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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale

Increasing the IV fluid flow rate is a critical task requiring clinical judgment and should not be delegated to an unlicensed nursing assistant. This task involves assessing the patient's hemodynamic status and fluid balance, which requires nursing expertise.

Choice B rationale

Listening to breath sounds in all lung fields is an assessment task that requires nursing knowledge and skills. It involves identifying normal and abnormal breath sounds, which is outside the scope of practice for an unlicensed nursing assistant.

Choice C rationale

Checking the abdominal dressing for bleeding is an assessment and monitoring task. It involves evaluating the wound site for signs of hemorrhage or infection, which requires nursing assessment skills.

Choice D rationale

Documenting the amount of output on the I&O sheet is a task that can be delegated to an unlicensed nursing assistant. This task involves recording measurements, which does not require clinical judgment and is within the assistant's scope of practice.

A. 10-20 liquid, bloody stools daily. B. Hard, rigid abdomen. C. Oral temperature of 99.5°F. D. Urinary stress incontinence.

Correct Answer is A

Explanation

Choice A rationale

Ulcerative colitis commonly presents with 10-20 liquid, bloody stools daily. This is due to inflammation and ulceration of the colon lining, leading to frequent diarrhea mixed with blood and mucus.

Choice B rationale

A hard, rigid abdomen is more indicative of peritonitis, a potential but less common complication of ulcerative colitis. It is not a primary symptom of the disease.

Choice C rationale

An oral temperature of 99.5°F could indicate a low-grade fever, which might occur with ulcerative colitis but is nonspecific and not as characteristic as the frequent bloody stools.

Choice D rationale

Urinary stress incontinence is not a typical symptom of ulcerative colitis. It pertains more to urinary tract issues rather than gastrointestinal conditions.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client in the immediate postoperative period after an open cholecystectomy. Which task could be delegated to an unlicensed nursing assistant?

Correct Answer is D

Explanation

Which sign or symptom would the nurse expect to find in a client diagnosed with ulcerative colitis?

Correct Answer is A

Explanation

The nurse is caring for several clients on the med-surg unit. Who would be most at risk for development of gallstones?

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