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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "I should avoid the use of alcohol." This statement is correct as alcohol can irritate and worsen peptic ulcers.
B. "Good thing I can eat raw foods. I love to go to the salad bar." While spicy or acidic foods might irritate the stomach, raw foods themselves aren't necessarily harmful for peptic ulcers. A healthcare professional can provide a more specific dietary plan.
C. "Right now I'm not feeling sick, but if I do feel nauseous, I can take an antiemetic." This is generally acceptable advice; antiemetics can be used to manage nausea associated with peptic ulcers.
D. "It's okay for me to take aspirin if I get a headache." This is incorrect and indicates a need for further education. Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) that can aggravate ulcers and should be avoided.
Correct Answer is D
Explanation
A. Cetirizine (Zyrtec): Cetirizine is an antihistamine used to treat mild allergic reactions, such as seasonal allergies or mild hives. It is not the treatment of choice for severe allergic reactions like anaphylaxis, which this patient may be experiencing given the symptoms and history of peanut allergy.
B. Diphenhydramine (Benadryl): Diphenhydramine is an antihistamine that can be used for mild to moderate allergic reactions, including urticaria and mild anaphylaxis. While it may be part of anaphylactic treatment, it is not the primary treatment for severe symptoms like difficulty breathing.
C. Guaifenesin: Guaifenesin is an expectorant used to relieve chest congestion and make coughs more productive. It is not appropriate for treating allergic reactions or respiratory distress related to anaphylaxis.
D. Epinephrine: Epinephrine is the first-line treatment for anaphylaxis, which is a severe and potentially life-threatening allergic reaction. It works by rapidly reducing airway swelling, improving breathing, and stabilizing blood pressure. Given the patient's symptoms and history of peanut allergy, epinephrine is the most appropriate medication.
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