A nurse is assessing a client who is on long term omeprazole therapy. Which of the following findings should indicate to the nurse the medication is effective?

Reduced dyspepsia

Absence of headache

Increased appetite

Regular bowel movements

Answer and Explanation

The Correct Answer is A

Omeprazole is a (PPI) proton pump inhibitor used to inhibit excessive acid secretion in the stomach. Persistent exposure of the stomach lining to acid leads to epigastric pain, bloating and feelings of early satiety. Reduction of acid secretion helps to relieve dyspeptic symptoms caused by irritation of gastric mucosa by the acid.

B. Omeprazole is not used for management of headaches

C, D- Omeprazole does not have effect on appetite or bowel movements. Absence of headache

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Correct Answer is B

Explanation

A white coating in the mouth is also referred to as oral thrush which is a common adverse effect of inhaled corticosteroids. It occurs due to suppression of the immune system leading to inability to fight fungal infections in the body. The client should be advised to rinse the mouth after inhalation.

A, C, and D are not related to the use of inhaled corticosteroids.

A. Draw a trough level immediately prior to administering the medication and peak level 30 min after the dose. B. Draw a peak level at 0900 and a trough level at 2100. C. Draw a peak level 90 min prior to administering the medication and a trough level 90 min after the dose. D. Draw a trough level at 0900 and a peak level at 2100.

Correct Answer is A

Explanation

Trough levels should be taken immediately to ensure that the drug levels are at the lowest. Peak levels are taken 30-45mins after the infusion as the drug levels rises rapidly reaching a peak level

B, D- The timings of measurement are closely related to the administration of the drug

C- Peak levels are taken after administration and trough levels after an d not vice versa

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A nurse is assessing a client who is on long term omeprazole therapy. Which of the following findings should indicate to the nurse the medication is effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client who has asthma and a new prescription for fluticasone/salmeterol. For Which if the following adverse effects should the nurse instruct the client to report to the provider?

Correct Answer is B

Explanation

A nurse is caring for a client who has an infection and a prescription for gentamicin intermittent IV bolus every 8 hr. A peak and trough is required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level?

Correct Answer is A

Explanation

A nurse is caring for a client who has Wernicke—Korsakoff psychosis as a result of chronic alcohol use disorder. Which of the following interventions should the nurse anticipate?

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