A client who is newly diagnosed with erosive esophagitis secondary to gastroesophageal reflux disease (GERD) reports to the home health nurse that there has been only a minimal reduction in symptoms after taking lansoprazole PO for one full week. Which action should the nurse take?

Auscultate the client's bowel sounds and measure the abdominal girth.

Confirm that the client is taking the medication one hour after meals.

Notify the healthcare provider that the client may need a change in dosage.

Advise the client that healing typically takes several weeks to occur.

Answer and Explanation

The Correct Answer is D

D. Since the client has reported only minimal reduction in symptoms after taking lansoprazole (a proton pump inhibitor used to treat GERD) for one full week, it suggests that the current dosage may not be sufficient for adequate symptom relief. Therefore, the nurse should notify the healthcare provider.

A. Auscultating the client's bowel sounds and measure the abdominal girth. This action is not directly related to the client's reported lack of symptom improvement with lansoprazole.

B. Lansoprazole is typically taken before meals to maximize its effectiveness in reducing gastric acid production.

C.While it is true that healing of erosive esophagitis may take several weeks with treatment, the client's report of minimal symptom reduction suggests that further evaluation and potentially a change in treatment approach are warranted.

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Correct Answer is A

Explanation

A. Refer the client to the healthcare provider at the clinic to obtain a medication prescription is appropriate because it acknowledges the client's interest in taking oseltamivir to treat their influenza symptoms.
B. Advising the client that once symptoms occur it is too late to receive an influenza vaccination is not relevant to the client's question about taking oseltamivir to treat their existing influenza symptoms. It addresses the timing of influenza vaccination, which is typically recommended before the onset of flu season or at the beginning of flu season, rather than during an active infection.
C. Instructing the client that over-the-counter medications are sufficient to manage influenza symptoms is not accurate because while over-the-counter medications can help relieve some influenza symptoms such as fever, cough, and congestion, they do not directly treat the underlying viral infection.
D. Explaining to the client that antibiotics are not useful in treating viral infections such as influenza is true but does not address the client's specific question about taking oseltamivir to treat their influenza symptoms.

A. Biliary duct obstruction. B. Hepatorenal failure. C. Surgical site infection. D. Acute pancreatitis.

Correct Answer is D

Explanation

D. The client's symptoms, including persistent upper abdominal pain radiating to the back, vomiting, elevated temperature, and elevated serum amylase and lipase levels, are indicative of acute pancreatitis. Post-cholecystectomy pancreatitis can occur as a complication of cholecystectomy, particularly if there is injury to the pancreas or if a gallstone becomes lodged in the common bile duct during surgery.

A. While biliary duct obstruction is a potential complication of cholecystectomy, the client's symptoms are more consistent with acute pancreatitis.

B. The client's symptoms and laboratory findings are more indicative of acute pancreatitis rather than hepatorenal failure.

C. The client's symptoms are not consistent with a typical surgical site infection.

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A client who is newly diagnosed with erosive esophagitis secondary to gastroesophageal reflux disease (GERD) reports to the home health nurse that there has been only a minimal reduction in symptoms after taking lansoprazole PO for one full week. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with symptoms of influenza that started the previous day asks the clinic nurse about taking oseltamivir to treat the infection. Which response should the nurse provide?

Correct Answer is A

Explanation

Correct Answer is D

Explanation

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