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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Children with autism may have difficulty with social interactions and sensory processing. Placing them in a semiprivate room could cause distress due to the lack of control over the environment and may increase anxiety.

B. Maintaining eye contact with a child with autism, especially when agitated, may increase stress and exacerbate agitation. Many children with autism avoid eye contact and may find it uncomfortable.

C. Children with autism can be very sensitive to sensory input, including physical touch. Minimizing physical contact helps reduce sensory overload and the child’s anxiety.

D. While providing comforting stimuli can be beneficial, leaving the television on at night may disturb the child’s sleep or increase sensory overload, especially if they are sensitive to sounds or visual stimuli.

A. "My child has some swelling around her eyelids and mouth." B. "My child cries when I touch the area where she received the shot." C. "My child only ate 2 ounces during her last feeding." D. "My child has a temperature of 100.7 degrees Fahrenheit."

Correct Answer is A

Explanation

A. Swelling around the eyelids and mouth can indicate an allergic reaction, which could be a sign of anaphylaxis, a life-threatening condition. This requires immediate attention and intervention.

B. Crying when the injection site is touched is a common and expected response after immunization and does not suggest a serious issue.

C. A slight decrease in appetite after immunizations can be common, but it is not typically a cause for concern unless it is persistent or accompanied by other signs of illness.

D. A mild fever after immunizations is common and usually not alarming. A temperature of 100.7°F is not high enough to be a priority concern unless it is persistent or higher.

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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?

Nursing Test Bank

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Correct Answer is A

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