A male client who has been taking a high dose of a nonsteroidal antiinflammatory drug (NSAID) comes to the clinic reporting gastric pain and blood in his stool. The healthcare provider discontinues the NSAIDs and prescribes esomeprazole. Which information should the nurse include in this client's teaching plan?
Once pain subsides, NSAID therapy can be resumed.
Resume a diet that consists of milk, cream, and bland foods.
Notify the healthcare provider of the passage of black stools.
Call the clinic if diarrhea or headache occur when taking esomeprazole.
The Correct Answer is C
A. NSAIDs should not be resumed without medical advice, especially if there has been significant gastrointestinal bleeding.
B. A diet of milk, cream, and bland foods is not specifically recommended for this condition and does not address the underlying issue of NSAID-induced gastrointestinal damage.
C. Black stools can indicate gastrointestinal bleeding, which is a serious side effect of NSAIDs and requires immediate medical attention.
D. While esomeprazole can cause side effects like diarrhea or headache, they are not as urgent as reporting possible gastrointestinal bleeding.
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Related Questions
Correct Answer is C
Explanation
A. Cheese, milk, and yogurt are high in calcium, which is not directly relevant to managing the effects of furosemide.
B. Liver, beef, and chicken are protein-rich foods but do not specifically address the potassium needs related to furosemide use.
C. Bananas, oranges, and peaches are rich in potassium, which is important to replenish as furosemide can cause potassium loss.
D. Pasta, cereal, and bread are carbohydrates and do not address the need for potassium in this context.
Correct Answer is A
Explanation
A. Statins can affect liver function, so it's crucial to review serum liver enzymes to monitor for potential hepatic adverse effects before starting treatment.
B. While a complete blood count is important for overall health monitoring, it is not specifically critical for statin initiation.
C. Serum electrolytes are generally important for assessing kidney function and overall health but are not directly related to statin therapy initiation.
D. Capillary blood glucose is relevant for managing diabetes or assessing blood sugar levels but is not directly affected by statins.
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