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 ["2"]

Explanation

Step 1 is: The doctor has ordered 650 mg of aspirin and each tablet contains 325 mg. So, to find out how many tablets to administer, we divide the ordered dose by the dose per tablet.

Step 2 is: 650 mg ÷ 325 mg/tablet = 2 tablets.

A. Absent bowel sounds B. Elevated temperature C. Decreased ammonia level D. Pain relieved by taking antacids

Correct Answer is D

Explanation

Choice A rationale
Absent bowel sounds are not a symptom of GERD. They may indicate a serious condition such as intestinal obstruction or ischemia.
Choice B rationale
An elevated temperature is not a symptom of GERD. It may indicate an infection or other medical condition.

Choice C rationale
A decreased ammonia level is not a symptom of GERD. It may be seen in conditions such as liver disease.
Choice D rationale
Pain relieved by taking antacids is a common symptom of GERD. Antacids work by neutralizing stomach acid, thereby relieving the burning sensation of heartburn.

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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 nurse is preparing to administer aspirin 650 mg PO. Available is aspirin 325 mg tablets. How many tablets should the nurse administer?

Correct Answer is ["2"]

Explanation

The nurse is gathering information from a patient who has GERD. Which of the following observations is a symptom of GERD?

Correct Answer is D

Explanation

Gastrointestinal illnesses cause symptoms of anorexia, vomiting, and diarrhea. Which lab value should the nurse monitor related to volume depletion?

Sucralfate is a medication commonly used to treat which of the following gastrointestinal conditions?

A nurse is collecting data on a patient that has GERD. Which of the following is an expected finding?

A client presents to the emergency department with severe abdominal pain. The client’s history reveals a previous diagnosis of peptic ulcer disease. The nurse suspects a perforated ulcer. What is the priority action by the nurse?

A nurse is contributing to the plan of care for a client who has acute pancreatitis. Which of the following interventions should the nurse include?

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

A nurse is preparing to administer aspirin 650 mg orally. Available is aspirin 325 mg tablets. How many tablets should the nurse administer? (Note: This is a med math nd does not require options.)

A nurse is reinforcing teaching with a patient who has dumping syndrome following gastric surgery. Which of the following information should the nurse reinforce in the teaching?