A nurse is preparing to administer a prescribed dose of omeprazole to a client with peptic ulcer disease. What does the nurse need to remember when administering this medication?
This medication is the best antibiotic to treat H. Pylori.
Crush the medication and give with at least 10 ounces of water.
Give the medication 30 minutes prior to meals.
Treatment using proton pump inhibitors lasts 3 to 6 months typically.
The Correct Answer is C
Choice A rationale
Omeprazole is not an antibiotic; it is a proton pump inhibitor (PPI). It reduces stomach acid production, which helps in managing peptic ulcer disease but does not directly treat H. pylori infection. Antibiotics are needed to treat H. pylori.
Choice B rationale
Omeprazole should not be crushed as it is a delayed-release medication designed to protect it from stomach acid. Crushing it would destroy this protective mechanism, reducing its effectiveness.
Choice C rationale
Omeprazole is most effective when taken 30 minutes before meals. This timing allows the medication to inhibit the proton pumps that produce stomach acid, providing better control of acid secretion.
Choice D rationale
Treatment with proton pump inhibitors for peptic ulcer disease may last from a few weeks to several months, depending on the severity of the condition and the individual response to treatment. It is not typically a fixed 3 to 6 months duration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Assessing the client's vital signs is important for monitoring overall health but does not directly address the need to ensure proper IV function before administering medication.
Choice B rationale
Determining if the client's IV is patent is crucial before administering any IV medication. A patent IV ensures the medication will be delivered directly into the bloodstream without complications such as infiltration or blockage.
Choice C rationale
Monitoring the client's white blood count is important for tracking infection or inflammation but is not the immediate step before administering an IV antibiotic.
Choice D rationale
Sending a stool specimen to the laboratory can help diagnose underlying conditions but is not the next step before administering an IV antibiotic.
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale
Pyloric obstruction does not cause respiratory acidosis. Instead, it leads to gastrointestinal symptoms due to obstruction of the stomach's outflow.
Choice B rationale
Abdominal pain relieved by belching is a typical symptom of pyloric obstruction, as it can help release some of the gas and pressure build-up in the stomach.
Choice C rationale
Sensation of epigastric fullness is a common symptom of pyloric obstruction due to the blockage preventing stomach contents from passing into the duodenum.
Choice D rationale
Nausea is a frequent symptom of pyloric obstruction because the stomach's inability to empty properly can lead to discomfort and vomiting. .
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