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

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Spider angioma: Spider angiomas are a common manifestation of advanced cirrhosis due to increased estrogen levels resulting from impaired liver function.

B. Increased body hair: Clients with cirrhosis often have decreased body hair due to hormonal imbalances and liver dysfunction, not increased body hair.

C. Weak pulse: While a weak pulse could indicate circulatory issues, it is not a common manifestation specific to cirrhosis. The nurse would expect signs like jaundice, ascites, or edema.

D. Dark-colored stools: Dark-colored stools are more commonly seen in cases of gastrointestinal bleeding or iron supplements. In cirrhosis, the stools are often pale or clay-colored due to bile flow obstruction.

A. "You will need to avoid high-fiber foods to prevent blockages. B. The output from your stoma will be mostly liquid." C. "You will need to change your colostomy bag every 24 hours." D. “Your stoma will be located on the left side of your abdomen."

Correct Answer is D

Explanation

A. "You will need to avoid high-fiber foods to prevent blockages": While caution with high-fiber foods may be needed initially, long-term, a balanced diet including fiber can help regulate bowel movements and prevent constipation. This statement could cause unnecessary concern.

B. "The output from your stoma will be mostly liquid": This statement is incorrect for a sigmoid colostomy, where the stool tends to be more formed since it is further along the digestive tract. Liquid output is more common with ileostomies or colostomies higher in the colon.

C. "You will need to change your colostomy bag every 24 hours":
Rationale: Colostomy bag changes depend on several factors, including the type of appliance and personal preferences. Bags are not changed on a strict 24-hour schedule but are emptied as needed and changed every few days or when required.

D. "Your stoma will be located on the left side of your abdomen." A sigmoid colostomy is typically located on the left lower quadrant of the abdomen, as this is the anatomical location of the sigmoid colon.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has advanced cirrhosis. Which of the following manifestation should the nurse expect to find?

Correct Answer is A

Explanation

A nurse is assisting with teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?

Correct Answer is D

Explanation

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