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:

Increased blood pressure is not typically associated with gastrointestinal perforation; hypotension may be more indicative.

Choice B reason:

Hyperactive bowel sounds may be present in various gastrointestinal conditions, but they are not specific to perforation.

Choice C reason:

Bradycardia is not a typical sign of gastrointestinal perforation; tachycardia may be more indicative of this condition.

Choice D reason:

This statement is correct. Sudden abdominal pain is a key indication of gastrointestinal perforation, and it should be monitored closely.

A. Shiny, moist stoma B. Rosebud-like stoma orifice C. Purplish-colored stoma D. Stoma oozing red drainage

Correct Answer is C

Explanation

Choice A reason:

A shiny, moist stoma is generally a healthy sign, indicating good blood supply and adequate hydration of the stoma tissue. It is not a cause for concern.

Choice B reason:

A rosebud-like stoma orifice is a normal appearance for some types of stomas. It indicates a healthy stoma with good blood supply. This finding is expected and does not warrant concern.

Choice C reason:

A purplish-colored stoma may indicate compromised blood supply to the stoma, which is a serious concern and should be reported to the provider promptly. It may suggest inadequate blood flow to the stoma, which could lead to tissue necrosis.

Choice D reason:

Stoma oozing red drainage may be normal immediately postoperatively. It can be due to some oozing from the surgical site, and if it's minimal and stops after a short while, it's generally not a cause for concern.

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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

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Correct Answer is C

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