The nurse is teaching a patient who will be taking a proton pump inhibitor as long-term therapy about potential side effects. Which statement should the nurse include in the education to the patient?
Long-term use of these drugs can lead to hypermagnesemia.
Long-term use may contribute to osteoporosis.
Proton pump inhibitors can cause diarrhea.
Proton pump inhibitors cause drowsiness.
The Correct Answer is B
Choice A rationale
Hypermagnesemia, or high levels of magnesium in the blood, is not a common side effect of proton pump inhibitors. These medications do not contain magnesium and do not cause the body to produce more magnesium.
Choice B rationale
Long-term use of proton pump inhibitors may contribute to osteoporosis. Some studies have suggested that these medications can interfere with calcium absorption, potentially leading to bone loss and an increased risk of fractures.
Choice C rationale
While some people may experience diarrhea as a side effect of proton pump inhibitors, it is not one of the most common side effects.
Choice D rationale
Drowsiness is not a typical side effect of proton pump inhibitors. These medications work by reducing the amount of acid produced in the stomach, but they do not typically affect alertness or energy levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While measuring the correct dosage is an important step in administering nystatin, it is not the first step. The first step should always be to ensure that the medication is properly mixed to ensure an even distribution of the medication.
Choice B rationale
Recording the amount of medication administered is an important step in medication administration, but it is not the first step. The first step should be to ensure that the medication is properly mixed.
Choice C rationale
Instructing the client to swish the nystatin around their mouth is an important part of the administration process, but it is not the first step. The first step should be to ensure that the medication is properly mixed.
Choice D rationale
Vigorously shaking the nystatin bottle is the first step in administering nystatin. This ensures that the medication is properly mixed and that the patient will receive the correct dosage.
Correct Answer is D
Explanation
Choice A rationale
While notifying the healthcare provider is an important step when an IV has infiltrated, it is not the immediate priority action.
Choice B rationale
Adding promethazine to the allergy list would not be appropriate unless the patient had an allergic reaction to the medication.
Choice C rationale
Continuing to monitor the site would not be the immediate priority action. The nurse should first stop the IV infusion to prevent further damage.
Choice D rationale
The nurse’s priority action should be to stop the IV infusion. This prevents further infiltration and potential tissue damage. After stopping the infusion, the nurse can then take further steps such as notifying the healthcare provider and assessing the patient’s condition.
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