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 B

Explanation

Choice A rationale

Cervical cancer screenings are recommended to begin at age 21, regardless of sexual history. Delaying until age 40 overlooks guidelines that target the detection of precancerous changes earlier in life, maximizing prevention efforts.

Choice B rationale

The combination of Pap and HPV tests every five years from ages 30 to 65 aligns with current recommendations. HPV is a critical etiological agent, and co-testing enhances sensitivity for detecting high-risk oncogenic strains or cellular abnormalities.

Choice C rationale

Immunization against HPV significantly reduces cervical cancer risk but does not eliminate it. Screening remains critical due to the vaccine's limited coverage of HPV types and possible pre-immunization exposure.

Choice D rationale

Lifetime screenings are not necessary unless there are risk factors like HIV or previous abnormal results. Guidelines recommend stopping screening after age 65 for women with adequate prior negative results.

A. Encourage the client to talk with another client who completed rehabilitation for amputation. B. Ask the client to describe her feelings about the loss of the affected limb. C. Suggest that family members bring clothing for the client from home. D. Restrict visitors to family members until the client is able to wear a prosthesis.

Correct Answer is A

Explanation

Choice A rationale

Discussing the experience with another person who has undergone rehabilitation fosters peer support and may normalize feelings. This intervention uses the principle of modeling, which is effective in rehabilitation psychology. Peer interactions help build coping strategies and adaptive behaviors. This psychological framework encourages emotional recovery and acceptance of body image changes.

Choice B rationale

While discussing feelings is essential, it is not an intervention but part of psychosocial assessment. Focusing solely on verbalizing feelings might delay action-oriented coping mechanisms. Emotional processing can benefit from structured therapeutic dialogue.

Choice C rationale

Bringing clothing may enhance familiarity with surroundings, but it does not directly address emotional adjustment or acceptance of amputation. Prioritizing interventions with stronger psychological impact is more beneficial in initial rehabilitation phases.

Choice D rationale

Restricting visitors impairs social support, which is essential for emotional well-being. Alienation may heighten feelings of isolation or depression. Evidence supports family involvement in recovery, not exclusion.

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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?

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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?