The following statements are true regarding proton pump inhibitors. Select all that apply.

A. apical heart rate: While changes in heart rate can occur as side effects of some antiemetic medications, dronabinol primarily affects the central nervous system. Cardiac monitoring is not the priority unless the client has a pre-existing heart condition.

B. blood pressure: Dronabinol may cause postural hypotension, especially in older adults, but this is generally mild and not the most urgent concern. Monitoring blood pressure is appropriate but not the top priority compared to neurologic effects.

C. skin integrity: Skin integrity is not directly impacted by dronabinol and is not a primary concern in the acute monitoring of this drug. There are no common dermatologic side effects associated with dronabinol use that would necessitate prioritizing skin assessment.

D. mental status: Dronabinol is a synthetic cannabinoid and may cause central nervous system effects such as dizziness, confusion, euphoria, or hallucinations. Assessing mental status is crucial, especially in older adults or those with a history of psychiatric illness, to identify adverse cognitive effects early.

A. Reduce calorie intake to reduce acid production: While diet can influence acid production, this is not a primary teaching point for antacid use. Antacids work by neutralizing stomach acid, not by reducing acid production through dietary changes.

B. Take before each meal and before bed: Antacids are usually taken after meals and at bedtime for maximum effectiveness. Taking them before meals may reduce their ability to neutralize acid produced during digestion.

C. Be aware of risk of acid rebound with long-term use: Long-term use of antacids, particularly those containing calcium carbonate, can lead to acid rebound where the stomach produces more acid in response to the medication.

D. Consider liquid diet if diarrhea occurs: Diarrhea may occur with magnesium-containing antacids, but switching to a liquid diet is not the standard recommendation. Instead, evaluating the antacid formulation or changing the medication would be more appropriate.