The nurse admits a client who reports taken a proton pump inhibitor for more than a decade. What question will the nurse ask this client?

"Are you experiencing diarrhea?"

"Do you ever experience flank pain?"

"Have you noticed any blood in your urine?"

"When is the last time you checked your blood pressure?"

Answer and Explanation

The Correct Answer is A

A. "Are you experiencing diarrhea?": Long-term use of proton pump inhibitors (PPIs) is associated with an increased risk of Clostridium difficile–associated diarrhea. PPIs reduce stomach acid, which can alter gut flora and lower the body's defense against infections.

B. "Do you ever experience flank pain?": Flank pain may suggest kidney issues, but PPIs are not primarily linked to nephrolithiasis. Though there is a possible association with chronic kidney disease, flank pain is not a routine symptom assessed in long-term PPI users.

C. "Have you noticed any blood in your urine?": Hematuria is not a known common side effect of long-term PPI use. This symptom may suggest urinary tract or renal pathology, but it is not a priority assessment in the context of prolonged acid suppression therapy.

D. "When is the last time you checked your blood pressure?": PPIs do not significantly affect blood pressure regulation. While blood pressure monitoring is important in general assessments, it is not specifically related to long-term PPI use.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

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

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

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.

A. "The different onsets and peaks of the two types provide better overall glucose control." B. "NPH prevents regular insulin from being broken down in the body, allowing the use of a lower dose." C. "The combination negates the risk of adverse effects that would likely accompany a single, larger dose." D. "NPH stimulate the pancreas to produce more insulin, while regular insulin provides your body's short-term needs."

Correct Answer is A

Explanation

A. "The different onsets and peaks of the two types provide better overall glucose control.": Regular insulin has a rapid onset and short duration, while NPH insulin has a slower onset and longer duration. When used together, they mimic the body's natural insulin release pattern, offering both immediate and sustained glucose control throughout the day.

B. "NPH prevents regular insulin from being broken down in the body, allowing the use of a lower dose.": NPH does not alter how regular insulin is metabolized. Each insulin type acts independently, and NPH does not preserve or enhance the activity of regular insulin.

C. "The combination negates the risk of adverse effects that would likely accompany a single, larger dose.": The primary reason for using two types is to align insulin activity with the body’s varying needs. Risk reduction from side effects is not the primary purpose.

D. "NPH stimulates the pancreas to produce more insulin, while regular insulin provides your body's short-term needs.": NPH insulin is synthetic and does not stimulate pancreatic insulin production. Clients with type 1 diabetes lack insulin production altogether, so both types must be provided exogenously.

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

The nurse admits a client who reports taken a proton pump inhibitor for more than a decade. What question will the nurse ask this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What priority teaching point should the nurse include when instructing a client about the use of antacids?

Correct Answer is C

Explanation

A client diagnosed with type 1 diabetes has been prescribed 12 units of regular insulin and 34 units of NPH insulin in the morning. How should the nurse explain why two different types of insulin are required to control the client's blood glucose?

Correct Answer is A

Explanation

The nurse knows that proton pump inhibitor drugs often end in the suffix:

A client is brought to the emergency department with hypoglycemia blood glucose level of 19 mg/dL. What drug should the nurse prepare to administer intravenously?

The nurse is teaching a client about metoclopramide (Reglan) therapy. Which client statement indicates to the nurse that the client has a correct understanding of the therapy?

Which insulin can be administered intravenously?

A client has not responded to conservative treatment for nausea and vomiting as has subsequently been prescribed dronabinol. In addition to monitoring the client's nausea, the nurse should prioritize what assessment after administering the drug?

The gastric secretion acid reducer class that ends in "dine" is:

Antiemetics mostly work at which site of action?

Which of the following medications is an antiemetic agent?