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 B
Explanation
A. Relief from nausea: Docusate is a stool softener and does not address nausea.
B. Relief from constipation: The primary therapeutic effect of docusate is to relieve constipation by softening the stool, which is particularly important for clients taking opioids.
C. Decreased drowsiness: Docusate does not affect drowsiness.
D. Decreased cancer pain: Docusate does not have any analgesic properties and will not affect cancer pain.
Correct Answer is ["B","C","D"]
Explanation
A. "I should decrease my physical activity." Decreasing physical activity is not recommended as it can worsen constipation. Physical activity helps stimulate bowel movements, so this statement does not indicate proper understanding.
B. "I should increase fluid intake." Increasing fluid intake helps to soften the stool and promote bowel movements. Adequate hydration is essential in managing constipation, especially when taking opioids.
C. "I should only take a laxative when necessary." Taking a laxative only when necessary is a reasonable approach to managing constipation. Overuse of laxatives can lead to dependency and should be avoided. Using them judiciously can help manage symptoms effectively.
D. "I should increase fiber intake." Increasing dietary fiber can help to bulk up the stool and stimulate bowel movements, which is beneficial in preventing and treating constipation associated with opioid use.
E. "I should strain when I try to have a bowel movement." Straining during bowel movements is not recommended as it can lead to complications such as hemorrhoids or anal fissures. This statement indicates a misunderstanding of proper bowel habits.
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