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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Tamsulosin is an alpha-1 blocker that can cause blood pressure to decrease, not increase, due to vasodilation.
B. Tamsulosin does not shrink the prostate; it relaxes the muscles in the prostate and bladder neck to improve urine flow.
C. Tamsulosin can cause orthostatic hypotension (sudden drops in blood pressure when standing), so avoiding sudden position changes is important to prevent dizziness and falls.
D. While the medication does improve urinary flow, patient safety regarding blood pressure changes is the priority teaching point.
Correct Answer is B
Explanation
Rationale:
A. Purulent drainage is a sign of possible infection and requires prompt evaluation and intervention.
B. Clear, serous drainage is expected in the first 24 to 72 hours after pin placement and is not typically a cause for concern. It is a normal part of the healing process.
C. Pain combined with purulent drainage suggests infection, which is a serious complication of skeletal traction.
D. Inflammation and purulent drainage are both signs of possible infection at the pin site and warrant further investigation.
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