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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Hepatitis A virus is transmitted through the fecal-oral route via contaminated food or water. The virus replicates in hepatocytes and spreads through feces, causing acute liver inflammation.
Choice B rationale
Hepatitis A is not transmitted in utero from mother to infant. Vertical transmission is associated with other viruses such as hepatitis B or C, but not hepatitis A.
Choice C rationale
Sexual contact is not a typical transmission route for hepatitis A virus. Hepatitis A does not rely on sexual fluids for transmission.
Choice D rationale
Blood transfusion is not a recognized transmission route for hepatitis A. The virus is enteric, favoring gastrointestinal spread rather than bloodborne transmission.
Correct Answer is C
Explanation
Choice A rationale
Occupational therapists focus on assisting clients with daily living activities and adapting their environment. While important in overall rehabilitation, they do not specialize in addressing swallowing difficulties caused by dysphagia.
Choice B rationale
Respiratory therapists specialize in pulmonary care and respiratory management, including administering oxygen therapy. They do not address swallowing disorders, as their scope centers on respiratory functions.
Choice C rationale
Speech therapists are experts in managing dysphagia. They evaluate and treat swallowing disorders, providing strategies to improve swallowing function and safety, including dietary adjustments and therapeutic exercises.
Choice D rationale
Physical therapists specialize in mobility and musculoskeletal rehabilitation. While valuable in stroke recovery, their focus does not include managing dysphagia or its associated risks.
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