A nurse is reinforcing teaching with a client who is to begin taking lansoprazole.
Which of the following statements by the client indicates an understanding of the teaching?

I should expect the medication to cause indigestion.

I should take the medication following a meal.

I should report episodes of diarrhea.

I should chew the capsule thoroughly.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Lansoprazole does not typically cause indigestion; it treats conditions like GERD by reducing stomach acid production. Indigestion as a side effect would indicate an abnormal reaction.

Choice B rationale

Lansoprazole is best taken before a meal to optimize its ability to suppress gastric acid secretion. Taking it after a meal may reduce its effectiveness.

Choice C rationale

Reporting diarrhea is essential as it may indicate a rare but serious adverse effect like Clostridioides difficile-associated diarrhea. Early reporting helps prevent complications.

Choice D rationale

Lansoprazole capsules should not be chewed as the medication is designed for delayed release. Chewing disrupts this mechanism, leading to reduced efficacy or increased side effects.

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Correct Answer is C

Explanation

Choice A rationale

Honey has similar sugar content as white sugar and contributes to rapid gastric emptying, leading to dumping syndrome in postoperative bariatric surgery clients. Dumping syndrome results from a rapid influx of hyperosmolar contents into the intestines, causing osmotic fluid shifts and gastrointestinal symptoms.

Choice B rationale

Sucralfate is a medication used to treat ulcers and does not influence gastric emptying rates or reduce the risk of dumping syndrome. It does not mitigate the physiological process leading to dumping syndrome.

Choice C rationale

Lying down after meals slows gastric emptying and reduces the rapid movement of food into the small intestine. This decreases the risk of dumping syndrome by mitigating osmotic fluid shifts and symptoms such as nausea and diarrhea.

Choice D rationale

Drinking liquids with meals accelerates gastric emptying by diluting stomach contents, increasing the risk of dumping syndrome. The rapid transit of liquids and food promotes hyperosmolarity in the intestines and associated symptoms.

A. Echinacea. B. Ginkgo biloba. C. Probiotics. D. Flaxseed powder.

Correct Answer is B

Explanation

Choice A rationale

Echinacea enhances immune function but has minimal effects on coagulation. It is not commonly associated with adverse interactions with anticoagulants like enoxaparin unless paired with other supplements causing significant immune changes.

Choice B rationale

Ginkgo biloba poses an increased bleeding risk due to antiplatelet effects, which can compound the anticoagulant properties of enoxaparin. This interaction necessitates close monitoring and communication with the provider.

Choice C rationale

Probiotics aid gastrointestinal health without influencing coagulation pathways or interacting significantly with anticoagulants. They are generally safe to continue unless contraindicated by other clinical factors.

Choice D rationale

Flaxseed powder contains omega-3 fatty acids, which may have mild anticoagulant properties. However, this interaction is usually not clinically significant unless used in large quantities alongside other anticoagulants. .

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A nurse is reinforcing teaching with a client who is to begin taking lansoprazole.Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about nutritional choices with a client who is postoperative following bariatric surgery.To reduce the client's risk of dumping syndrome, which of the following instructions should the nurse include?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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A nurse is reinforcing teaching with a client who is to begin taking lansoprazole.
Which of the following statements by the client indicates an understanding of the teaching?