The nurse understands that it is important that the teaching plan for a patient on omeprazole (Prilosec) should include which of the following?

Therapeutic effects may take weeks

This drug should not be taken for a prolonged period of time.

This drug must be used with antacids to be effective

This drug is safe for long-term use

Answer and Explanation

The Correct Answer is B

A. Therapeutic effects may take weeks: the onset of the antisecretory effect of omeprazole is usually achieved within one hour, but it may take up to 4 weeks for it to work fully.
B. This drug should not be taken for a prolonged period of time: prolonged use can lead to complications such as nutrient malabsorption and bone fractures.
C. This drug must be used with antacids to be effective: This is incorrect; omeprazole is a proton pump inhibitor and works independently of antacids.
D. This drug is safe for long-term use: Omeprazole is generally safe for short-term use, but long-term use should be carefully monitored due to potential risks (such as decreased bone density, vitamin B12 deficiency, and kidney disease). It is not considered safe for indefinite or unrestricted long-term use.

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Correct Answer is C

Explanation

A. Fine rales: Fine rales are more indicative of fluid in the lungs, such as in heart failure, and are not typical in asthma exacerbations.
B. Pleural friction rub: Pleural friction rub is associated with pleuritis or inflammation of the pleura, not asthma.
C. Expiratory wheeze: Expiratory wheezing is a classic sign of asthma, caused by narrowed airways and airflow obstruction during expiration.
D. Rhonchi: Rhonchi are usually related to secretions or obstructions in the larger airways and are less specific to asthma.

A. Take the medication at least 2 hours prior to meals B. Take the medication with meals C. Decrease fluid intake D. Increase dosing with a large meal

Correct Answer is B

Explanation

A. Take the medication at least 2 hours prior to meals: This is incorrect because pancrelipase should be taken with meals to aid digestion.
B. Take the medication with meals: Pancrelipase must be taken with meals to facilitate digestion of nutrients in the food.
C. Decrease fluid intake: Fluid intake should not be decreased; adequate hydration is important.
D. Increase dosing with a large meal: Dosing should generally be consistent and based on a healthcare provider’s guidance, not arbitrarily increased.

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The nurse understands that it is important that the teaching plan for a patient on omeprazole (Prilosec) should include which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is having an acute asthma exacerbation. When auscultating the client's chest, the nurse should expect to hear which of the following sounds?

Correct Answer is C

Explanation

Which instruction is most appropriate for a client who is prescribed pancrelipase (Cotazym)?

Correct Answer is B

Explanation

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The nurse understands that it is important that the teaching plan for a patient on omeprazole (Prilosec) should include which of the following?

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