A nurse is teaching a client who has a new prescription for esomeprazole to manage his GERD. Which of the following statements by the client indicates an understanding of the teaching?
“I won't pass gas as often now that I am taking this medication."
“I will need to take a daily stool softener while taking this medication."
“I have an increased risk of getting pneumonia while taking this medication."
"I will take this medication each morning with my breakfast."
The Correct Answer is C
A. "Won't pass gas as often now that I am taking this medication.": Esomeprazole is a proton pump inhibitor (PPI) used to reduce stomach acid, and it does not typically reduce flatulence. This statement reflects a misunderstanding of how the medication works.
B. "Will need to take a daily stool softener while taking this medication.": While constipation can be a side effect of esomeprazole, it is not mandatory to take a stool softener with this medication. This statement suggests unnecessary use of a stool softener.
C. "Have an increased risk of getting pneumonia while taking this medication.": Long-term use of proton pump inhibitors like esomeprazole is associated with an increased risk of respiratory infections, including pneumonia. The medication can alter stomach pH and promote bacterial overgrowth, which can then be aspirated into the lungs.
D. "I will take this medication each morning with my breakfast.": Esomeprazole should typically be taken 30 minutes before a meal, usually in the morning, to maximize its effectiveness in reducing stomach acid.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Do not perform reconciliation for a client at discharge from a health care facility": Medication reconciliation is essential at discharge to ensure clients have the correct medications and avoid errors.
B. "Provide a list of the client's current medications during admission to a health care facility": A comprehensive list of current medications must be gathered at admission. This ensures that prescribed medications are consistent with what the client is already taking, helping to identify potential interactions or discrepancies.
C. "Provide a list of the client's current medications during the change of shift report": While communication during shift change is important, medication reconciliation is typically done at admission, transfer, and discharge, not during routine shift reports.
D. "Do not include over-the-counter medications in the medication reconciliation report": Over-the-counter medications must be included in the reconciliation process. They can interact with prescribed medications and affect treatment outcomes.
Correct Answer is ["15"]
Explanation
Desired dose per administration = 75 mg.
Available concentration = 25 mg/5 mL.
- Calculate the volume in milliliters (mL) to administer per dose.
Volume (mL) = Desired dose (mg) / (Available concentration (mg) / Available volume (mL))
= 75 mg / (25 mg / 5 mL)
= 75 mg / 5 mg/mL
= 15 mL.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.