A nurse is assessing a client who has taken omeprazole for over 10 years and recently reported experiencing severe muscle cramps. Which of the following electrolyte imbalances should the nurse consider as possibly contributing to this issue?

Hypercalcemia

Hypomagnesemia

Hyponatremia

Hyperkalemia

Answer and Explanation

The Correct Answer is B

A. Hypercalcemia: Elevated calcium levels are not commonly associated with long-term omeprazole use. Hypercalcemia typically presents with fatigue, constipation, and kidney stones rather than muscle cramps.

B. Hypomagnesemia: Long-term use of proton pump inhibitors like omeprazole can lead to decreased magnesium absorption, resulting in hypomagnesemia. Low magnesium levels can cause neuromuscular excitability, leading to severe muscle cramps, tremors, and even arrhythmias.

C. Hyponatremia: Sodium imbalances are not a known effect of omeprazole therapy. Hyponatremia usually presents with confusion, lethargy, and seizures rather than isolated muscle cramps.

D. Hyperkalemia: Elevated potassium levels are not typically caused by omeprazole. Hyperkalemia primarily affects cardiac function and may present with arrhythmias, not muscle cramps.

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Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}

Explanation

Rationales for Correct Choices

Not take the antacid within 30 min of the sucralfate: Antacids can interfere with the absorption and adherence of sucralfate to the gastric mucosa. Spacing administration by at least 30 minutes ensures optimal therapeutic action of both medications.
Shake the suspension thoroughly before administration: Sucralfate is a suspension, meaning its medication particles are dispersed in a liquid. To ensure the client receives the correct, full dose and therapeutic effect, the medication must be shaken well immediately before measuring and administering.

Rationale for Incorrect Choices:

Discontinue the sucralfate as soon as ulcer manifestations subside: Stopping sucralfate too early can prevent complete healing of the ulcer. Full courses should be completed as prescribed.
Take the sucralfate with meals: Sucralfate should be taken on an empty stomach (at least 1hour before meals and at bedtime) to allow it to form the protective barrier on the ulcer before food and acid production increase.

A. A young adult who has a febrile illness B. A young adult who is pregnant C. A child who has a hypersensitivity to amoxicillin D. A child who has cerebral palsy

Correct Answer is A

Explanation

A. A young adult who has a febrile illness: Receiving an inactivated influenza vaccine during an acute febrile illness can increase the risk of adverse reactions and may reduce the immune response. Vaccination should be postponed until the illness resolves.

B. A young adult who is pregnant: Inactivated influenza vaccines are safe during pregnancy and are recommended to protect both the mother and the fetus from influenza-related complications. Pregnancy is not a contraindication.

C. A child who has a hypersensitivity to amoxicillin: Hypersensitivity to antibiotics like amoxicillin does not contraindicate the influenza vaccine, as there is no cross-reactivity between amoxicillin and the vaccine components.

D. A child who has cerebral palsy: Cerebral palsy is a neurological condition and does not prevent administration of the inactivated influenza vaccine. Vaccination is encouraged in children with chronic conditions to reduce infection risk.

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A nurse is assessing a client who has taken omeprazole for over 10 years and recently reported experiencing severe muscle cramps. Which of the following electrolyte imbalances should the nurse consider as possibly contributing to this issue?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to teach a client who has peptic ulcer disease about medications. Exhibits Drag words from the choices below to fill in each blank in the following sentence. The nurse should plan to instruct the client to dropdown and dropdown.

Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}

Explanation

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Correct Answer is A

Explanation

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