The nurse is educating a client regarding the use of omeprazole. What statement by the client shows a proper understanding of how to take this medication?

A "I should chew the medication when my heartburn is bad, so it absorbs more rapidly."

B "I should take this medication with an antacid to maximize its effects."

C "I should plan to take this medication for the rest of my life."

D "I should take this medication on an empty stomach before I eat."

Answer and Explanation

The Correct Answer is D

A) Omeprazole should not be chewed; it is usually taken whole with a glass of water.

B) Taking omeprazole with an antacid may alter its absorption and effectiveness; they should be taken separately.

C) While long-term use may be necessary in some cases, the statement doesn't reflect a proper understanding of the timing of administration.

D) Omeprazole is most effective when taken on an empty stomach, usually 30 to 60 minutes before a meal.

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Correct Answer is B

Explanation

A) Bradycardia is not typically associated with long-term steroid use; it may be more related to factors like anesthesia or surgical stress.

B) Prolonged steroid use increases the risk of thrombosis, and postoperative blood clots are a concern in individuals with a history of long-term steroid use.

C) Steroids can delay wound healing, but in this context of emergency surgery for a ruptured appendix, the primary concern is often the risk of blood clots.

D) Pre-surgical dehydration is a potential concern but is not specifically related to the client's history of steroid use.

A. "Do not take a scheduled-dose preparation of acetaminophen with opioid analgesics." B. "Do not take more than 3 gm of acetaminophen a day." C. "Do not take more than 2 gm of acetaminophen a day." D. "Do not take more than 4 gm of acetaminophen a day."

Correct Answer is B

Explanation

a) The statement about not taking a scheduled-dose preparation of acetaminophen with opioid analgesics is unrelated to the client's question about alcohol consumption.

b) Excessive alcohol intake increases the risk of acetaminophen-induced liver damage. The recommended maximum dose is 3 grams per day to minimize the risk of hepatotoxicity.

c) The recommendation of not exceeding 2 gm of acetaminophen a day is conservative, but the commonly accepted maximum is 3 grams per day.

d) While the general guideline is not to exceed 4 grams of acetaminophen per day for the general population, individuals with alcohol consumption may be more susceptible to liver damage, so a lower limit is often advised.

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The nurse is educating a client regarding the use of omeprazole. What statement by the client shows a proper understanding of how to take this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has had emergency surgery for a ruptured appendix. Before surgery, the client was taking dexamethasone for three years. With the client's steroid use history, for which complication will the nurse monitor in the recovery phase?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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