A male patient presents with complaints of chronic stomach pain and is diagnosed with a Helicobacter pylori infection. The physician decides to initiate triple therapy. Which combination of medications is most appropriate for this treatment?

Amoxicillin, Clarithromycin, and Omeprazole

Ciprofloxacin, Metronidazole, and Ranitidine

Erythromycin, Amoxicillin, and Famotidine

Metronidazole, Tetracycline, and Bismuth subsalicylate

Answer and Explanation

The Correct Answer is A

A. Amoxicillin, Clarithromycin, and Omeprazole: This is the most common combination used in triple therapy for H. pylori eradication. It includes two antibiotics (Amoxicillin and Clarithromycin) to eliminate the bacteria, and a proton pump inhibitor (Omeprazole) to reduce stomach acid and promote healing.

B. Ciprofloxacin, Metronidazole, and Ranitidine: Ciprofloxacin and Metronidazole are not typically part of the standard regimen for H. pylori infection. Ranitidine is an H2-receptor antagonist, not commonly used in current treatment protocols for H. pylori.

C. Erythromycin, Amoxicillin, and Famotidine: Erythromycin is not part of the standard H. pylori treatment regimen, and Famotidine is an H2-receptor antagonist, which is less effective than proton pump inhibitors for H. pylori.

D. Metronidazole, Tetracycline, and Bismuth subsalicylate: This combination is used in quadruple therapy for H. pylori infections, but it is not the most common initial treatment.

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Correct Answer is B

Explanation

A. A client who has a pacemaker: Having a pacemaker is not a contraindication for renal transplantation. As long as the patient is otherwise healthy and able to tolerate surgery, a pacemaker does not preclude the procedure.

B. A client who has a history of IV drug abuse: IV drug abuse is a contraindication for renal transplant due to the potential for poor compliance with post-transplant care and higher risk for recurrent infections and complications.

C. A client who has a body mass index (BMI) of 25: A BMI of 25 is within the normal to slightly overweight range. A BMI of 30 or higher may be a concern due to increased risks during surgery, but a BMI of 25 is not a contraindication.

D. A client who is 65 years old: Age alone is not a contraindication for a renal transplant. While younger patients may have better outcomes, transplants are performed on older patients if they are otherwise good candidates and able to tolerate the surgery and long-term immunosuppressive therapy.

A. Atorvastatin B. Losartan C. Vancomycin D. Aspirin

Correct Answer is C

Explanation

A. Atorvastatin: Atorvastatin is a statin used to manage cholesterol levels. It is generally safe for use in patients with CKD.

B. Losartan: Losartan is an angiotensin II receptor blocker (ARB) used to manage hypertension and protect the kidneys in diabetic nephropathy. It can be beneficial in CKD patients.

C. Vancomycin: Vancomycin is an antibiotic known to be nephrotoxic, especially in patients with compromised kidney function. It should be used with caution or avoided in patients with CKD.

D. Aspirin: While aspirin can have adverse effects on the kidneys at high doses, its nephrotoxic potential is lower than that of vancomycin. In low doses, aspirin is commonly used for cardiovascular protection, even in patients with CKD.

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A male patient presents with complaints of chronic stomach pain and is diagnosed with a Helicobacter pylori infection. The physician decides to initiate triple therapy. Which combination of medications is most appropriate for this treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about renal transplant with a newly licensed nurse. Which of the following clients should the nurse identify as having a contraindication for this procedure?

Correct Answer is B

Explanation

A patient with chronic kidney disease (CKD) is being evaluated for medication management. Which of the following medications should be avoided due to its potential nephrotoxic effects?

Correct Answer is C

Explanation

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