The nurse instructs a client prescribed omeprazole for peptic ulcer disease about the use of the medication. Which patient statements indicate understanding of the instructions? (Select all that apply.)

I will take the capsule before eating a meal in the morning.

I should not take antacids while I’m on this medication.

I will report any abdominal pain, diarrhea, or bleeding that occurs.

I will need to take this drug for 3 weeks for my ulcer to heal.

If I wish, I can open the capsule and sprinkle it on the food.

Answer and Explanation

Correct Answer : A,B,E

Choice A rationale
Omeprazole should be taken before eating a meal in the morning. This is because the drug works best when the stomach is empty, allowing it to effectively block the production of stomach acid.
Choice B rationale
It’s not necessary to avoid antacids while taking omeprazole. In fact, antacids can be used in combination with omeprazole if needed.
Choice C rationale
Patients should indeed report any abdominal pain, diarrhea, or bleeding that occurs while taking omeprazole. These could be signs of a serious side effect or complication.
Choice D rationale
The duration of treatment with omeprazole can vary depending on the condition being treated. For peptic ulcer disease, treatment typically lasts for 4-8 weeks, not just 3 weeks.
Choice E rationale

Omeprazole capsules can be opened and the contents sprinkled on food if needed. This can make the medication easier to swallow.

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Correct Answer is D

Explanation

Choice A rationale
Pursed-lip breathing can help improve oxygenation and reduce shortness of breath in clients with COPD. However, it is not the priority action when a client reports difficulty breathing.
Choice B rationale
Increasing the oxygen flow rate without a physician’s order can lead to oxygen toxicity or suppress the respiratory drive in clients with COPD. Therefore, this is not the priority action.
Choice C rationale
Coughing and expectorating secretions can help clear the airways, but it is not the priority action when a client reports difficulty breathing.

Choice D rationale
Evaluating the client’s respiratory status is the priority action. The nurse should assess the client’s breath sounds, respiratory rate, use of accessory muscles, and oxygen saturation to determine the severity of the client’s difficulty breathing and guide further interventions.

A. Administering appropriate antibiotic therapy. B. Educating the patient on maintaining a high-fiber diet. C. Administering over-the-counter antacids. D. Assisting the patient with proper hand hygiene

Correct Answer is A

Explanation

Choice A rationale

Administering appropriate antibiotic therapy is a common nursing intervention to manage H. pylori infection. The recommended treatment for H. pylori typically involves using a triple-

drug therapy regimen, including a proton pump inhibitor or PPI like omeprazole, and two antibiotics, which include clarithromycin plus either metronidazole or amoxicillin. This treatment helps eradicate the bacterial infection through different mechanisms of action.

Choice B rationale

While maintaining a high-fiber diet is generally beneficial for overall health, it is not specifically related to the management of H. pylori infection. The primary treatment for H. pylori is antibiotic therapy, not dietary changes.

Choice C rationale

Over-the-counter antacids can help to neutralize stomach acid and provide temporary relief from symptoms, but they do not treat the underlying H. pylori infection. Therefore, while they may be used as part of symptom management, they are not a primary treatment strategy.

Choice D rationale

Assisting the patient with proper hand hygiene is always important in healthcare settings to prevent the spread of infections. However, it is not specifically related to the management of H. pylori infection. The bacteria are typically contracted during childhood, and the exact modes of transmission are not fully understood.

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The nurse instructs a client prescribed omeprazole for peptic ulcer disease about the use of the medication. Which patient statements indicate understanding of the instructions? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health nurse is visiting a client who has COPD and is receiving oxygen at 2 L/min via nasal cannula. The client reports difficulty breathing.What is the nurse’s priority action?

Correct Answer is D

Explanation

The nurse is taking care of a patient with H. pylori. What is a common nursing intervention to manage H. pylori infection?

Correct Answer is A

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

What action should the nurse take before starting an enteral feeding using a newly inserted nasogastric feeding tube?

A patient presents with episodes of vomiting and notices the presence of coffee ground-like material in their vomit. This manifestation is most likely associated with which of the following conditions?

A client presents to the emergency department with severe abdominal pain. The client’s history reveals a previous diagnosis of peptic ulcer disease. What should the nurse do?

A nurse is providing instructions to a patient who has a new diagnosis of dumping syndrome following gastric surgery. Which of the following information should the nurse include?

The nurse is taking care of a client that just had a liver biopsy. Which of the following is a potential immediate risk associated with a liver biopsy?

Which of the following statements by the patient would indicate a correct understanding of peptic ulcer disease?

A patient who is scheduled for a barium swallow asks a nurse why a laxative is necessary after the procedure. Which of the following responses should the nurse make?

A nurse is reinforcing teaching about pernicious anemia with a client following a total gastrectomy. Which of the following dietary supplements should the nurse include in the teaching as the treatment for pernicious anemia?