A nurse is caring for a client who is on long-term therapy for peptic ulcer disease and has a new diagnosis of osteoporosis. The nurse should Identify that osteoporosis is an adverse effect of which of the following medications?
Omeprazole
Famotidine
Bismuth
Magnesium hydroxide
The Correct Answer is A
A. Omeprazole: Omeprazole is a proton pump inhibitor (PPI) that, with long-term use, can reduce calcium absorption by lowering stomach acid. This decreased calcium absorption contributes to bone demineralization and increases the risk of osteoporosis and fractures.
B. Famotidine: Famotidine is an H2-receptor antagonist that suppresses gastric acid but has not been strongly linked to reduced calcium absorption or osteoporosis. It is generally considered safer than PPIs in terms of long-term bone health.
C. Bismuth: Bismuth compounds are used for gastrointestinal discomfort and to treat Helicobacter pylori infections but are not associated with osteoporosis. They work locally in the stomach and do not significantly affect mineral metabolism.
D. Magnesium hydroxide: This antacid works by neutralizing stomach acid and may cause diarrhea, but it is not known to interfere with calcium absorption or contribute to bone loss. It does not carry a risk of osteoporosis with prolonged use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"}}
Explanation
- Decreased platelet count:Thrombocytopenia is a common lab abnormality in preeclampsia due to widespread endothelial damage and platelet aggregation. It can progress to HELLP syndrome if severe.
- Blurred vision:This is a serious neurologic manifestation of preeclampsia, signaling cerebral edema or vasospasm. It is a warning sign of worsening disease and risk of seizures (eclampsia).
- Elevated uric acid level:In preeclampsia, impaired renal clearance causes uric acid to accumulate. It reflects both kidney dysfunction and oxidative stress within the placenta.
- Purulent amniotic fluid:Cloudy, foul-smelling, or greenish-yellow fluid indicates infection of the amniotic sac, consistent with chorioamnionitis. It usually follows prolonged rupture of membranes.
- Fever:A maternal fever above 38°C (100.4°F) is a primary indicator of chorioamnionitis. It reflects the body's inflammatory response to intrauterine infection and requires urgent antibiotic treatment.
Correct Answer is A
Explanation
A. Wrap the dialysate with a heating pad before instillation: Warming the dialysate to body temperature helps prevent abdominal cramping and promotes comfort during infusion. It should be warmed using a heating pad, not a microwave, to ensure safe, even heating.
B. Use clean technique when performing the procedure: Peritoneal dialysis requires strict aseptic technique to prevent peritonitis, a serious infection. Clean technique is not sufficient for this sterile procedure and increases infection risk.
C. Advance the catheter into the peritoneum to promote drainage: The catheter should never be advanced by the client. It is surgically placed and should remain secure; any manipulation can cause injury or dislodgment.
D. Lie in the same position throughout the procedure: Changing positions may actually help facilitate better drainage. Clients are often encouraged to move or reposition slightly if drainage is sluggish. Remaining in one position is not necessary.
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