The nurse is caring for a client recently diagnosed with a gastric ulcer. The primary care provider has prescribed pantoprazole. Which statement made by the client reflects a good understanding of this medication?

"I will take my pantoprazole 10 minutes before my bedtime."

"I will take my pantoprazole 20-30 minutes before my first meal of the day."

"This medication will coat my ulcer and help it to heal."

"I will be on pantoprazole for the rest of my life."

Answer and Explanation

The Correct Answer is B

B. Taking pantoprazole before the first meal of the day allows for optimal acid suppression during the period of increased gastric acid production after waking up. This timing helps maximize the medication's effectiveness in reducing stomach acid and promoting ulcer healing.
A. Pantoprazole is a proton pump inhibitor (PPI) medication used to reduce stomach acid production and promote healing of gastric ulcers. It is typically taken once daily, usually in the morning before the first meal of the day. Taking pantoprazole before bedtime may not provide optimal acid suppression throughout the day when gastric acid production is typically higher.
C. Pantoprazole does not coat the ulcer; rather, it works by inhibiting the proton pumps in the stomach lining that produce acid. By reducing acid production, pantoprazole helps to create an environment in which the ulcer can heal more effectively.
D. While some individuals with conditions such as gastroesophageal reflux disease (GERD) or chronic gastric ulcers may require long-term or even lifelong pantoprazole therapy to manage their symptoms and prevent ulcer recurrence, the duration of treatment varies depending on the underlying condition, the severity of symptoms, and the response to treatment.

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Correct Answer is A

Explanation

A. Walking is a low-impact aerobic exercise that can be beneficial for individuals preparing for bariatric surgery. It helps improve cardiovascular health, burn calories, and increase overall physical activity levels. Walking for 30 minutes daily is a reasonable and achievable goal for many individuals, including those preparing for bariatric surgery. It can also help with weight loss and improve overall fitness levels.
B. While HIIT can be effective for improving cardiovascular fitness and burning calories, it may not be suitable for all individuals preparing for bariatric surgery. HIIT can be challenging for individuals who are overweight or have limited mobility, and it may increase the risk of injury if not performed safely.
C. Strength training, including lifting weights helps build muscle mass, improve metabolism, and enhance overall strength and fitness. However, it's essential to ensure that weightlifting exercises are performed safely and under proper supervision.
D. While push-ups and abdominal thrusts are strength-training exercises that can help build muscle strength and improve core stability, this regimen may be too intense or challenging for many individuals preparing for bariatric surgery.

A. "Removal of the colon can provide a cure for Crohn's disease." B. "Most people who have Crohn's disease require an ostomy to control the disease, but you will adjust to that." C. "You can expect to lead a totally normal life and may have long periods without symptoms." D. "Your physician will prescribe medications to help you manage Crohn's, but there currently is no cure."

Correct Answer is D

Explanation

D. Crohn's disease is a chronic condition for which there is currently no cure. Treatment focuses on managing symptoms, reducing inflammation, and preventing complications through medications, lifestyle changes
A. Crohn's disease is a chronic condition that can affect any part of the gastrointestinal tract, and surgical removal of affected portions does not eliminate the underlying disease process.
B. While some individuals with Crohn's disease may require surgery resulting in an ostomy, it is not true that most people with Crohn's will need this intervention. Many individuals with Crohn's can manage their symptoms with medications and lifestyle modifications without the need for surgery.
C. Crohn's disease is a chronic illness with unpredictable flare-ups and periods of remission. Managing symptoms and maintaining a good quality of life often require ongoing medical management and lifestyle adjustments.

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The nurse is caring for a client recently diagnosed with a gastric ulcer. The primary care provider has prescribed pantoprazole. Which statement made by the client reflects a good understanding of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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