A nurse is caring for a client with a peptic ulcer who is prescribed histamine-2 (H2) receptor blockers. Which of the following laboratory values should the nurse monitor closely while the client is taking H2 receptor blockers?
Serum potassium levels
Blood glucose levels
Serum creatinine levels
Complete blood count (CBC)
The Correct Answer is A
Choice A reason:
This statement is correct. H2 receptor blockers can sometimes cause an increase in serum potassium levels. The nurse should monitor the client's potassium levels closely to detect any abnormalities.
Choice B reason:
H2 receptor blockers do not typically affect blood glucose levels, so monitoring blood glucose is not the priority in this scenario.
Choice C reason:
H2 receptor blockers are not known to have a significant impact on serum creatinine levels, so monitoring creatinine is not the priority in this case.
Choice D reason:
H2 receptor blockers are not known to affect the CBC, so monitoring the complete blood count is not the priority for this client.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
While Helicobacter pylori is a type of bacteria, it is not typically transmitted through food and does not directly cause peptic ulcer disease.
Choice B reason:
This statement is incorrect. Helicobacter pylori infection is indeed associated with an increased risk of peptic ulcer disease.
Choice C reason:
This statement is correct. Helicobacter pylori infection can weaken the stomach lining by producing substances that can damage the mucous layer, leading to increased vulnerability to acid and contributing to ulcer formation.
Choice D reason:
Helicobacter pylori infection is not caused by excessive consumption of spicy foods. The infection is typically acquired through person-to-person transmission, such as through contaminated water or food, and is unrelated to diet choices.
Correct Answer is C
Explanation
Choice A reason:
Elevated serum amylase levels are more indicative of pancreatitis, not cholecystitis.
Choice B reason:
Increased serum creatinine levels are suggestive of kidney dysfunction and are not directly related to cholecystitis.
Choice C reason:
This statement is correct. Cholecystitis is associated with inflammation and infection, which can lead to an elevated white blood cell count (leukocytosis).
Choice D reason:
Low serum bilirubin levels are not consistent with cholecystitis, which can cause obstructive jaundice and elevated bilirubin levels due to bile duct obstruction.
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