A nurse is instructing a client with GERD about medications for symptom management. What should the nurse advise regarding the timing of proton pump inhibitor (PPI) administration?
"Take the PPI immediately before bedtime for optimal effectiveness."
"Take the PPI with your first meal of the day on an empty stomach."
"It doesn't matter when you take the PPI, as long as it's around the same time every day."
"Take the PPI 30 minutes after a meal for best results."
The Correct Answer is B
A) Incorrect. Taking the PPI immediately before bedtime may not provide the same level of effectiveness as taking it with the first meal of the day.
B) Correct. Proton pump inhibitors (PPIs) are typically most effective when taken with the first meal of the day, on an empty stomach, as this allows for optimal absorption.
C) Incorrect. Consistency in timing is important, but taking the PPI with the first meal of the day is specifically recommended for best results.
D) Incorrect. Taking the PPI 30 minutes after a meal may not be as effective as taking it with the first meal of the day on an empty stomach.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Incorrect. An upper gastrointestinal (GI) series involves X-ray imaging of the esophagus, stomach, and small intestine with the use of a contrast material. It does not provide direct visualization or allow for tissue biopsies.
B) Incorrect. Esophageal manometry measures the pressure and coordination of the muscles in the esophagus. It does not provide direct visualization or allow for tissue biopsies.
C) Correct. Upper endoscopy (EGD) involves the insertion of a flexible tube with a camera through the mouth and into the esophagus, stomach, and duodenum. It allows for direct visualization and tissue biopsies to assess for any abnormalities or signs of GERD.
D) Incorrect. 24-hour pH monitoring measures the amount of acid in the esophagus over a 24-hour period. It does not provide direct visualization or allow for tissue biopsies.
Correct Answer is B
Explanation
A) Incorrect. Taking the PPI immediately before bedtime may not provide the same level of effectiveness as taking it with the first meal of the day.
B) Correct. Proton pump inhibitors (PPIs) are typically most effective when taken with the first meal of the day, on an empty stomach, as this allows for optimal absorption.
C) Incorrect. Consistency in timing is important, but taking the PPI with the first meal of the day is specifically recommended for best results.
D) Incorrect. Taking the PPI 30 minutes after a meal may not be as effective as taking it with the first meal of the day on an empty stomach.
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