Which medications are most likely to be used in a dual drug therapy program for peptic ulcer disease from H. pylori?

Omeprazole and clarithromycin

Ciprofloxacin and sucralfate

Cimetidine and amoxicillin

Tetracycline and metronidazole

Answer and Explanation

The Correct Answer is A

A) Omeprazole and clarithromycin: Omeprazole is a proton pump inhibitor (PPI) that reduces stomach acid production, and clarithromycin is an antibiotic used to target Helicobacter pylori (H. pylori), the bacteria responsible for many peptic ulcers. In dual therapy for H. pylori eradication, omeprazole is used to create a less acidic environment, enhancing the effectiveness of antibiotics like clarithromycin. This combination is one of the most commonly used regimens in the treatment of peptic ulcer disease caused by H. pylori.

B) Ciprofloxacin and sucralfate: Ciprofloxacin is an antibiotic, and sucralfate is a medication used to coat the stomach lining to protect it from acid. While ciprofloxacin may be effective against certain bacterial infections, it is not typically used in dual therapy for H. pylori infections. Sucralfate is not an antibiotic and does not directly treat the bacterial cause of peptic ulcers, so this combination would not be ideal for H. pylori eradication.

C) Cimetidine and amoxicillin: Cimetidine is an H2-receptor antagonist used to reduce stomach acid production, and amoxicillin is an antibiotic that could potentially target H. pylori. However, this combination is less commonly used compared to PPI-based therapies. Cimetidine does not reduce acid as effectively as omeprazole (a PPI), making this combination less ideal for eradicating H. pylori.

D) Tetracycline and metronidazole: Both tetracycline and metronidazole are antibiotics used to treat infections, including H. pylori, but they are typically used in triple therapy regimens along with a PPI, not in dual therapy. While they can be effective in treating H. pylori, the combination of a PPI like omeprazole with clarithromycin remains the preferred choice for dual therapy.

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Free Nursing Study Resources

Correct Answer is ["250"]

Explanation

Identify the total volume:

The client is ordered to receive 1000 mL of 0.9% saline.

Identify the infusion time:

The infusion time is 4 hours.

Set up the calculation:

We need to find out the IV pump rate in mL/hr. We can use the following formula:

(Total volume) / (Infusion time) = IV pump rate

4. Plug in the values and calculate:

(1000 mL) / (4 hours) = 250 mL/hr

A. If you do not take it now, it will put you behind schedule." B. Let me check the original order before you take it. C. 'It wouldn't be listed here if it were not ordered for you!" D. It's listed here on the medication sheet, so you should

Correct Answer is B

Explanation

A) "If you do not take it now, it will put you behind schedule.": While the nurse might be concerned about the medication schedule, this response dismisses the client's concern and doesn’t prioritize safety. The nurse should not pressure the client to take the medication before verifying that it is correct.
B) "Let me check the original order before you take it.": This is the best response because it demonstrates a commitment to patient safety. If the client is concerned about the medication, the nurse should take the time to verify the order directly from the original source to ensure the right medication is being given. This approach reassures the client and promotes trust.

C) "It wouldn't be listed here if it were not ordered for you!": This response can come across as dismissive and unprofessional. While it is important that the medication appears on the record, the nurse should still verify it to address the client's concern. Simply relying on the medication record without confirmation is not the best course of action.

D) "It's listed here on the medication sheet, so you should take it.": Similar to option C, this response dismisses the client’s concern and does not prioritize verifying the medication’s accuracy. It could lead to the client feeling their concerns were not taken seriously, which could negatively impact their trust in the care provided.

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Which medications are most likely to be used in a dual drug therapy program for peptic ulcer disease from H. pylori?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is ordered to receive 1000ml of 0.9% saline over 4 hours. At what rate will the nurse set the IV pump in mL/hr? (Enter a number only).

Correct Answer is ["250"]

Explanation

When given a scheduled morning medication, the client states, "I haven't seen that pill before. Are you sure it's correct?" The nurse checks the medication administration record and verifies that it is listed. Which is the nurse's best response?

Correct Answer is B

Explanation

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