A client with a hiatal hernia is prescribed omeprazole (Prilosec). Which explanation by the nurse best describes the purpose of this medication?
"It strengthens the lower esophageal sphincter to prevent herniation."
"It reduces the amount of acid your stomach produces"
"It helps move food through your digestive tract more quickly."
"It neutralizes the acid in your stomach after meals."
The Correct Answer is B
Rationale:
A. Omeprazole does not strengthen the lower esophageal sphincter; it reduces acid production to relieve symptoms associated with acid reflux.
B. Omeprazole is a proton pump inhibitor (PPI) that works by reducing gastric acid secretion, helping to relieve symptoms like heartburn and esophageal irritation caused by hiatal hernia.
C. Moving food more quickly through the GI tract is the role of prokinetic agents, not PPIs.
D. Neutralizing stomach acid is the action of antacids, not omeprazole.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Visible atrophy may occur in advanced disease due to disuse, but it is not a hallmark early finding of RA.
B. Morning joint stiffness lasting more than 30 minutes is a classic symptom of rheumatoid arthritis, often improving with activity. This distinguishes it from osteoarthritis, where stiffness is typically brief.
C. While RA is a systemic inflammatory disease, it does not typically present with signs of acute infection (e.g., fever, chills) unless there’s a secondary complication.
D. RA-affected joints are usually warm, swollen, and tender, not cool. Decreased range of motion can occur but is not the most specific early indicator.
Correct Answer is B
Explanation
Rationale:
A. Elevated hemoglobin is not a known complication of long-term pantoprazole use.
B. Long-term use of proton pump inhibitors (PPIs) like pantoprazole can lead to decreased calcium absorption, increasing the risk for decreased bone mineral density and fractures. This is a recognized potential complication.
C. Bradycardia and hypotension are not common side effects associated with pantoprazole.
D. Pantoprazole reduces gastric acid production; it does not increase it. Rebound acid hypersecretion may occur after stopping the drug abruptly, but not during its use.
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