A nurse is reinforcing teaching with a parent of a child who has gastroesophageal reflux disease and a new prescription for lansoprazole capsules. Which of the following statements by the parent indicates an understanding of the teaching?
"I should administer this medication 30 minutes before breakfast."
"I should place the capsule under my child's tongue."
"I will administer this medication four times per day."
"I will have my child chew the capsule completely."
The Correct Answer is A
A. Lansoprazole is a proton pump inhibitor (PPI) that is most effective when taken 30 minutes before meals, as it works by reducing stomach acid production in response to food intake.
B. Lansoprazole capsules should not be placed under the tongue, as they are intended to be swallowed whole to ensure proper absorption.
C. Lansoprazole is typically prescribed once daily, not four times per day, unless otherwise directed by the healthcare provider.
D. Chewing the capsule would interfere with its controlled-release formulation, leading to reduced effectiveness. The capsule should be swallowed whole.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Applying an ice collar helps reduce swelling and discomfort in the throat after a tonsillectomy. Cold therapy is effective in the early postoperative period to minimize bleeding and pain.
B. Using a straw should be avoided after a tonsillectomy because it may cause trauma to the surgical site and increase the risk of bleeding.
C. Coughing and deep breathing should be avoided after a tonsillectomy as they can cause irritation or dislodge the blood clots in the surgical site, leading to bleeding.
D. Providing cherry fruit juice is not ideal, as acidic or red-colored liquids can irritate the throat and may make it difficult to monitor for post-operative bleeding.
Correct Answer is D
Explanation
A. Redness at the injection site is a common and mild reaction to vaccines. It does not typically require immediate medical intervention unless it worsens or is accompanied by more severe symptoms.
B. A temperature of 37.7° C (99.9° F) is a low-grade fever, which is a common, expected response after immunization. It is not a priority unless it increases significantly or is accompanied by other concerning symptoms.
C. Prolonged crying can sometimes occur after immunizations, but it is usually self-limited and resolves within a short period. If the crying is not excessive and does not indicate distress, it is generally not a priority concern.
D. Hives on the child’s neck could be a sign of an allergic reaction, such as anaphylaxis, which is a medical emergency. The nurse should immediately assess the child’s airway and provide necessary interventions, such as administering epinephrine, if required. This finding is the priority because it suggests a possible severe allergic response
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