A nurse is collecting data from a client who has been taking esomeprazole for several months. Which of the following client statements should the nurse identify as indicating effectiveness of the medication?
"My feet are no longer sore and itchy."
"I can move my joints more easily."
"My bowel movements have increased in frequency and are much softer."
"I don't have pain in my stomach anymore."
The Correct Answer is D
Esomeprazole is a proton pump inhibitor (PPI) medication commonly used to reduce stomach acid production. It is prescribed for conditions such as gastroesophageal reflux disease (GERD) and stomach ulcers. One of the primary goals of esomeprazole is to alleviate stomach pain and discomfort associated with excessive stomach acid.
The other statements mentioned are not directly related to the effectiveness of esomeprazole: "My feet are no longer sore and itchy": Sore and itchy feet are not typical symptoms relieved by esomeprazole. This statement does not indicate the medication's effectiveness.
"I can move my joints more easily": Improved joint mobility is not a direct effect of esomeprazole. This statement does not relate to the medication's purpose.
"My bowel movements have increased in frequency and are much softer": Esomeprazole primarily affects stomach acid production and is not directly related to bowel movements. This statement is not indicative of the medication's effectiveness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The purpose of the stool guaiac test, also known as the fecal occult blood test (FOBT), is to identify the presence of hidden or occult blood in the stool. This test is commonly performed to screen for gastrointestinal bleeding, which can indicate various conditions such as colorectal cancer, ulcers, polyps, or other sources of bleeding in the digestive tract.
The other options mentioned are not specifically detected by the stool guaiac test:
Parasites: The stool guaiac test does not directly detect parasites in the feces. Parasite testing requires a different type of analysis, such as microscopic examination or specialized laboratory tests.
Bacteria: The stool guaiac test does not specifically detect bacteria in the feces. If a bacterial infection is suspected, other diagnostic tests such as stool culture or polymerase chain reaction (PCR) may be ordered.
Fat: The stool guaiac test is not designed to detect fat in the feces. If there is a concern about fat malabsorption, other tests such as fecal fat analysis or Sudan stain may be used.
Correct Answer is A
Explanation
Docusate is a stool softener commonly used to relieve constipation. Opioid pain medications often cause constipation as a side effect by slowing down bowel movements. Docusate helps by increasing the amount of water absorbed by the stool, making it softer and easier to pass.
The other options mentioned are not the primary therapeutic effects of docusate: Relief from nausea: Docusate is not typically prescribed for relief from nausea. Antiemetic medications are used to alleviate nausea and vomiting.
Decreased drowsiness: Docusate does not directly affect drowsiness. Its main action is on the stool consistency, not on alertness or drowsiness.
Decreased cancer pain: Docusate is not prescribed for pain relief. Opioids are generally used to manage cancer pain in this scenario.
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