A provider tells the nurse that a patient with a peptic ulcer is being placed on a protein pump inhibitor. Which medication would the nurse anticipate the provider ordering?

Cimetidine

Pantoprazole

Famotidine

Ranitidine

Answer and Explanation

The Correct Answer is B

A. Cimetidine: Cimetidine is an H2 receptor antagonist, not a proton pump inhibitor (PPI). While H2 blockers like cimetidine reduce stomach acid, they are not classified as PPIs.

B. Pantoprazole: Pantoprazole is a proton pump inhibitor (PPI) and is commonly used to treat peptic ulcers. PPIs work by inhibiting the proton pump in the stomach, thereby reducing gastric acid production, which helps in healing peptic ulcers.

C. Famotidine: Famotidine is an H2 receptor antagonist, similar to cimetidine, and works by reducing acid secretion in the stomach. While effective for ulcers, it is not a proton pump inhibitor.

D. Ranitidine: Ranitidine is also an H2 receptor antagonist, which works by reducing stomach acid but does not have the same mechanism as a proton pump inhibitor like pantoprazole.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Urinary catheter insertion tray: While urinary catheterization may be necessary for some clients, it is not directly related to the use of neuromuscular blocking agents, which primarily affect respiratory function.

B. Central venous catheterization tray: A central venous catheterization tray is not necessary for the administration of a competitive neuromuscular blocking agent unless there is a specific need for central venous access, which is not standard for these medications.

C. Bag-valve-mask device: Competitive neuromuscular blocking agents cause paralysis, including paralysis of the respiratory muscles. A bag-valve-mask device is essential to provide respiratory support in case the client is unable to breathe on their own after administration of the agent.

D. Temporary pacemaker: A temporary pacemaker is not typically needed for clients receiving neuromuscular blocking agents, unless there is a specific indication for pacing, such as arrhythmias, which is not a common complication of neuromuscular blockade.

A. Administration of a vasopressor B. Initiation of a blood transfusion C. Initiation of aggressive fluid resuscitation D. Administration of acetaminophen

Correct Answer is B

Explanation

A. Administration of a vasopressor: While vasopressors are used in sepsis to increase blood pressure, they are typically administered after fluid resuscitation has been initiated. This patient requires fluids first to restore circulation before considering vasopressors.

B. Initiation of a blood transfusion: There is no indication of acute blood loss or anemia (hemoglobin and hematocrit are stable). Blood transfusions are used for patients with significant blood loss or low hemoglobin, which is not the case here.

C. Initiation of aggressive fluid resuscitation: The patient is showing signs of sepsis, as evidenced by fever, elevated WBC count, low blood pressure, and elevated lactate, which indicates poor tissue perfusion. The Surviving Sepsis Campaign recommends early and aggressive fluid resuscitation with isotonic fluids (like Lactated Ringer’s). The provider has already ordered 1000mL Lactated Ringer's at 170mL/hr to address this.

D. Administration of acetaminophen: Although acetaminophen may help manage fever, it does not address the underlying issue of sepsis or impaired perfusion. The priority is fluid resuscitation to improve circulation and oxygen delivery to tissues.

View Question and Answer

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

A provider tells the nurse that a patient with a peptic ulcer is being placed on a protein pump inhibitor. Which medication would the nurse anticipate the provider ordering?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is to receive a competitive neuromuscular blocking agent. Which of the following items should the nurse plan to have at the client's bedside?

Correct Answer is C

Explanation

Exhibits Based on the client record and Surviving Sepsis Campaign Bundle, the nurse should implement which intervention to restore adequate perfusion at this time?

Correct Answer is B

Explanation

Exhibits On day 3, the RN consults with the provider, who places an order for an arterial blood gas and serum lactate level. The ABG results are as follows: pH 7.35, pCO2 30, pO2 74, and HCO3 20. Based upon the results, what would the RN's most appropriate action be?

A nurse is monitoring a client who was admitted with a severe burn injury and is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?

The provider has ordered Golimimab 2mg/kg IV over 30 minutes for a patient weighing 140 pounds. The pharmacy provided a vial of Golimumab 50mg/4mL. The nurse will administer how many mL of Golimumab? (round to the nearest whole number)

A provider tells the nurse that a patient with a peptic ulcer is being placed on a protein pump inhibitor. Which medication would the nurse anticipate the provider ordering?

A nurse is working on a surgical unit and is caring for a client who returned from the Post Anesthesia Care Unit (PACU) 90-minutes ago. Which interventions will decrease the client's risk of developing a pulmonary embolism? (Select All that Apply.)

A nurse is caring for a client who is experiencing anaphylactic shock in response to the administration of penicillin. Which of the following medications should the nurse administer first?

Exhibits Which of the day 2 lab values would alert the RN that Mary might be experiencing systemic inflammatory response syndrome (SIRS)? (Select All that Apply.)

A nurse is caring for a client with the diagnosis of clostridium difficile. While providing care to the client, the nurse's glove tears. After removing the soiled gloves, what is the priority action by the nurse?