magnesium-containing antacids?

Question 30

What is the primary action of antacids in managing ulcer disease?

Question 31

During a nursing assessment, a patient taking an antiulcer agent should be routinely assessed for epigastric pain and what other sign?

Question 32

How must chewable antacid tablets be taken to be most effective?

Question 33

Which patient teaching point is crucial for sucralfate regarding its administration timing?

Question 34

A patient should be advised to avoid which three types of products/foods that may cause an increase in GI irritation?

Question 35

Besides anti-infectives, which other antiulcer agent is mentioned as also having activity against H. pylori?

Question 36

For women of reproductive potential, a negative serum pregnancy test should be obtained within what timeframe before beginning misoprostol therapy?

Question 37

What implementation instruction is given regarding liquid antacid preparations before pouring?

Question 38

Which gastric hypersecretory condition is mentioned as a general use for antiulcer agents?

Question 39

Which patient teaching point is vital regarding the sharing of misoprostol?

Question 40

Proton pump inhibitors should be administered at what time of day for best results?

Question 41

What is the primary reason that a majority of peptic ulcer disease may recur, according to the text?

Question 42

According to the nursing assessment guidelines, what should a nurse do if confusion is noted in an elderly patient taking a Histamine H2 antagonist?

Question 43

Antacids can cause premature dissolution and absorption of which type of medication tablets?

Question 44

A patient should be advised to promptly report the onset of which symptom, as it may indicate gastric bleeding?

Question 45

Which class of antiulcer agents should be used cautiously in women of reproductive potential?

Question 46

What is the recommended action if a woman suspects she is pregnant while taking misoprostol?

Question 47

Which medication's metabolism is decreased by omeprazole?

Question 48

Which of the following is NOT listed as a general use for antiulcer agents in the text?

Question 49

The text states that in H. pylori treatment regimens, what may be included along with a proton pump inhibitor and two anti-infectives?

Question 50

How is healing of duodenal ulcers confirmed according to the 'Evaluation/Desired Outcomes' section?