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 B

Explanation

Choice A rationale

Jello is generally well-tolerated by patients with dumping syndrome. It is not high in sugar or fat, which are the main dietary triggers for dumping syndrome symptoms.
Choice B rationale
Coffee with sugar and a glazed donut are foods that should be avoided by patients with dumping syndrome. These foods are high in simple sugars, which can cause rapid gastric emptying and trigger dumping syndrome symptoms.
Choice C rationale
Eggs and toast are generally well-tolerated by patients with dumping syndrome. These foods are not high in simple sugars or fat, which are the main dietary triggers for dumping syndrome symptoms.
Choice D rationale
Spinach and avocado salad is generally well-tolerated by patients with dumping syndrome. This meal is not high in simple sugars or fat, which are the main dietary triggers for dumping syndrome symptoms.

A. Development of gastric ulcers B. Perforation of the esophagus, stomach, or duodenum C. Allergic reaction to the sedation medication D. Infection at the site of the procedure

Correct Answer is B

Explanation

Choice A rationale
Development of gastric ulcers is not a common complication of an esophagogastroduodenoscopy (EGD) procedure. Gastric ulcers are typically caused by factors such as Helicobacter pylori infection or long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), not by the EGD procedure itself.
Choice B rationale
Perforation of the esophagus, stomach, or duodenum is a potential complication of an EGD procedure. During an EGD, a flexible tube with a camera is inserted through the mouth and down into the gastrointestinal tract. If the tube accidentally punctures or tears the lining of the esophagus, stomach, or duodenum, it can cause a perforation. This is a serious complication that requires immediate medical attention.
Choice C rationale
While allergic reactions to the sedation medication used during an EGD procedure can occur, they are not a direct complication of the EGD procedure itself. Allergic reactions would be related to the specific medication used for sedation and not the procedure.
Choice D rationale
Infection at the site of the procedure is not a common complication of an EGD. The procedure is performed using aseptic technique to minimize the risk of infection.

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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

The nurse is educating a patient about dumping syndrome and food choices. Which of these foods should the patient avoid?

Correct Answer is B

Explanation

A patient is post esophagogastroduodenoscopy (EGD) and recovering in the GI Suite. What potential complication of an esophagogastroduodenoscopy (EGD) procedure should the nurse be aware of?

Correct Answer is B

Explanation

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