A client with a peptic ulcer is diagnosed with Helicobacter pylori infection. The nurse is teaching the client about the medications prescribed, including two antibiotics metronidazole and clarithromycin and a PPI omeprazole. Which statement by the client indicates the best understanding of the medication regimen?

These medications will coat the ulcer and decrease the acid production in my stomach.

The medications will kill the bacteria and stop the acid production.

I should take these medications only when I have pain from my ulcer.

The medications will kill the bacteria and reduce the acid production.

Answer and Explanation

The Correct Answer is D

Choice A reason: This is not a correct statement because these medications do not coat the ulcer. They are not antacids or mucosal protectants, which can form a protective layer over the ulcer and neutralize the stomach acid.

Choice B reason: This is not a correct statement because these medications do not stop the acid production. They only reduce it by inhibiting the proton pump, which is responsible for secreting acid into the stomach.

Choice C reason: This is not a correct statement because these medications should be taken as prescribed, not as needed. They are not analgesics or anti-inflammatory drugs, which can relieve the pain and inflammation of the ulcer.

Choice D reason: This is a correct statement because these medications have two effects: they kill the bacteria that cause the infection and inflammation of the ulcer, and they reduce the acid production that aggravates the ulcer. This can help heal the ulcer and prevent complications.

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Correct Answer is B

Explanation

Choice A reason: Active transport is the process of moving molecules across a cell membrane against a concentration gradient, requiring energy.

Choice B reason: Diffusion is the process of moving molecules from an area of high concentration to an area of low concentration, without using energy.

Choice C reason: Filtration is the process of moving fluid and solutes through a membrane by a pressure gradient.

Choice D reason: Osmosis is the process of moving water across a semipermeable membrane from an area of low solute concentration to an area of high solute concentration.

A. I'm going to have to do some rearranging of my finances to make sure I can afford this medication. B. I'm a bit nervous to start this medication because I know I'll need blood tests sometimes. C. It's hard to believe that there are actually medications that can treat obesity. D. I'm so relieved to start this medication. I really don't like having to exercise or change what I eat.

Correct Answer is D

Explanation

Choice A reason: This statement does not suggest that further health education is necessary. The client is expressing a realistic concern about the cost of the medication, which may be expensive or not covered by insurance. The nurse should acknowledge the client's financial situation and provide information about possible assistance programs or alternative options.

Choice B reason: This statement does not suggest that further health education is necessary. The client is expressing a reasonable anxiety about the medication, which may have side effects or interactions that require monitoring. The nurse should reassure the client and explain the purpose and frequency of the blood tests, as well as the potential benefits and risks of the medication.

Choice C reason: This statement does not suggest that further health education is necessary. The client is expressing a sense of wonder or skepticism about the medication, which may be uncommon or novel for the treatment of obesity. The nurse should educate the client about how the medication works and what to expect from the treatment, as well as the evidence and research behind it.

Choice D reason: This statement suggests that further health education is necessary. The client is expressing a false or unrealistic expectation about the medication, which is not a magic pill or a substitute for lifestyle changes. The nurse should correct the client and emphasize the importance of following a healthy diet and exercise regimen, as well as the goals and limitations of the medication.

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Naxlex Comprehensive Predictor Exams

The nurse is providing care for a client with a fluid imbalance. The nurse explains that in the body, areas with high concentration of solutes naturally and passively shift to areas of lower concentration. The nurse is describing which process?

Correct Answer is B

Explanation

A client with long-standing obesity has been prescribed phentermine/topiramate-ER for treatment. What statement by the client suggests that further health education is necessary?

Correct Answer is D

Explanation

A nurse is to administer a hypotonic solution to a patient with a critically high sodium. Which solution is hypotonic?

A nurse is assisting with serving dinner trays on the unit. Upon receiving the dinner tray for a client admitted with acute gallbladder inflammation, the nurse will question which of the following foods on the tray?

A nurse is planning care for a client who has diverticulitis. Which of the following menu selections should the nurse include in the plan?

A client with diverticular disease has just returned from a colonoscopy. While conducting an abdominal assessment, the nurse monitors for which of the following as an initial sign of a possible complication of the procedure?

A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client for which of the following findings as an indication of gastrointestinal perforation?

A nurse is caring for a client who is postoperative following an open cholecystectomy. Which of the following actions should the nurse take when caring for the client's Jackson-Pratt (JP) drain?

A nurse is providing teaching for a client who has a new diagnosis of gastroesophageal reflux disease (GERD). The client asks about foods he should avoid eating. Which of the following foods should the nurse tell him to avoid?

A nurse is caring for a child who has acute appendicitis. Which of the following results should the nurse anticipate when reviewing this client's laboratory values?