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 ["14"]
Explanation
To calculate the infusion rate in drops per minute (gtt/min), we can use the following formula: Infusion rate (gtt/min) = (Volume to be infused (ml) * Drop factor) / Time (min) Given:
Volume to be infused: 1000 ml
Drop factor: 10 gtt/ml
Time: 12 hr
First, we need to convert the time from hours to minutes:
12 hr * 60 min/hr = 720 min
Now, we can calculate the infusion rate:
Infusion rate (gtt/min) = (1000 ml * 10 gtt/ml) / 720 min
Simplifying the equation:
Infusion rate (gtt/min) = 10000 gtt / 720 min
Dividing both sides:
Infusion rate (gtt/min) ≈ 13.89 gtt/min
Rounding the answer to the nearest whole number, the nurse should set the manual IV infusion to deliver approximately 14 gtt/min.
Correct Answer is C
Explanation
A.Docusate sodium should not be taken with mineral oil, as the combination can increase the risk of adverse effects and reduce the effectiveness of the medication.
B.Docusate sodium is primarily used to prevent constipation by softening stools, not for treating diarrhea.
C.Docusate sodium is a stool softener that typically works within 1 to 3 days to produce softer stools, making this statement a correct understanding of its effects and timeline.
D.While it’s important to stay hydrated when taking docusate sodium, the statement is somewhat misleading. It is typically recommended to take docusate sodium with a full glass of water to help facilitate the softening of stools.
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