A client is prescribed lansoprazole 15 mg PO once a day. At which of the following times should the nurse administer the medication?

During the evening meal

Thirty minutes before breakfast

Thirty minutes after lunch

With a bedtime snack.

Answer and Explanation

The Correct Answer is B

Choice A reason:

While lansoprazole can be taken with or without food, it is generally recommended to take it before a meal for optimal effectiveness in reducing stomach acid.

Choice B reason:

This is the correct answer. Taking lansoprazole 30 minutes before breakfast allows it to be most effective in reducing stomach acid production.

Choice C reason:

Taking lansoprazole after lunch may not provide the same level of effectiveness in reducing stomach acid as taking it before a meal.

Choice D reason:

Taking lansoprazole with a bedtime snack may not be as effective in reducing stomach acid as taking it before a meal. Additionally, it is generally recommended to take it in the morning.

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Correct Answer is D

Explanation

Choice A reason:

Omeprazole is a proton pump inhibitor that reduces acid secretion in the stomach, but it doesn't directly make the stomach lining more resistant to damage.

Choice B reason:

While omeprazole can alleviate pain associated with peptic ulcer disease, its primary action is related to acid reduction.

Choice C reason:

Omeprazole primarily reduces acid secretion and doesn't directly facilitate the repair of the stomach lining.

Choice D reason:

This statement is correct. Omeprazole belongs to a class of medications known as proton pump inhibitors, which work by reducing the amount of acid produced in the stomach. This helps to alleviate symptoms and promote healing in conditions like peptic ulcer disease.

A. Sudden thirst, unrelieved by oral fluid administration B. Tachycardia, hypotension, and tachypnea C. Diaphoresis and sudden onset of abdominal pain D. Tarry, foul-smelling stools

Correct Answer is B

Explanation

Choice A reason:

While thirst can be a sign of dehydration, it is not specific to recurrence of a GI bleed.

Choice B reason:

This is the correct answer. Tachycardia (rapid heart rate), hypotension (low blood pressure), and tachypnea (rapid breathing) are signs of potential recurrence of a GI bleed and should be closely monitored.

Choice C reason:

Diaphoresis (excessive sweating) and sudden onset of abdominal pain could be indicative of various conditions, but they are not specific to recurrence of a GI bleed.

Choice D reason:

Tarry, foul-smelling stools are indicative of melena, which is a sign of a GI bleed. However, in this scenario, the bleeding has been controlled, so this is not an expected sign of recurrence.

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A client is prescribed lansoprazole 15 mg PO once a day. At which of the following times should the nurse administer the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with a diagnosis of peptic ulcer disease has just been prescribed omeprazole (Prilosec). How should the nurse best describe this medication's therapeutic action?

Correct Answer is D

Explanation

A patient who experienced an upper GI bleed due to gastritis has had the bleeding controlled and the patient's condition is stable. For the next several hours, the nurse caring for this patient should assess for what signs and symptoms of recurrence?

Correct Answer is B

Explanation

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