A client with peptic ulcer disease is prescribed misoprostol. Which of the following information should the nurse include in the client's medication education?
"Misoprostol is an antibiotic used to treat bacterial infections."
"Take misoprostol on an empty stomach at least 1 hour before meals."
"Avoid becoming pregnant while taking misoprostol, as it can cause birth defects."
"Misoprostol is used to reduce stomach acid production and prevent ulcers."
The Correct Answer is C
Choice A reason:
Misoprostol is not an antibiotic. It is a synthetic prostaglandin used to protect the stomach lining and prevent peptic ulcers, particularly in clients taking nonsteroidal anti-inflammatory drugs (NSAIDs).
Choice B reason:
Misoprostol should be taken with meals to minimize gastrointestinal side effects. Taking it on an empty stomach may increase the risk of adverse effects.
Choice C reason:
This statement is correct. Misoprostol is contraindicated during pregnancy and can cause uterine contractions and birth defects. Clients taking misoprostol should use effective contraception to prevent pregnancy.
Choice D reason:
Misoprostol is not used to reduce stomach acid production. Instead, it helps protect the stomach lining by increasing mucus production and promoting bicarbonate secretion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
A diet high in fiber and low in fat is generally considered healthy, but it is not specifically associated with an increased or decreased risk of peptic ulcer disease.
Choice B reason:
Smoking and alcohol consumption are indeed risk factors for peptic ulcer disease. They can contribute to the development and exacerbation of ulcers.
Choice C reason:
This statement is correct. The use of NSAIDs, such as aspirin and ibuprofen, and Helicobacter pylori infection are well-established risk factors for peptic ulcer disease.
Choice D reason:
While stress and emotional factors may exacerbate peptic ulcer symptoms, they are not the primary cause of the condition. The primary causes are H. pylori infection and the use of NSAIDs.
Correct Answer is C
Explanation
Choice A reason:
Elevated serum amylase levels are more indicative of pancreatitis, not cholecystitis.
Choice B reason:
Increased serum creatinine levels are suggestive of kidney dysfunction and are not directly related to cholecystitis.
Choice C reason:
This statement is correct. Cholecystitis is associated with inflammation and infection, which can lead to an elevated white blood cell count (leukocytosis).
Choice D reason:
Low serum bilirubin levels are not consistent with cholecystitis, which can cause obstructive jaundice and elevated bilirubin levels due to bile duct obstruction.
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