A 52-year-old female presents with continuous abdominal pain that intensifies after eating. She is diagnosed with chronic pancreatitis. Contributing factors include:

alcohol abuse

bulimia

history of gallstones

bacterial infection

Answer and Explanation

Correct Answer : A,C

Choice A reason:
Alcohol abuse is the leading cause of chronic pancreatitis in many cases. Chronic alcohol consumption leads to repeated episodes of pancreatic inflammation, resulting in fibrosis, loss of pancreatic function, and structural damage. Alcohol directly stimulates pancreatic secretions and contributes to the formation of protein plugs that obstruct pancreatic ducts, exacerbating the condition.
Choice B reason:
Bulimia is not a known contributing factor for chronic pancreatitis. While eating disorders can have gastrointestinal manifestations, they do not directly lead to the chronic inflammatory process seen in pancreatitis.
Choice C reason:
A history of gallstones is a recognized contributing factor to chronic pancreatitis. Gallstones can intermittently block the pancreatic duct, leading to inflammation and damage over time. While gallstones are more commonly associated with acute pancreatitis, they also play a role in the chronic form if untreated or recurrent.
Choice D reason:
Bacterial infection is not a primary contributing factor to chronic pancreatitis. While infections can complicate pancreatic conditions, they do not typically initiate the chronic inflammatory process. Chronic pancreatitis is more often caused by mechanical, toxic, or genetic factors rather than infectious agents.

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Correct Answer is A

Explanation

Choice A reason:
Taking an antacid one hour after ranitidine is recommended because antacids can affect the absorption of H2 receptor blockers like ranitidine. Ranitidine works by reducing stomach acid production, whereas antacids neutralize existing acid. Taking the antacid too close to the ranitidine can reduce the effectiveness of the ranitidine by altering the stomach's pH balance and affecting its absorption.

Choice B reason:
Taking an antacid and ranitidine at the same time does not enhance their effect. In fact, this can interfere with the absorption and effectiveness of ranitidine. Antacids can increase the pH of the stomach, which may reduce the absorption of ranitidine, thus diminishing its acid-reducing effects.

Choice C reason:
Taking both medications at the same time before meals is not advisable for the same reason as above. The simultaneous administration can reduce the effectiveness of ranitidine, as the increased pH caused by the antacid can interfere with the absorption of the H2 receptor blocker, thereby not providing the intended therapeutic effect.

Choice D reason:
The patient can take both medications, but they should be timed correctly to ensure optimal effectiveness. Saying that the patient needs to be on one medication only is incorrect. Both medications can be used together, but the antacid should be taken after ranitidine to avoid any interaction that might impair the effectiveness of ranitidine.

A. Amoxicillin B. Reglan C. Rivaroxaban (Xarelto) D. Omeprazole

Correct Answer is C

Explanation

Choice A reason:
Amoxicillin is an antibiotic used to treat bacterial infections. It has no role in the management of atrial fibrillation, which is a cardiac rhythm disorder. Antibiotics do not address the prevention of thromboembolism or the control of heart rate or rhythm.

Choice B reason:
Reglan (metoclopramide) is a medication used to treat gastroesophageal reflux disease (GERD) and gastroparesis. It does not have any indication for use in atrial fibrillation. The management of atrial fibrillation focuses on rate or rhythm control and anticoagulation.

Choice C reason:
Rivaroxaban (Xarelto) is an anticoagulant that is commonly prescribed for patients with atrial fibrillation to prevent stroke and systemic embolism. Since atrial fibrillation increases the risk of thromboembolism, anticoagulation is a crucial component of the treatment plan to reduce the risk of stroke.

Choice D reason:
Omeprazole is a proton pump inhibitor used to treat acid-related stomach issues such as GERD. It is not relevant to the management of atrial fibrillation. The primary concerns in managing atrial fibrillation are controlling the heart rate and preventing thromboembolism, which omeprazole does not address.

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A 52-year-old female presents with continuous abdominal pain that intensifies after eating. She is diagnosed with chronic pancreatitis. Contributing factors include:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing education to a patient who has been prescribed both an antacid and ranitidine (an H2 receptor blocker). Which instruction should the nurse give the patient about taking the medications?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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