What priority teaching point should the nurse include when instructing a client about the use of antacids?
Reduce calorie intake to reduce acid production.
Take before each meal and before bed.
Be aware of risk of acid rebound with long-term use.
Consider liquid diet if diarrhea occurs.
The Correct Answer is C
A. Reduce calorie intake to reduce acid production: While diet can influence acid production, this is not a primary teaching point for antacid use. Antacids work by neutralizing stomach acid, not by reducing acid production through dietary changes.
B. Take before each meal and before bed: Antacids are usually taken after meals and at bedtime for maximum effectiveness. Taking them before meals may reduce their ability to neutralize acid produced during digestion.
C. Be aware of risk of acid rebound with long-term use: Long-term use of antacids, particularly those containing calcium carbonate, can lead to acid rebound where the stomach produces more acid in response to the medication.
D. Consider liquid diet if diarrhea occurs: Diarrhea may occur with magnesium-containing antacids, but switching to a liquid diet is not the standard recommendation. Instead, evaluating the antacid formulation or changing the medication would be more appropriate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Reduce calorie intake to reduce acid production: While diet can influence acid production, this is not a primary teaching point for antacid use. Antacids work by neutralizing stomach acid, not by reducing acid production through dietary changes.
B. Take before each meal and before bed: Antacids are usually taken after meals and at bedtime for maximum effectiveness. Taking them before meals may reduce their ability to neutralize acid produced during digestion.
C. Be aware of risk of acid rebound with long-term use: Long-term use of antacids, particularly those containing calcium carbonate, can lead to acid rebound where the stomach produces more acid in response to the medication.
D. Consider liquid diet if diarrhea occurs: Diarrhea may occur with magnesium-containing antacids, but switching to a liquid diet is not the standard recommendation. Instead, evaluating the antacid formulation or changing the medication would be more appropriate.
Correct Answer is C
Explanation
A. Proton pump inhibitors: Proton pump inhibitors (PPIs) typically end in "-prazole" (e.g., omeprazole, pantoprazole) and work by irreversibly inhibiting the hydrogen-potassium ATPase pump in gastric parietal cells.
B. Antacids: Antacids are compounds such as aluminum hydroxide or magnesium hydroxide that neutralize existing stomach acid on contact. They do not follow a naming pattern like "-dine" and act through physical-chemical interaction, not histamine receptor blockage.
C. Histamine-2 antagonists: Drugs in this class end in "-dine" (e.g., ranitidine, famotidine) and work by blocking histamine H2 receptors in the gastric parietal cells. This action reduces acid secretion and makes them effective in treating peptic ulcers and gastroesophageal reflux disease.
D. Gastrointestinal protectants: These agents, like sucralfate, form a protective barrier over gastric mucosa but do not reduce acid production directly. They also do not have names ending in "-dine" and serve a different therapeutic role by coating ulcers rather than inhibiting acid secretion.
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