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 A

Explanation

Choice A rationale
Metformin is an oral antidiabetic medication that is typically withheld on the morning of surgery due to the risk of lactic acidosis, especially if the surgery involves the use of contrast dye.
Choice B rationale
Metoprolol is a beta-blocker used to treat hypertension and other heart conditions. It is typically continued up to and including the day of surgery to maintain heart rate and blood pressure control.
Choice C rationale
Prednisone is a corticosteroid medication. If a patient is on long-term corticosteroid therapy, it is typically continued on the day of surgery to prevent adrenal insufficiency.
Choice D rationale
Levothyroxine is a thyroid hormone replacement medication. It is typically continued on the day of surgery to maintain thyroid hormone levels.

A. Digoxin B. Furosemide C. Prednisolone D. Warfarin

Correct Answer is B

Explanation

Choice A rationale
Digoxin is a cardiac glycoside used to treat heart failure and atrial fibrillation. While it’s important to monitor digoxin levels in patients receiving gentamicin due to the risk of increased digoxin levels, it’s not the most concerning medication.
Choice B rationale
Furosemide is a loop diuretic that can cause ototoxicity, especially when used with aminoglycosides like gentamicin. Therefore, this is the medication the nurse should be most concerned about.
Choice C rationale
Prednisolone is a corticosteroid medication. While it’s important to monitor for potential interactions, it’s not the most concerning medication in this context.
Choice D rationale
Warfarin is an anticoagulant medication. While it’s important to monitor for potential interactions, it’s not the most concerning medication in this context.

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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

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Correct Answer is A

Explanation

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Correct Answer is B

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