The physician has ordered combination therapy for the client with Helicobacter pylori. The nurse plans to do medication education. What will the best plan by the nurse include?

Combination therapy has the best outcomes when omeprazole, propranolol, bismuth salicylate are used.

Combination therapy has the best outcomes when omeprazole, clarithromycin, and amoxicillin are used

The use of sucralfate along with antibiotics is the best combination therapy for peptic ulcer disease

Various antibiotics are used to eradicate the bacteria that are responsible for the development of peptic ulcer disease

Answer and Explanation

The Correct Answer is B

A. Combination therapy has the best outcomes when omeprazole, propranolol, bismuth salicylate are used.

Propranolol is not an antibiotic and is not part of the standard combination therapy for H. pylori. Bismuth subsalicylate may be used in some regimens, but the standard involves a proton pump inhibitor, clarithromycin, and amoxicillin or metronidazole.

B. Combination therapy has the best outcomes when omeprazole, clarithromycin, and amoxicillin are used.

This is the correct choice. The standard combination therapy for H. pylori infection includes a proton pump inhibitor (such as omeprazole), clarithromycin, and amoxicillin or metronidazole.

C. The use of sucralfate along with antibiotics is the best combination therapy for peptic ulcer disease.

Sucralfate is not typically part of the standard antibiotic combination therapy for H. pylori. It is a cytoprotective agent that may be used to treat ulcers but is not a primary component in eradicating H. pylori.

D. Various antibiotics are used to eradicate the bacteria that are responsible for the development of peptic ulcer disease.

While this statement is true, it does not specify the standard combination therapy. The most common antibiotics used in combination therapy for H. pylori include clarithromycin and amoxicillin or metronidazole, along with a proton pump inhibitor.

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Correct Answer is C

Explanation

A. "I need to increase my fluid intake." - This is a correct statement. Sucralfate should be taken with plenty of water to ensure proper absorption and effectiveness.

B. "I need to report pain or vomiting of blood." - This is also a correct statement. Severe abdominal pain or vomiting of blood may indicate a serious issue and should be reported to the healthcare provider.

C. "I need to take Carafate 30 minutes after meals." - This is an incorrect statement. Sucralfate is typically taken on an empty stomach, about 1 hour before meals and at bedtime.

D. "I need to take Maalox 30 minutes before or after Carafate." - This statement is correct. Antacids like Maalox can interfere with the absorption of sucralfate. It's generally recommended to space them apart, taking sucralfate at least 30 minutes before or after antacids.

A. The importance of consuming adequate amounts of water B. The need to monitor for systemic side effects C. The onset of action of 30-60 minutes after administration D. The need to use the dry form of psyllium to prevent cramping

Correct Answer is A

Explanation

A. The importance of consuming adequate amounts of water

When instructing a patient who will take psyllium (Metamucil) to treat constipation, it is crucial to emphasize the importance of consuming adequate amounts of water. Psyllium is a bulk-forming laxative that works by absorbing water in the intestines, forming a gel-like mass that helps soften stools and promote bowel movements. Without sufficient water intake, psyllium may cause an obstruction or worsen constipation.

B. The need to monitor for systemic side effects.

Psyllium is generally well-tolerated and is not associated with significant systemic side effects. The primary consideration is ensuring proper hydration.

C. The onset of action of 30-60 minutes after administration.

Psyllium is not a fast-acting laxative. It usually takes a longer time to produce its effects, and patients should not expect an immediate response within 30-60 minutes.

D. The need to use the dry form of psyllium to prevent cramping.

Using the dry form of psyllium is not recommended, as it may increase the risk of choking or swallowing difficulties. It is typically recommended to mix psyllium with a sufficient amount of water or other liquids to prevent cramping and ensure proper absorption.

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The physician has ordered combination therapy for the client with Helicobacter pylori. The nurse plans to do medication education. What will the best plan by the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse has taught a patient about sucralfate (Carafate). Which statement indicates that the patient requires further teaching?

Correct Answer is C

Explanation

The nurse is instructing a patient who will take psyllium (Metamucil) to treat constipation. What information will the nurse include when teaching the patient?

Correct Answer is A

Explanation

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