A client who is newly diagnosed with erosive esophagitis secondary to gastroesophageal reflux disease (GERD) reports to the home health nurse that there has been only a minimal reduction in symptoms after taking lansoprazole PO for one full week. Which action should the nurse take?

Auscultate the client's bowel sounds and measure the abdominal girth.

Confirm that the client is taking the medication one hour after meals.

Notify the healthcare provider that the client may need a change in dosage.

Advise the client that healing typically takes several weeks to occur.

Answer and Explanation

The Correct Answer is D

D. Since the client has reported only minimal reduction in symptoms after taking lansoprazole (a proton pump inhibitor used to treat GERD) for one full week, it suggests that the current dosage may not be sufficient for adequate symptom relief. Therefore, the nurse should notify the healthcare provider.

A. Auscultating the client's bowel sounds and measure the abdominal girth. This action is not directly related to the client's reported lack of symptom improvement with lansoprazole.

B. Lansoprazole is typically taken before meals to maximize its effectiveness in reducing gastric acid production.

C.While it is true that healing of erosive esophagitis may take several weeks with treatment, the client's report of minimal symptom reduction suggests that further evaluation and potentially a change in treatment approach are warranted.

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Correct Answer is ["B","C","E"]

Explanation

B. Start the client on antibiotic therapy - Antibiotics are typically prescribed to treat bacterial pneumonia, which is a common cause of pneumonia.

C. STAT complete blood count (CBC), basic metabolic panel (BMP), and blood cultures - These tests help in assessing the severity of the infection, evaluating electrolyte balance, and identifying the causative organism respectively.

E. Send sputum for culture & sensitivity - This helps in identifying the specific organism causing the pneumonia and determining the most effective antibiotic for treatment.

A. At an oxygen saturation above 90%, the client does not necessarily require oxygen supplementation

D. A ventilation/ perfusion scan is needed in cases of suspected pulmonary embolism which is unlikely in this case.

F. Another chest X ray is not important as a recent one is present. No much changes is expected in the period of the few hours.

A. Refer the client to the healthcare provider at the clinic to obtain a medication prescription. B. Advise the client that once symptoms occur it is too late to receive an influenza vaccination. C. Instruct the client that over-the-counter medications are sufficient to manage influenza symptoms. D. Explain to the client that antibiotics are not useful in treating viral infections such as Influenza.

Correct Answer is A

Explanation

A. Refer the client to the healthcare provider at the clinic to obtain a medication prescription is appropriate because it acknowledges the client's interest in taking oseltamivir to treat their influenza symptoms.
B. Advising the client that once symptoms occur it is too late to receive an influenza vaccination is not relevant to the client's question about taking oseltamivir to treat their existing influenza symptoms. It addresses the timing of influenza vaccination, which is typically recommended before the onset of flu season or at the beginning of flu season, rather than during an active infection.
C. Instructing the client that over-the-counter medications are sufficient to manage influenza symptoms is not accurate because while over-the-counter medications can help relieve some influenza symptoms such as fever, cough, and congestion, they do not directly treat the underlying viral infection.
D. Explaining to the client that antibiotics are not useful in treating viral infections such as influenza is true but does not address the client's specific question about taking oseltamivir to treat their influenza symptoms.

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A client who is newly diagnosed with erosive esophagitis secondary to gastroesophageal reflux disease (GERD) reports to the home health nurse that there has been only a minimal reduction in symptoms after taking lansoprazole PO for one full week. Which action should the nurse take?

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Naxlex Comprehensive Predictor Exams

Patient Data Exhibits Which physician orders would the nurse anticipate being prescribed after reporting findings? (Select all that apply).

Correct Answer is ["B","C","E"]

Explanation

A client with symptoms of influenza that started the previous day asks the clinic nurse about taking oseltamivir to treat the infection. Which response should the nurse provide?

Correct Answer is A

Explanation

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