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

Urine specific gravity of 1.035 indicates dehydration, which is concerning but not the most critical issue in a client with a bowel obstruction.

Choice B rationale

Colicky pain is typical of bowel obstruction as the intestines try to move contents past the obstruction, and while concerning, it is expected.

Choice C rationale

Serum sodium of 132 mEq/L indicates mild hyponatremia, which is concerning but not immediately life-threatening in the context of bowel obstruction.

Choice D rationale

Frank blood in the N/G suction container indicates possible bowel ischemia or perforation, which requires immediate intervention and is the most concerning finding.

A. Measure abdominal girth every shift. B. Diet: Soft. C. 0.9% NSS 1000 mL at 125 mL/hr. D. Morphine 1 mg IV every 4 hours as needed for abdominal pain.

Correct Answer is ["A","C","D"]

Explanation

Choice A rationale

Measuring abdominal girth every shift helps monitor for increased abdominal distension, which can indicate worsening bowel obstruction or potential complications such as bowel perforation or ischemia. Regular monitoring is crucial to detect changes early.

Choice B rationale

A soft diet is inappropriate for someone with a suspected bowel obstruction, as solid foods can exacerbate the blockage. The standard recommendation is usually to keep the patient NPO (nothing by mouth) to prevent further obstruction.

Choice C rationale

Administering 0.9% NSS at 125 mL/hr helps maintain adequate hydration and electrolyte balance, which is vital in a patient with a bowel obstruction who cannot take oral fluids. This intervention prevents dehydration and electrolyte imbalances.

Choice D rationale

Morphine for pain management is appropriate as it helps alleviate severe abdominal pain associated with bowel obstruction. However, its use should be monitored carefully, as opioids can reduce gastrointestinal motility and potentially worsen the obstruction.

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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

Which finding would most concern the nurse when caring for a client diagnosed with a bowel obstruction?

Correct Answer is D

Explanation

The nurse receives physician orders for a client who has a suspected small bowel obstruction. Which order(s) should be followed? (SELECT ALL THAT APPLY)

Correct Answer is ["A","C","D"]

Explanation

After vertical banded gastroplasty, a 42-year-old male client returns to the surgical nursing unit with a nasogastric tube to low, intermittent suction and a client-controlled analgesia (PCA) machine for pain control. Which nursing action should be included in the postoperative plan of care?

The client with irritable bowel disease (IBD) is prescribed sulfasalazine, a sulfonamide antibiotic. Which intervention should the nurse implement when administering the medication?

The nurse is recording data obtained from a client's admission assessment. Which notation is most consistent with the presence of a gastric ulcer? The client states that pain:

Which of the following actions by the nurse would be a violation of the patient's right to privacy?

The nurse receives an order to administer ranitidine 300 mg IVPB over one hour. Ranitidine is available 300 mg in 100 mL NSS. The drip factor of the piggyback tubing is 15 gtts/mL. How should the nurse infuse the drug in drops/minute? .

An elder adult client has been successfully treated for a hemorrhoidectomy. Upon discharge, which statements made to the nurse by the client demonstrate an understanding of teaching? (SELECT ALL THAT APPLY)

The nurse suspects that the client hospitalized with severe ulcerative colitis, may be developing the complication of toxic megacolon. Which assessment finding supports these suspicions?

The nurse is leading a community-based discussion group on pharmacotherapy used in obesity. Which statement(s) made by the participants is/are correct? (SELECT ALL THAT APPLY)