A patient who has been experiencing heartburn has begun taking OTC ranitidine (Zantac). The nurse who is working with this patient should be aware that this drug achieves a therapeutic effect by which of the following means?
A) Raising the pH of gastric secretions
B) Inhibiting the secretion of gastric acid
C) Binding to proton pumps
D) Decreasing gastric motility
B
Feedback:
The histamine2 receptor antagonists (H2RAs) inhibit both basal secretion of gastric acid and the secretion stimulated by histamine, acetylcholine, and gastrin. These drugs, such as ranitidine, do not change the pH of secretions, bind to the proton pumps, or decrease gastric motility.
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Which law initially provided for rehabilitation of disabled Americans?
a. Vocational Rehabilitation Act of 1920 b. Social Security Act of 1935 c. Rehabilitation Act of 1973 d. Americans with Disabilities Act of 1990
The family of a client with advanced dementia and increasing health complications has gathered for a conference to discuss the plan of care for the client relating to the end-of-life plans
During the conference, concerns about the client's increasing weight loss and inability or desire to eat have been raised. They are requesting information about initiating tube feedings. What response is indicated at this time? A) Tube feeding will aid the client in gaining weight. B) Tube feeding is associated with a reduced risk of aspiration. C) Tube feeding may be beneficial in reducing the discomfort associated with dehydration. D) At this time, the absence of tube feeding is promoting comfort, as dehydration has been shown to reduce pain sensitivity.
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a. Adding a mineralocorticoid to the drug regimen b. Assessing serum electrolytes to check for toxicity c. Increasing the dose to 50 mg daily d. Splitting the daily dose into a morning and an afternoon dose