Which of the following medications do not decrease or neutralize stomach acid secretion?

ranitidine (zantac)

pantoprazole (protonix)

metronidazole (flagyl)

omeprazole (prilosec)

Answer and Explanation

The Correct Answer is C

A. Ranitidine is an H2 receptor blocker that decreases stomach acid production.

B. pantoprazole (Protonix) – Pantoprazole is a proton pump inhibitor (PPI) that significantly reduces gastric acid secretion.

C. metronidazole (Flagyl) – Metronidazole is an antibiotic used to treat anaerobic bacterial infections; it has no effect on stomach acid secretion.

D. omeprazole (Prilosec) – Omeprazole is a proton pump inhibitor that blocks acid production in the stomach

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Correct Answer is A

Explanation

A. The circulating nurse is responsible for ensuring that all preoperative documentation is complete, including verifying that the informed consent form is signed and that the surgical site is correctly marked according to safety protocols (e.g., surgical time-out).
B. The surgeon is responsible for obtaining informed consent and marking the site, but it is the circulating nurse’s duty to verify that this has been done before the procedure.
C. The scrub nurse maintains sterility and handles instruments, but is not responsible for verifying consent or site marking.
D. The anesthesiologist manages anesthesia and airway concerns, not documentation or site verification.

A. Informing the surgeon of the situation B. Asking the circulating nurse to look for the sponge C. Looking on the instrument table for the sponge D. Recording that the count was incorrect

Correct Answer is A

Explanation

A. The priority action when a sponge count is incorrect is to immediately notify the surgeon before closing the surgical site. Retained surgical items like sponges can lead to serious complications, including infection and the need for further surgery. Prompt communication ensures patient safety.
B. Although helpful, this is a secondary step. The surgeon must be informed immediately to halt closure and assist in locating the missing sponge.
C. Searching is appropriate, but it should be done after informing the surgeon. Delaying notification risks closure with a retained item.
D. Documentation is important after resolution. It is not the first action in response to a missing sponge during surgery.

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Which of the following medications do not decrease or neutralize stomach acid secretion?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which person is responsible for verifying that the consent form is signed and that the surgical site is clearly marked? Select one:

Correct Answer is A

Explanation

A surgeon is performing an abdominal hysterectomy. Before the surgery is completed, the operating room nurse counts the sponges and notes that the sponge count is not correlating with the preoperative count. Which action by the nurse is important?

Correct Answer is A

Explanation

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