A nurse is preparing to administer pantoprazole (Protonix) to a client diagnosed with GERD. To ensure maximum therapeutic effect, the nurse should teach the client that this medication works best when administered:
30 to 60 minutes before the first meal of the day.
At bedtime to reduce nighttime heartburn symptoms.
With the first bite of the largest meal of the day.
As needed for episodes of severe heartburn.
The Correct Answer is A
A. 30 to 60 minutes before the first meal of the day.: Pantoprazole, a proton pump inhibitor (PPI), is most effective when taken before eating because it inhibits active proton pumps in the stomach that are stimulated by food intake, ensuring maximal acid suppression throughout the day.
B. At bedtime to reduce nighttime heartburn symptoms.: Although GERD symptoms can occur at night, pantoprazole is not designed for immediate relief. Taking it at bedtime reduces its effectiveness because fewer proton pumps are active overnight compared to after morning dosing.
C. With the first bite of the largest meal of the day.: Taking pantoprazole with food can delay absorption and decrease its acid-suppressing effect. It should be given on an empty stomach to ensure that sufficient drug levels are present when acid secretion begins.
D. As needed for episodes of severe heartburn.: Pantoprazole is a maintenance medication that requires consistent daily dosing to achieve full therapeutic benefit. It does not act rapidly enough to relieve acute heartburn episodes, which are better managed with antacids.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Diabetes mellitus.: Timolol, a non-selective beta-blocker, can mask symptoms of hypoglycemia such as tachycardia, but it is not absolutely contraindicated in diabetes. Diabetic clients require close monitoring, the medication can still be used with caution.
B. Chronic kidney disease.: Timolol is administered topically as eye drops and has minimal systemic absorption, so it does not worsen kidney function. It is generally considered safe for clients with chronic kidney disease when used as prescribed.
C. Asthma.: Timolol can cause bronchoconstriction by blocking beta-2 receptors in the lungs, leading to respiratory distress in clients with asthma or COPD. Because of this risk, it is contraindicated in these patients, as even topical administration may trigger bronchospasm.
D. Hyperthyroidism.: Timolol may help manage some symptoms of hyperthyroidism, such as tremors or tachycardia, due to its beta-blocking effects. Therefore, it can be beneficial in controlling adrenergic symptoms in these clients.
Correct Answer is ["23"]
Explanation
Identify the infusion rate in milliliters per hour (mL/hr) and the drop factor.
Infusion Rate: 90 mL/hr
Drop Factor: 15 gtts/mL
Calculate the infusion rate in drops per minute (gtt/min).
Rate (gtt/min) = (Infusion Rate (mL/hr) x Drop Factor (gtts/mL)) / 60 minutes/hour
= (90 mL/hr x 15 gtts/mL) / 60 min/hr
= 1350 / 60
= 22.5 gtt/min.
Round the answer to the nearest whole number.
= 23 gtt/min.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.