The nurse is caring for a patient with rheumatoid arthritis who is on high doses of nonsteroidal anti-inflammatory drugs (NSAIDs) for joint pain relief.

The patient expresses concerns about gastric irritation.

What medication could the nurse suggest to the physician to alleviate gastric irritation?

Misoprostol

Ranitidine

Sucralfate

Esomeprazole .

Answer and Explanation

The Correct Answer is A

Choice A rationale
Misoprostol is a medication that can help protect the stomach lining and reduce the risk of gastric irritation and ulcers caused by NSAIDs.
Choice B rationale
Ranitidine is a type of antacid that can help reduce stomach acid and relieve symptoms of heartburn, but it does not specifically protect the stomach lining from the effects of NSAIDs.
Choice C rationale
Sucralfate is a medication that can help treat and prevent ulcers in the stomach and intestines, but it does not specifically protect the stomach lining from the effects of NSAIDs.
Choice D rationale
Esomeprazole is a proton pump inhibitor that can reduce stomach acid and relieve symptoms of gastroesophageal reflux disease (GERD), but it does not specifically protect the stomach lining from the effects of NSAIDs. Prednisone Prednisone Explore

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Correct Answer is C

Explanation

Choice A rationale
Caffeine can cause symptoms such as rapid heart rate and headaches, but it does not interact with metronidazole to cause these symptoms.
Choice B rationale
Tobacco can cause a rapid heart rate, but it does not interact with metronidazole to cause these symptoms.
Choice C rationale
Alcohol interacts with metronidazole and can cause symptoms such as rapid heart rate, severe headache, and light-headedness.
Choice D rationale
Marijuana can cause a rapid heart rate and light-headedness, but it does not interact with metronidazole to cause these symptoms.

A. 2 units B. 3 units C. 4 units D. 5 units

Correct Answer is C

Explanation

Step 1 is: The client’s finger stick blood glucose is 128, which is within the normal range, so no additional insulin is needed for blood sugar correction. The client has 4 units of insulin lispro scheduled with meals. Therefore, the nurse will administer the scheduled 4 units of insulin.

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The nurse is caring for a patient with rheumatoid arthritis who is on high doses of nonsteroidal anti-inflammatory drugs (NSAIDs) for joint pain relief. The patient expresses concerns about gastric irritation. What medication could the nurse suggest to the physician to alleviate gastric irritation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient calls the clinic and reports feeling unwell, with symptoms of rapid heart rate, severe headache, and light-headedness. The nurse notes that the patient was prescribed metronidazole a few days ago. What substance could likely be causing these symptoms?

Correct Answer is C

Explanation

The nurse is to administer insulin to a diabetic client. The finger stick blood glucose is 128. The client has 4 units of insulin lispro scheduled with meals in addition to the following adjustments scale. How many units of insulin will the nurse administer?

Correct Answer is C

Explanation

A client who has recently been prescribed Sucralfate makes which statement that indicates they need more education about their medication?

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The nurse is caring for a patient with rheumatoid arthritis who is on high doses of nonsteroidal anti-inflammatory drugs (NSAIDs) for joint pain relief. The patient expresses concerns about gastric irritation. What medication could the nurse suggest to the physician to alleviate gastric irritation?

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