A nurse is reviewing the chart of a client who has been taking pantoprazole (Protonix) daily for over a year. Which of the following findings should the nurse recognize as a potential complication of long-term therapy?

Elevated hemoglobin level

Decreased bone mineral density

Bradycardia and hypotension

Increased gastric acid production

Answer and Explanation

The Correct Answer is B

Rationale:
A. Elevated hemoglobin is not a known complication of long-term pantoprazole use.
B. Long-term use of proton pump inhibitors (PPIs) like pantoprazole can lead to decreased calcium absorption, increasing the risk for decreased bone mineral density and fractures. This is a recognized potential complication.
C. Bradycardia and hypotension are not common side effects associated with pantoprazole.
D. Pantoprazole reduces gastric acid production; it does not increase it. Rebound acid hypersecretion may occur after stopping the drug abruptly, but not during its use.

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Correct Answer is C

Explanation

Rationale:
A. Notifying the healthcare provider is important but the nurse’s first priority is assessing the client’s overall status.
B. Reassurance without assessment ignores the potential seriousness of a hematoma.
C. Monitoring for signs of shock (hypotension, tachycardia) is the priority action because a hematoma can cause significant blood loss leading to hypovolemic shock.
D. Warm compresses are generally not recommended immediately after hematoma formation, as they may increase bleeding or swelling.

A. Has a glass of wine with dinner each day B. History of bulimia C. Drinks green tea D. History of NSAID use

Correct Answer is D

Explanation

Rationale:
A. Moderate alcohol intake (e.g., a glass of wine daily) is not a primary risk factor, though excessive alcohol use may contribute to gastric irritation.
B. Bulimia can cause GI issues like esophagitis, but it is not a primary risk factor for peptic ulcers.
C. Green tea is not known to contribute to peptic ulcer development.
D. Chronic use of nonsteroidal anti-inflammatory drugs (NSAIDs) is a well-established risk factor for peptic ulcers, as they inhibit prostaglandin synthesis, reducing the protective lining of the stomach.

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A nurse is reviewing the chart of a client who has been taking pantoprazole (Protonix) daily for over a year. Which of the following findings should the nurse recognize as a potential complication of long-term therapy?

Nursing Test Bank

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