Which of the following is a common symptom of esophageal ulcers?

Lower abdominal pain

Joint stiffness

Chest pain

Frequent urination

Answer and Explanation

The Correct Answer is C

C. Chest pain is a common symptom of esophageal ulcers. The chest pain associated with esophageal ulcers can vary in intensity and may be described as burning, gnawing, or sharp. The pain may worsen with swallowing and may be relieved by antacids or other medications that reduce stomach acid.
A. Lower abdominal pain is not a common symptom of esophageal ulcers. Esophageal ulcers typically present with symptoms localized to the chest and upper abdomen, such as chest pain or epigastric discomfort.
B. Joint stiffness is not typically associated with esophageal ulcers. Joint stiffness may occur in conditions such as arthritis but is not a characteristic symptom of esophageal ulcers.
D. Frequent urination is not typically associated with esophageal ulcers. This symptom may be indicative of urinary tract infections, diabetes, or other urinary system disorders but is not directly related to esophageal ulcers.

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Correct Answer is B

Explanation

B. Taking pantoprazole before the first meal of the day allows for optimal acid suppression during the period of increased gastric acid production after waking up. This timing helps maximize the medication's effectiveness in reducing stomach acid and promoting ulcer healing.
A. Pantoprazole is a proton pump inhibitor (PPI) medication used to reduce stomach acid production and promote healing of gastric ulcers. It is typically taken once daily, usually in the morning before the first meal of the day. Taking pantoprazole before bedtime may not provide optimal acid suppression throughout the day when gastric acid production is typically higher.
C. Pantoprazole does not coat the ulcer; rather, it works by inhibiting the proton pumps in the stomach lining that produce acid. By reducing acid production, pantoprazole helps to create an environment in which the ulcer can heal more effectively.
D. While some individuals with conditions such as gastroesophageal reflux disease (GERD) or chronic gastric ulcers may require long-term or even lifelong pantoprazole therapy to manage their symptoms and prevent ulcer recurrence, the duration of treatment varies depending on the underlying condition, the severity of symptoms, and the response to treatment.

A. Notify the physician immediately. B. Notify the pharmacy when the bag is empty C. Decrease the rate to 27.1 mL/hr until the new bag is brought to the unit D. Hang a bag of D10W at the current rate until the new bag arrives

Correct Answer is C

Explanation

C. Decrease the rate to 27.1 mL/hr until the new bag is brought to the unit: This option is a suitable approach to conserve the remaining TPN solution until the new bag arrives. By halving the infusion rate, the remaining volume of TPN will last longer, ensuring the client continues to receive some nutrition and fluid support while awaiting the delivery of the new bag.
A. While it's important to inform the healthcare team about the low volume of TPN remaining, it may not require immediate physician intervention unless the situation worsens or alternative actions need to be taken.
B. Notifying the pharmacy when the bag is empty is a reasonable action, as they can prepare and deliver the next infusion bag promptly. However, it does not address the immediate need for fluid and nutrition replacement.
D. D10W (dextrose 10% in water) can help prevent hypoglycemia and provide some energy, but it does not provide the full nutritional support that TPN does. However, it can be a reasonable short- term measure while waiting for the replacement TPN bag.

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Which of the following is a common symptom of esophageal ulcers?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client recently diagnosed with a gastric ulcer. The primary care provider has prescribed pantoprazole. Which statement made by the client reflects a good understanding of this medication?

Correct Answer is B

Explanation

The nurse is caring for a client receiving a TPN Infusion running at 54.2 mL/hr and there is only 25 mL remaining in the bag. The next Infusion bag has not been brought to the unit. Which action would be appropriate?

Correct Answer is C

Explanation

The nurse is evaluating the histories of several candidates for bariatric surgery. Who is the best candidate for the surgery?

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