A 45-year-old male patient complaints of chronic stomach pain and is diagnosed with a Helicobacter pylori infection. The physician decided to initiate triple therapy. Which combination of medications is most appropriate for this treatment?

Ciprofloxacin, Metronidazole and Ranitidine

Amoxicillin, Clarithromycin and Omeprazole

Metronidazole, Tetracycline and Bismuth subsalicylate

Erythromycin, Amoxicillin and Famotidine

Answer and Explanation

The Correct Answer is B

A. Ciprofloxacin, Metronidazole, and Ranitidine: Ciprofloxacin and ranitidine are not recommended for H. pylori treatment. Ciprofloxacin is not typically used, and ranitidine is an H2 blocker, not a proton pump inhibitor.

B. Amoxicillin, Clarithromycin, and Omeprazole: This combination is a standard triple therapy for H. pylori infection. Amoxicillin and clarithromycin are antibiotics, and omeprazole (a proton pump inhibitor) reduces stomach acid to help eradicate the bacteria.

C. Metronidazole, Tetracycline, and Bismuth subsalicylate: This combination is part of quadruple therapy rather than triple therapy. Quadruple therapy is usually reserved for cases resistant to initial treatment.

D. Erythromycin, Amoxicillin, and Famotidine: Erythromycin is not part of standard triple therapy, and famotidine is an H2 blocker, not a proton pump inhibitor.

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Correct Answer is B

Explanation

A. Inflammation of the motor cortex leads to decreased coordination and balance. Parkinson’s disease is not caused by inflammation in the motor cortex; it primarily involves the loss of dopamine-producing neurons.

B. Degeneration of dopamine-producing neurons in the substantia nigra of the brain leads to motor dysfunction. Parkinson’s disease is caused by the degeneration of dopamine-producing neurons in the substantia nigra, leading to motor symptoms such as tremors, rigidity, and bradykinesia.

C. A loss of acetylcholine in the brain leads to memory problems and cognitive decline. While a loss of acetylcholine is associated with Alzheimer’s disease, it is not the primary issue in Parkinson’s disease.

D. Excess production of dopamine in the basal ganglia leads to tremors and muscle rigidity. In Parkinson’s disease, there is a decrease, not an excess, in dopamine production, which contributes to motor symptoms.

A. The gallbladder became infected by a virus and needs to be removed. B. The gallbladder has become inflamed due to the cholesterol in the gallstones, C. The gallbladder has become blocked by a tumor and is no longer working. D. The gallbladder has become inflamed due to a build-up of gallstones that are blocking the common bile duct.

Correct Answer is B

Explanation

A. The gallbladder became infected by a virus and needs to be removed. Gallstones are not caused by viral infections; they typically develop from an imbalance in the substances that make up bile, such as cholesterol and bilirubin.

B. The gallbladder has become inflamed due to the cholesterol in the gallstones. Cholesterol is a common component of gallstones, and these stones can cause inflammation of the gallbladder (cholecystitis), leading to the need for removal.

C. The gallbladder has become blocked by a tumor and is no longer working. Tumors can obstruct the gallbladder, but this is not the cause of gallstones or the primary reason for a cholecystectomy.

D. The gallbladder has become inflamed due to a build-up of gallstones that are blocking the common bile duct. This describes choledocholithiasis, a condition where gallstones block the common bile duct, but it is not the primary cause of gallbladder inflammation requiring a cholecystectomy.

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A 45-year-old male patient complaints of chronic stomach pain and is diagnosed with a Helicobacter pylori infection. The physician decided to initiate triple therapy. Which combination of medications is most appropriate for this treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a patient newly diagnosed with Parkinson’s disease about the pathophysiology of the condition. Which of the following explanations best describes the underlying cause of Parkinson's disease?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who needs to have a cholecystectomy due to gallstones. Which of the following is the best response from the nurse to explain what caused this problem?

Correct Answer is B

Explanation

A nurse is teaching a patient about coronary artery disease (CAD). Which of the following statements made by the patient demonstrates understanding of the disease?

A patient with peripheral arterial disease (PAD) reports leg pain while walking which resolves with rest. The nurse recognizes this symptom as:

A nurse is assisting with preparations for administering intravenous potassium replacement supplements to a client who has a potassium level of 2.5 mEq/L. Which of the following actions should the nurse plan to include? (Select All that Apply.)

The nurse is caring for a patient with a T-tube following gallbladder surgery. Which of the following is the most important nursing action?

A patient presents to the emergency department with a high fever, chills, chest pain worsened by deep breathing, and a cough producing rusty-colored sputum. Which of the following diagnostic tests is most likely to confirm the nurse's suspicion of pneumonia?

A. Consume small frequent meals throughout the day. Small, frequent meals reduce the volume of food entering the small intestine at one time, helping to prevent symptoms of dumping syndrome.

The nurse is providing home care instructions to a client with hepatitis. Which of the following should be included in the teaching?