Which statement about proton pump inhibitors (PPIs) should be included in a client education workshop?
PPIs are used for long-term management of ulcers and gastric reflux disease
PPIs are useful because they are available both orally and IV
Treatment with PPIs causes very few adverse effects in the older client
Treatment focuses on the lowest dose for the shortest time period
The Correct Answer is D
Choice A reason: PPIs are used for short-term treatment of ulcers and gastroesophageal reflux disease (GERD), typically 4-8 weeks, not long-term, due to risks like nutrient deficiencies or infections. Long-term use is reserved for specific conditions like Barrett’s esophagus, making this statement inaccurate for general use.
Choice B reason: While PPIs are available orally and intravenously, this is not the primary focus of patient education. Their efficacy in suppressing acid production is more critical than administration routes. This statement is less relevant, as it does not address therapeutic use or safety considerations.
Choice C reason: PPIs cause adverse effects in older adults, including increased risks of fractures, Clostridium difficile infection, and vitamin B12 deficiency due to prolonged acid suppression. This statement is inaccurate, as older clients are particularly susceptible to these risks, requiring careful monitoring during PPI therapy.
Choice D reason: PPI treatment emphasizes the lowest effective dose for the shortest duration to minimize risks like infections, fractures, or nutrient malabsorption. This approach balances acid suppression with safety, especially for ulcers or GERD, making this statement accurate and critical for patient education on safe use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Systemic lupus erythematosus (SLE) is an autoimmune disease where the immune system produces autoantibodies, such as anti-nuclear antibodies, that attack healthy tissues like joints, skin, kidneys, and other organs. This leads to chronic inflammation and tissue damage. B-cell hyperactivity and T-cell dysfunction drive this process, causing systemic effects. This statement is accurate, as autoimmunity defines SLE’s pathology, distinguishing it from non-autoimmune disorders.
Choice B reason: Most individuals with SLE survive due to improved treatments like immunosuppressive drugs, with over 90% surviving beyond 10 years. However, it can be fatal due to complications such as kidney failure, cardiovascular disease, or infections during severe flares. This statement is accurate, reflecting the disease’s manageable yet potentially lethal nature, especially with organ involvement.
Choice C reason: Family history is a known risk factor for SLE. Genetic predisposition, particularly HLA gene variants, increases susceptibility. First-degree relatives of SLE patients have a 5-10% higher risk of developing the disease compared to the general population. This statement is inaccurate, as genetics significantly influences SLE onset, making it a key risk factor.
Choice D reason: SLE is a chronic, progressive connective tissue disorder characterized by periods of flares and remission. It affects connective tissues like joints and skin, with progressive organ damage possible in severe cases. This statement is accurate, as SLE’s chronic nature and connective tissue involvement are central to its pathophysiology, often requiring long-term management.
Correct Answer is B
Explanation
Choice A reason: A complete break with both ends aligned is a simple or non-displaced fracture, not a greenstick fracture. Greenstick fractures involve partial breakage with bending, common in children due to flexible bones. This description does not match the characteristic bending of greenstick fractures.
Choice B reason: A greenstick fracture is a partial break where one side of the bone bends and the other cracks, like a green twig. This occurs in children due to pliable bones with a thick periosteum. This description accurately depicts a greenstick fracture, making it the correct choice.
Choice C reason: A break with bone piercing the skin is a compound (open) fracture, not a greenstick fracture. Compound fractures involve complete bone disruption and skin penetration, unlike the partial, bending nature of greenstick fractures, making this description incorrect for the fracture type.
Choice D reason: A spiral break from twisting force is a spiral fracture, characterized by a helical pattern around the bone. Greenstick fractures involve bending, not twisting, and are partial breaks. This description is inaccurate, as it describes a different fracture mechanism unrelated to greenstick fractures.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.