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 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

A. Elevated temperature B. Peripheral edema C. Hypertension D. Erythema at the insertion site

Correct Answer is A

Explanation

Fat overload syndrome is a rare but serious complication that can occur in clients receiving lipid infusion. It is typically characterized by fever.

Although spontaneous hemorrhage can occur, peripheral edema is not a typical feature of fat overload syndrome.

Hypertension is not a typical feature of fat overload syndrome. However, hypotension may occur due to fluid shift and vasodilation.

Erythema can occur at the site of infusion during lipid infusion. However, it is not a typical feature of fat overload syndrome.

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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?

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Naxlex Comprehensive Predictor Exams

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 assessing a client who is receiving a parental lipid infusion. Which of the following findings is a manifestation of fat overload syndrome?

Correct Answer is A

Explanation

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