A client with a peptic ulcer is diagnosed with Helicobacter pylori infection. The nurse is teaching the client about the medications prescribed, including two antibiotics metronidazole and clarithromycin and a PPI omeprazole. Which statement by the client indicates the best understanding of the medication regimen?
These medications will coat the ulcer and decrease the acid production in my stomach.
The medications will kill the bacteria and stop the acid production.
I should take these medications only when I have pain from my ulcer.
The medications will kill the bacteria and reduce the acid production.
The Correct Answer is D
Choice A reason: This is not a correct statement because these medications do not coat the ulcer. They are not antacids or mucosal protectants, which can form a protective layer over the ulcer and neutralize the stomach acid.
Choice B reason: This is not a correct statement because these medications do not stop the acid production. They only reduce it by inhibiting the proton pump, which is responsible for secreting acid into the stomach.
Choice C reason: This is not a correct statement because these medications should be taken as prescribed, not as needed. They are not analgesics or anti-inflammatory drugs, which can relieve the pain and inflammation of the ulcer.
Choice D reason: This is a correct statement because these medications have two effects: they kill the bacteria that cause the infection and inflammation of the ulcer, and they reduce the acid production that aggravates the ulcer. This can help heal the ulcer and prevent complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Slowing the rate to 50 mL/hr is not an appropriate action by the nurse before calling the physician to clarify the order. This could cause the client to become more hypovolemic, which is a condition where there is a decreased volume of blood in the body. Hypovolemia can lead to shock, organ failure, and death.
Choice B reason: Slowing the rate to 20 mL/hr is not an appropriate action by the nurse before calling the physician to clarify the order. This could also cause the client to become more hypovolemic, which is a serious and life-threatening condition. The nurse should not reduce the IV fluid rate without a physician's order.
Choice C reason: Increasing the rate to 250 mL/hr is not an appropriate action by the nurse before calling the physician to clarify the order. This could cause the client to become more hypervolemic, which is a condition where there is an excess of fluid in the blood vessels. Hypervolemia can cause fluid overload, pulmonary edema, and heart failure.
Choice D reason: Continuing the rate at 125 mL/hr is an appropriate action by the nurse before calling the physician to clarify the order. This is a reasonable rate for a client who has a head injury and hypovolemia, as it can help restore the fluid balance and prevent cerebral edema. The nurse should not change the IV fluid rate without a physician's order.
Correct Answer is A
Explanation
Choice A reason: Colonoscopy is the most accurate diagnostic test for diverticulosis, which is the presence of pouches or sacs in the wall of the colon. It allows the direct visualization of the colon and the identification of any diverticula, polyps, or tumors. The nurse should prepare the client to undergo bowel preparation, sedation, and monitoring before and after the procedure.
Choice B reason: Magnetic resonance imaging (MRI) is not a diagnostic test for diverticulosis. It is a non-invasive imaging technique that uses a magnetic field and radio waves to create detailed images of the internal organs and tissues. It is more commonly used for brain, spine, joint, or soft tissue disorders.
Choice C reason: Abdominal ultrasound is not a diagnostic test for diverticulosis. It is a non-invasive imaging technique that uses sound waves to create images of the abdominal organs and structures. It is more commonly used for liver, gallbladder, kidney, or spleen disorders.
Choice D reason: Computed tomography (CT) scan with contrast is not a diagnostic test for diverticulosis. It is an invasive imaging technique that uses x-rays and a contrast dye to create cross-sectional images of the body. It is more commonly used for detecting tumors, abscesses, or bleeding. It is also used for diagnosing diverticulitis, which is the inflammation or infection of the diverticula.
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