The nurse is preparing a teaching tool about oral delayed release proton pump inhibitors used to treat duodenal ulcer disease caused by H. pylori. Which statement will the nurse include in their teaching?
Abdominal pain and abnormal liver function tests are expected effects
The medication is to be swallowed whole and taken before meals
May cause proctitis
Do not take with alcohol or any other CNS depressants
The Correct Answer is B
A. Abdominal pain and abnormal liver function tests are expected effects: While rare side effects like abdominal discomfort or liver enzyme elevations can occur, they are not expected or common. Clients should report such symptoms promptly.
B. The medication is to be swallowed whole and taken before meals: Delayed-release PPIs (e.g., omeprazole, lansoprazole) must be swallowed whole to preserve the enteric coating that protects the drug from stomach acid. They should be taken before meals for optimal acid suppression when the proton pumps are most active.
C. May cause proctitis: Proctitis (inflammation of the rectum) is not a recognized side effect of oral proton pump inhibitors. This side effect is unrelated to PPI therapy and is more often associated with infections, radiation, or inflammatory bowel diseases.
D. Do not take with alcohol or any other CNS depressants: PPIs do not have CNS depressant effects and do not interact significantly with alcohol or CNS depressants. While limiting alcohol is generally advisable for gastrointestinal health, it is not specific to PPI use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "You may experience increased urinary frequency while on this medication.": Phenazopyridine does not cause increased urinary frequency. It acts as a local anesthetic on the urinary tract to relieve discomfort but has no diuretic effect on bladder function.
B. "Take this medication for at least 10 days, even if your symptoms improve.": Phenazopyridine is typically prescribed for short-term use (usually no more than 2 days) to relieve UTI symptoms. Prolonged use is not recommended due to potential toxicity.
C. "You should avoid wearing soft contact lenses while taking this medication.": Phenazopyridine may discolor body fluids, including tears, and can permanently stain soft contact lenses. Patients should be advised to avoid their use while on the drug.
D. "This medication will treat the infection causing your symptoms.": Phenazopyridine does not have antibacterial properties. It only provides symptom relief from burning and urgency; the actual infection must be treated with antibiotics.
Correct Answer is B
Explanation
A. Abdominal pain and abnormal liver function tests are expected effects: While rare side effects like abdominal discomfort or liver enzyme elevations can occur, they are not expected or common. Clients should report such symptoms promptly.
B. The medication is to be swallowed whole and taken before meals: Delayed-release PPIs (e.g., omeprazole, lansoprazole) must be swallowed whole to preserve the enteric coating that protects the drug from stomach acid. They should be taken before meals for optimal acid suppression when the proton pumps are most active.
C. May cause proctitis: Proctitis (inflammation of the rectum) is not a recognized side effect of oral proton pump inhibitors. This side effect is unrelated to PPI therapy and is more often associated with infections, radiation, or inflammatory bowel diseases.
D. Do not take with alcohol or any other CNS depressants: PPIs do not have CNS depressant effects and do not interact significantly with alcohol or CNS depressants. While limiting alcohol is generally advisable for gastrointestinal health, it is not specific to PPI use.
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