A male patient presents with complaints of chronic stomach pain and is diagnosed with a Helicobacter pylori infection. The physician decides to initiate triple therapy. Which combination of medications is most appropriate for this treatment?
Amoxicillin, Clarithromycin, and Omeprazole
Ciprofloxacin, Metronidazole, and Ranitidine
Erythromycin, Amoxicillin, and Famotidine
Metronidazole, Tetracycline, and Bismuth subsalicylate
The Correct Answer is A
A. Amoxicillin, Clarithromycin, and Omeprazole: This is the most common combination used in triple therapy for H. pylori eradication. It includes two antibiotics (Amoxicillin and Clarithromycin) to eliminate the bacteria, and a proton pump inhibitor (Omeprazole) to reduce stomach acid and promote healing.
B. Ciprofloxacin, Metronidazole, and Ranitidine: Ciprofloxacin and Metronidazole are not typically part of the standard regimen for H. pylori infection. Ranitidine is an H2-receptor antagonist, not commonly used in current treatment protocols for H. pylori.
C. Erythromycin, Amoxicillin, and Famotidine: Erythromycin is not part of the standard H. pylori treatment regimen, and Famotidine is an H2-receptor antagonist, which is less effective than proton pump inhibitors for H. pylori.
D. Metronidazole, Tetracycline, and Bismuth subsalicylate: This combination is used in quadruple therapy for H. pylori infections, but it is not the most common initial treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
A. Frothy urine: Frothy urine is typically associated with proteinuria, seen in nephrotic syndrome, not pyelonephritis.
B. Hypertension: Hypertension can occur due to kidney inflammation and impaired function in pyelonephritis.
C. Fish-type urine odor: A foul or fishy-smelling urine odor is often associated with a urinary tract infection, including pyelonephritis.
D. Mental confusion: Mental confusion can occur in elderly patients with pyelonephritis due to systemic infection or sepsis.
E. Lower abdominal pain: Lower abdominal pain can occur with pyelonephritis due to infection in the urinary tract.
F. Weak urine stream: A weak urine stream is more characteristic of lower urinary tract issues, such as benign prostatic hyperplasia (BPH), rather than pyelonephritis.
Correct Answer is A
Explanation
A. Administer a proton pump inhibitor (PPI) as prescribed to decrease gastric acid production: Proton pump inhibitors (PPIs) are a cornerstone of therapy for peptic ulcer disease as they effectively reduce gastric acid production, which helps the ulcer heal and relieves symptoms.
B. Provide a diet high in fiber and low in fat to promote gastrointestinal health: A high-fiber diet is not specifically indicated for PUD. While diet modifications may help, managing gastric acid production and avoiding irritants is more critical.
C. Encourage the patient to eat small, frequent meals to prevent the secretion of gastric acid: Although small, frequent meals may help some patients, they are not as effective in managing PUD compared to PPIs. Additionally, frequent eating can stimulate gastric acid production in some cases.
D. Instruct the patient to increase the intake of dairy products to help neutralize stomach acid:
Dairy products can initially neutralize stomach acid, but they can also stimulate further acid production, which may worsen symptoms in the long term. This is not recommended for managing PUD.
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