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.

Answer and Explanation

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.

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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.

A. You can take antacids with levofloxacin to reduce gastrointestinal discomfort. B. Levofloxacin should be taken on an empty stomach to enhance absorption. C. You can take nonsteroidal anti-inflammatory drugs (NSAIDs) for arthritis pain. D. You should monitor your blood glucose levels more frequently while on levofloxacin.

Correct Answer is D

Explanation

Choice A rationale
While antacids can help reduce gastrointestinal discomfort, they do not interact specifically with levofloxacin or affect blood glucose levels.
Choice B rationale
Taking levofloxacin on an empty stomach can enhance absorption, but it does not affect blood glucose levels.
Choice C rationale
Nonsteroidal anti-inflammatory drugs (NSAIDs) can be taken for arthritis pain, but they do not interact specifically with levofloxacin or affect blood glucose levels.
Choice D rationale
Levofloxacin can cause changes in blood glucose levels, so patients with diabetes who are on oral hypoglycemic medication should monitor their blood glucose levels more frequently while on levofloxacin.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering promethazine via an IV pump and notices that the IV has infiltrated and the patient reports a burning sensation at the injection site. What should be the nurse’s priority action?

Correct Answer is D

Explanation

A patient with diabetes who is on oral hypoglycemic medication has been prescribed levofloxacin. What should the nurse include in the patient’s education?

Correct Answer is D

Explanation

A patient is scheduled to receive intravenous acyclovir. What should the nurse do first before administering the scheduled dose?

The nurse has provided education to a patient with diabetes who is starting on insulin injections. The nurse asks the patient, “What should you do if your fasting blood glucose is 57 mg/dL?” Which response by the patient would indicate an understanding of the education provided?

A patient is scheduled for surgery this morning and the nurse is administering the morning medications. Which scheduled morning medication should the nurse withhold and not administer on the morning of surgery?

A client with asthma has been taking prednisone daily for two years and is now in the emergency department complaining of back pain. An MRI of the spine shows a compression fracture of a vertebra. Which adverse effect of prednisone is most likely associated with these findings?

Which tuberculosis patient is at the greatest risk of developing a drug-resistant form of the disease?

A laxative has been ordered for a patient. The nurse checks the patient’s medical history and would be concerned if which condition is present?

A client with tuberculosis has been prescribed isoniazid and pyridoxine. Which adverse effects is the pyridoxine intended to prevent?

A patient has been newly prescribed gentamicin 120mg, IM, once. After reviewing the patient’s home medication list, which medication should the nurse be most concerned about?