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 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.
Correct Answer is B
Explanation
A. Antacids: Antacids are generally used to neutralize stomach acid and can provide symptomatic relief for peptic ulcer disease (PUD). They are not typically contraindicated and can be part of the treatment regimen, although they do not address the underlying cause of PUD.
B. NSAIDs: Nonsteroidal anti-inflammatory drugs (NSAIDs) are known to irritate the gastric mucosa and can exacerbate or cause peptic ulcers by inhibiting the production of protective prostaglandins in the stomach lining. Patients with peptic ulcer disease should avoid NSAIDs to prevent further irritation and ulcer formation.
C. PPIs: Proton pump inhibitors (PPIs) are commonly prescribed to reduce gastric acid secretion and promote ulcer healing in peptic ulcer disease. They are a key component of the treatment regimen and not to be avoided unless there are specific contraindications.
D. H2-receptor blockers: H2-receptor blockers reduce stomach acid production and are used to treat and prevent peptic ulcers. They are an important part of the management strategy for PUD and are not typically contraindicated.
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