A client with active GERD presents to clinic. Which statement by the client indicates they need additional education?

"I will avoid alcohol and cigarettes."

I will have. small snack right before bedtime."

I will wear loose fitting clothes."

I will take all NSAIDs and steroids with food."

Answer and Explanation

The Correct Answer is B

A) "I will avoid alcohol and cigarettes.": This is a correct and important statement for a client with GERD. Both alcohol and cigarettes can relax the lower esophageal sphincter, increasing the likelihood of acid reflux and exacerbating GERD symptoms. Avoiding these substances is a standard recommendation for managing GERD.

B) "I will have a small snack right before bedtime.": This statement indicates the need for additional education. Eating a meal or snack right before bedtime can exacerbate GERD symptoms because lying down after eating can increase the likelihood of acid reflux. It is generally recommended for clients with GERD to avoid eating at least 2-3 hours before going to bed to reduce the risk of reflux.

C) "I will wear loose fitting clothes.": Wearing loose-fitting clothes is an appropriate measure for managing GERD. Tight clothing around the abdomen can increase pressure on the stomach, promoting acid reflux. Loose clothing helps avoid this additional pressure, which can alleviate symptoms.

D) "I will take all NSAIDs and steroids with food.": This is generally good advice for reducing the risk of stomach irritation caused by NSAIDs and steroids, which can worsen GERD symptoms or cause gastric ulcers. Taking these medications with food can help buffer the stomach lining and reduce irritation.

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Correct Answer is A

Explanation

A) Low albumin: This factor has the most impact on the pharmacokinetic phase of distribution. Albumin is a key protein in the blood that binds to many medications. When albumin levels are low, fewer drug molecules will be bound, leading to an increased concentration of free (unbound) drug in the bloodstream. This can result in enhanced drug effects or toxicity, as the unbound drug is pharmacologically active and more readily able to cross cell membranes.

B) Renal disease: While renal disease can impact drug elimination and excretion, it does not have as direct an effect on the distribution phase of pharmacokinetics. Renal function primarily affects the clearance of drugs from the body rather than how the drug is distributed within the tissues.

C) Hepatic disease: Hepatic disease can affect the metabolism of drugs and their clearance, but it does not directly affect the distribution phase. While the liver is involved in metabolizing drugs, it is the ability to clear or process the drug that is most influenced, rather than its distribution to tissues.

D) An elevated gastric pH: Elevated gastric pH (which can occur with antacid use or in certain conditions) can affect the absorption of some medications but has minimal direct impact on the distribution phase of pharmacokinetics. Distribution is primarily concerned with how a drug moves from the bloodstream into tissues, and this is more influenced by factors like blood flow, protein binding, and the drug's lipophilicity, rather than the pH of the stomach.

Correct Answer is ["4"]

Explanation

Convert micrograms (mcg) to milligrams (mg):

The prescribed dose is 200 mcg.

We know that 1 mg = 1000 mcg.

Therefore, 200 mcg = 200 / 1000 = 0.2 mg.

Calculate the number of tablets:

Each tablet contains 0.05 mg of levothyroxine.

The desired dose is 0.2 mg.

We can use the following formula: (Desired dose) / (Tablet strength) = Number of tablets

(0.2 mg) / (0.05 mg/tablet) = 4 tablets

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A client with active GERD presents to clinic. Which statement by the client indicates they need additional education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What factor has the most impact on the pharmacokinetic phase of distribution?

Correct Answer is A

Explanation

A client is prescribed levothyroxine 200 mcg PO daily before breakfast. In the medication room are tablets labelled 0.05 mg/tablet. How many tablet(s) will you administer to the client? Fill in the blank with a numeric value. Answer to the nearest whole tablet

Correct Answer is ["4"]

Explanation

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