A patient has been experiencing acute diarrhea. In order to control this condition, the healthcare provider initially orders Lomotil 10 ml (2 teaspoons), four times a day. Every 5 mL (1 teaspoon) contains 2.5 mg of medication. How many milligrams of medication will the patient receive a day?

15 mg

20 mg

10 mg

2.5 mg

Answer and Explanation

The Correct Answer is B

A. 15 mg: This calculation is incorrect because it underestimates the total daily dosage.
B. 20 mg: This calculation is correct. Here’s the breakdown: Each dose is 10 mL (which contains 5 mg), given four times a day. Thus, 5 mg per dose × 4 doses = 20 mg daily.
C. 10 mg: This calculation is incorrect as it only accounts for two doses rather than four daily doses.
D. 2.5 mg: This calculation is incorrect because it represents the dosage per 5 mL (1 teaspoon), not the total daily dosage.

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Correct Answer is B

Explanation

A. Proton-pump inhibitors: While proton-pump inhibitors (PPIs) help reduce stomach acid and promote ulcer healing, they do not eradicate H. pylori on their own. They are used in combination with antibiotics to treat H. pylori infection.
B. Antibiotics: This is the correct answer. H. pylori is a bacterial infection, and antibiotics are required to eradicate the bacteria. Common regimens include combinations of two or more antibiotics to prevent resistance.
C. H2-receptor blockers: H2-receptor blockers reduce stomach acid but do not eradicate H. pylori. They are supportive treatments to reduce symptoms and promote healing alongside antibiotic therapy.
D. Antacids: Antacids provide symptomatic relief by neutralizing stomach acid but do not treat the underlying H. pylori infection or promote long-term healing of ulcers.

A. "should avoid the use of alcohol." B. "Good thing I can eat raw foods. I love to go to the salad bar." C. "Right now I'm not feeling sick, but if I do feel nauseous. I can take an antiemetic." D. "It's okay for me to take aspirin if I get a headache.

Correct Answer is D

Explanation

A. "I should avoid the use of alcohol." This statement is correct as alcohol can irritate and worsen peptic ulcers.
B. "Good thing I can eat raw foods. I love to go to the salad bar." While spicy or acidic foods might irritate the stomach, raw foods themselves aren't necessarily harmful for peptic ulcers. A healthcare professional can provide a more specific dietary plan.
C. "Right now I'm not feeling sick, but if I do feel nauseous, I can take an antiemetic." This is generally acceptable advice; antiemetics can be used to manage nausea associated with peptic ulcers.
D. "It's okay for me to take aspirin if I get a headache." This is incorrect and indicates a need for further education. Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) that can aggravate ulcers and should be avoided.

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A patient has been experiencing acute diarrhea. In order to control this condition, the healthcare provider initially orders Lomotil 10 ml (2 teaspoons), four times a day. Every 5 mL (1 teaspoon) contains 2.5 mg of medication. How many milligrams of medication will the patient receive a day?

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Naxlex Comprehensive Predictor Exams

An ulcer caused by H. pylori can be successfully treated with which classification of drugs?

Correct Answer is B

Explanation

A patient, newly diagnosed with a peptic ulcer, needs more education when he states:

Correct Answer is D

Explanation

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