A nurse is reviewing medications for a client diagnosed with H. pylori. Which combination does the nurse expect for recommended therapy for 10-14 days?

NSAID + antibiotic

Antacid only

One proton pump inhibitor + one antibiotic

One proton pump inhibitor + two antibiotics

Answer and Explanation

The Correct Answer is D

A. NSAID + antibiotic: NSAIDs are not part of H. pylori eradication therapy. In fact, NSAIDs can worsen gastritis and peptic ulcer disease by inhibiting protective prostaglandins in the gastric mucosa. This combination does not address the infection.

B. Antacid only: Antacids may relieve symptoms such as heartburn but do not eradicate H. pylori. Monotherapy with antacids is insufficient to treat the underlying bacterial infection.

C. One proton pump inhibitor + one antibiotic: Dual therapy with a PPI and a single antibiotic has lower eradication rates and is generally not recommended due to the risk of treatment failure and bacterial resistance.

D. One proton pump inhibitor + two antibiotics: Standard triple therapy for H. pylori typically includes a PPI (e.g., omeprazole) and two antibiotics (e.g., clarithromycin and amoxicillin or metronidazole) for 10–14 days. This regimen increases eradication rates by reducing bacterial load and acid secretion simultaneously.

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Correct Answer is C

Explanation

A. "I need to drink 8 cups of liquid each day.": Adequate fluid intake helps flush bacteria from the urinary tract, reducing the risk of infection. Encouraging regular hydration is a standard preventive measure for UTIs.

B. "I will need to drink apple cider vinegar each day.": While some alternative sources suggest apple cider vinegar may have antimicrobial properties, there is no strong evidence that daily consumption prevents UTIs. It is not harmful in moderation and does not increase the risk of infection.

C. "I will need to wipe my perineal area from back to front after urination.": Wiping from back to front increases the risk of introducing fecal bacteria into the urethra, raising UTI risk. Proper technique is front to back to prevent contamination. This statement clearly indicates a need for further teaching.

D. "I will need to empty my bladder regularly and completely.": Regular and complete bladder emptying helps prevent bacterial colonization and urinary stasis. This is an effective and evidence-based strategy to reduce UTI risk.

A. Provide a warm heating pad to the abdomen. B. Notify the provider immediately. C. Administer the prescribed antacid. D. Reassess the abdomen in 60 minutes.

Correct Answer is B

Explanation

A. Provide a warm heating pad to the abdomen: Heat increases vasodilation and may worsen inflammation or bleeding in the setting of a suspected perforated ulcer. Thermal application can also mask worsening symptoms and delay urgent intervention. This measure is contraindicated in an acute abdominal emergency.

B. Notify the provider immediately: Sudden severe pain, a rigid board-like abdomen, and referred shoulder pain indicate possible gastric or duodenal perforation with peritonitis. This is a life-threatening surgical emergency requiring rapid medical and surgical intervention. Immediate provider notification is critical to prevent sepsis and shock.

C. Administer the prescribed antacid: Antacids reduce gastric acidity but do not address perforation or intra-abdominal contamination. Giving oral medications may be unsafe if surgical intervention is imminent. This action delays definitive care.

D. Reassess the abdomen in 60 minutes: Delaying action in the presence of classic signs of perforation risks rapid deterioration. Ongoing leakage of gastric contents can quickly lead to peritonitis and systemic infection. Immediate escalation of care is required rather than reassessment.

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A nurse is reviewing medications for a client diagnosed with H. pylori. Which combination does the nurse expect for recommended therapy for 10-14 days?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client about measures to prevent urinary tract infections (UTIs). Which of the following client statements indicates a need for further teaching?

Correct Answer is C

Explanation

A client with suspected peptic ulcer disease suddenly reports severe abdominal pain, has a rigid, board-like abdomen, and complains of pain radiating to the shoulder. Which action should the nurse take first?

Correct Answer is B

Explanation

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