The practical nurse (PN) notes that a client who is receiving continuous nonsteroidal antiinflammatory drug (NSAID) therapy has a new prescription for esomeprazole. The PN tells the client that the new medication should reduce the client's risk for which complication?
Dizziness and weakness.
Gastric ulceration.
Joint stiffness and swelling.
Excessive bruising.
The Correct Answer is B
A. Dizziness and weakness: These symptoms are not common complications prevented by esomeprazole. They may occur as side effects of NSAID use or other conditions, but esomeprazole’s primary role is gastrointestinal protection.
B. Gastric ulceration: Esomeprazole, a proton pump inhibitor (PPI), decreases gastric acid secretion and helps protect the stomach lining from erosion caused by NSAIDs. Continuous NSAID therapy increases the risk of peptic ulcers and gastrointestinal bleeding, so adding a PPI reduces acid-related mucosal damage.
C. Joint stiffness and swelling: These symptoms are usually related to the underlying inflammatory condition for which NSAIDs are prescribed. Esomeprazole does not influence joint inflammation or musculoskeletal symptoms.
D. Excessive bruising: Bruising is typically associated with platelet inhibition or anticoagulant use, not NSAID-induced gastric effects. Esomeprazole does not affect coagulation or platelet function and therefore does not prevent bruising.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Dizziness and weakness: These symptoms are not common complications prevented by esomeprazole. They may occur as side effects of NSAID use or other conditions, but esomeprazole’s primary role is gastrointestinal protection.
B. Gastric ulceration: Esomeprazole, a proton pump inhibitor (PPI), decreases gastric acid secretion and helps protect the stomach lining from erosion caused by NSAIDs. Continuous NSAID therapy increases the risk of peptic ulcers and gastrointestinal bleeding, so adding a PPI reduces acid-related mucosal damage.
C. Joint stiffness and swelling: These symptoms are usually related to the underlying inflammatory condition for which NSAIDs are prescribed. Esomeprazole does not influence joint inflammation or musculoskeletal symptoms.
D. Excessive bruising: Bruising is typically associated with platelet inhibition or anticoagulant use, not NSAID-induced gastric effects. Esomeprazole does not affect coagulation or platelet function and therefore does not prevent bruising.
Correct Answer is A
Explanation
A. Pain scale: Postherpetic neuralgia, persistent nerve pain following shingles, is a common complication. Assessing pain intensity, quality, and location helps guide pain management and evaluate recovery, making it the most critical data to obtain.
B. Capillary refill: Capillary refill assesses peripheral perfusion but is not directly affected by shingles or its treatment, making it less relevant for a focused post-shingles assessment.
C. Joint mobility: While joint mobility is important in general health assessments, shingles typically does not impair joint function. Monitoring mobility is not the priority in this context.
D. Urine color: Urine color is unrelated to shingles or its treatment in most cases. Assessing it does not provide essential information for evaluating post-shingles recovery.
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