A nurse in a provider's office is caring for a client who has a gastric ulcer caused by Helicobacter pylori. The nurse should anticipate that in addition to cimetidine and sucralfate, the provider will prescribe which of the following?

Desmopressin

Clarithromycin

Mexiletine

Filgrastim

Answer and Explanation

The Correct Answer is B

A. Desmopressin:
Desmopressin is used to treat conditions like diabetes insipidus and bedwetting (enuresis) but is not related to the treatment of gastric ulcers caused by H. pylori.

B. Clarithromycin:
Correct Choice. Clarithromycin is an antibiotic often prescribed in combination with other medications to treat H. pylori infections. It helps eradicate the bacteria from the stomach, playing a crucial role in the treatment of gastric ulcers caused by H. pylori.

C. Mexiletine:
Mexiletine is an antiarrhythmic medication used to treat irregular heartbeats. It is not indicated in the treatment of gastric ulcers caused by H. pylori.

D. Filgrastim:
Filgrastim is a medication used to stimulate the production of white blood cells in the body. It is not used in the treatment of gastric ulcers caused by H. pylori.

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Correct Answer is D

Explanation

A. Docusate:
Docusate is a stool softener used to prevent constipation and straining during bowel movements. It is not typically used as a treatment for acute exacerbation of ulcerative colitis.

B. A bowel cathartic medication:
Bowel cathartic medications are laxatives that promote bowel movements. They are generally not used to treat acute exacerbation of ulcerative colitis and can sometimes worsen symptoms in individuals with inflammatory bowel disease.

C. Aspirin:
Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) that can worsen symptoms of inflammatory bowel disease and is generally avoided in individuals with ulcerative colitis.

D. A corticosteroid medication:
This is the correct answer. Corticosteroids, such as prednisone, are often used to reduce inflammation in the colon during acute exacerbations of ulcerative colitis. They help in managing the symptoms and promoting healing of the inflamed intestinal lining.

A. Blood glucose 150 mg/dL B. Potassium 2.5 mEq/L C. Weight loss of 3% of total body weight. D. Urine specific gravity 1.035

Correct Answer is B

Explanation

A. Blood glucose 150 mg/dL:
This blood glucose level is slightly elevated but not significantly concerning on its own. It may be related to stress or other factors. In the context of acute gastroenteritis, it might be secondary to dehydration, but it is not an immediate priority unless the client is diabetic.

B. Potassium 2.5 mEq/L:
This is the correct answer. Low potassium levels (hypokalemia) are a severe concern, especially in the context of acute gastroenteritis where there can be significant losses through vomiting and diarrhea. Hypokalemia can lead to cardiac arrhythmias and needs urgent correction.

C. Weight loss of 3% of total body weight:
While weight loss is an important parameter, a 3% weight loss is usually not an immediate concern. In cases of acute gastroenteritis, rapid weight loss might indicate severe dehydration, but this choice is not as urgent as addressing a severe electrolyte imbalance like hypokalemia.

D. Urine specific gravity 1.035:
This specific gravity indicates concentrated urine, which could be due to dehydration. While this finding is important and indicates the need for rehydration, it is not as urgent as correcting a critically low potassium level.

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A nurse in a provider's office is caring for a client who has a gastric ulcer caused by Helicobacter pylori. The nurse should anticipate that in addition to cimetidine and sucralfate, the provider will prescribe which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the plan of care for a client experiencing an acute exacerbation of ulcerative colitis. Which of the following treatments should the nurse expect to administer?

Correct Answer is D

Explanation

A nurse is collecting data from a client who has acute gastroenteritis. Which of the following data collection findings should the nurse identify as the priority?

Correct Answer is B

Explanation

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