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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. While oats themselves do not contain gluten, they are often processed in facilities that also handle wheat, which can lead to cross-contamination.
B. Corn chips are typically safe options for a gluten-free diet.
C. Fried rice are typically safe options for a gluten-free diet.
D. Potatoes (D) are typically safe options for a gluten-free diet.
Correct Answer is ["0.8"]
Explanation
The vial contains 0.3 mg of medication, which has been reconstituted with 2 mL of sterile water. Therefore, each milliliter of solution contains 0.15 mg of medication.
The prescribed dose is 0.125 mg, so the nurse should administer \( \frac{0.125\ mg}{0.15\ mg/mL} = 0.8333 \) mL of the solution.
After rounding to the nearest tenth, the nurse should administer 0.8 mL of the reconstituted solution to the client every other day.
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