A male client who has been taking a high dose of a nonsteroidal antiinflammatory drug (NSAID) comes to the clinic reporting gastric pain and blood in his stool. The healthcare provider discontinues the NSAIDs and prescribes esomeprazole. Which information should the nurse include in this client's teaching plan?
Once pain subsides, NSAID therapy can be resumed.
Resume a diet that consists of milk, cream, and bland foods.
Notify the healthcare provider of the passage of black stools.
Call the clinic if diarrhea or headache occur when taking esomeprazole.
The Correct Answer is C
A. NSAIDs should not be resumed without medical advice, especially if there has been significant gastrointestinal bleeding.
B. A diet of milk, cream, and bland foods is not specifically recommended for this condition and does not address the underlying issue of NSAID-induced gastrointestinal damage.
C. Black stools can indicate gastrointestinal bleeding, which is a serious side effect of NSAIDs and requires immediate medical attention.
D. While esomeprazole can cause side effects like diarrhea or headache, they are not as urgent as reporting possible gastrointestinal bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Fatigue and dizziness are common side effects of baclofen, and the nurse should advise the client to avoid hazardous activities until these symptoms improve.
B. Stopping baclofen suddenly can lead to withdrawal symptoms and should not be done without consulting a healthcare provider.
C. Increasing fluid and protein intake is not specifically indicated for managing baclofen side effects.
D. Immediate transportation to the emergency department is unnecessary unless the client exhibits severe or worsening symptoms not related to typical side effects.
Correct Answer is A
Explanation
A. Risedronate can cause esophageal irritation and heartburn if not taken properly. It is crucial to assess the client’s method of taking the medication to identify potential issues such as not taking it with enough water or not remaining upright after taking it.
B. While taking the medication with plenty of water is important, understanding the client's current practices helps to identify specific issues.
C. Advising an emergency department visit is not appropriate unless there are severe symptoms indicating an emergency.
D. Antacids should generally be avoided as they can interfere with the absorption of risedronate.
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