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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. "I will remove the yellow exudate that forms around his penis." The yellow exudate is part of normal healing and should not be removed. Disturbing this layer can delay healing and increase the risk of bleeding or infection.

B. "I will apply petrolatum to his penis with each diaper change." Applying petrolatum helps prevent the diaper from sticking to the healing circumcision site, reducing discomfort and protecting the wound from friction and contamination during diaper changes.

C. "I will change his diaper every 6 hours." Diapers should be changed more frequently, especially after each bowel movement or urination, to keep the area clean and dry and reduce the risk of infection at the circumcision site.

D. "I will ensure that the diaper is firmly applied to the circumcised area." The diaper should be applied snugly but not firmly or tightly. Excess pressure on the circumcised area can cause pain or impair circulation, delaying healing.

A. Monitor blood pressure every hour. B. Initiate an IV infusion of lactated Ringer's. C. Place the client in a left lateral position. D. Maintain continuous monitoring of the FHR.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"}}

Explanation

Monitor blood pressure every hour:Frequent blood pressure monitoring is necessary due to the client’s history of chronic hypertension and gestational diabetes, both of which increase the risk for preeclampsia.
Initiate an IV infusion of lactated Ringer's:IV fluids help maintain hydration, support uteroplacental perfusion, and provide a route for medications if needed. This is a routine step in labor management.
Place the client in a left lateral position:This position enhances uteroplacental circulation by reducing pressure on the inferior vena cava, especially important when fetal heart rate shows minimal variability.
Maintain continuous monitoring of the FHR:Minimal variability and elevated baseline (168/min) warrant continuous fetal monitoring to assess for potential fetal distress or effects of meconium-stained fluid.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client who is 3 days postpartum about her infant's circumcision using a Gomco clamp. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse in an antepartum unit is caring for a client. Exhibits For each potential intervention, click to specify if the intervention is anticipated or contraindicated for the client.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"}}

Explanation

A nurse is caring for a client who is displaying combative behavior. Which of the following actions should the nurse take first?

Exhibits Which actions should the nurse take? Select all that apply.

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