A nurse is caring for a client with peptic ulcer disease who is receiving intravenous proton pump inhibitors (PPIs) to reduce stomach acid production. Which of the following nursing actions is a priority when administering PPIs to this client?
Assessing for signs of fluid overload
Monitoring liver function test results
Elevating the head of the client's bed
Checking for drug interactions with other medications
The Correct Answer is A
Choice A reason:
Assessing for signs of fluid overload is a priority when administering PPIs intravenously, as these medications can increase the risk of fluid retention in some clients.
Choice B reason:
Monitoring liver function test results is important for clients taking certain medications, but it is not the priority when administering PPIs to this client.
Choice C reason:
Elevating the head of the client's bed is a standard measure to prevent aspiration and improve digestion, but it is not the priority in this scenario.
Choice D reason:
Checking for drug interactions with other medications is essential for safe medication administration, but it is not the priority when administering PPIs intravenously to this client.
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Correct Answer is D
Explanation
Choice A reason:
Avoiding NSAIDs is essential for clients with peptic ulcer disease as they can worsen the condition and increase the risk of bleeding.
Choice B reason:
Following a low-fat diet does not directly impact stomach acid production, but it can help prevent irritation to the stomach lining by reducing the intake of potentially irritating foods.
Choice C reason:
This statement is correct. Proton pump inhibitors (PPIs) are commonly prescribed to reduce stomach acid production and promote ulcer healing. It is crucial for the client to continue taking PPIs as directed by their healthcare provider.
Choice D reason:
This statement is incorrect and indicates a need for further teaching. Alcohol can irritate the stomach lining and exacerbate peptic ulcer disease. Clients with peptic ulcers should avoid or minimize alcohol consumption.
Correct Answer is C
Explanation
Choice A reason:
Taking NSAIDs with food can help reduce stomach irritation and the risk of developing peptic ulcers.
Choice B reason:
This statement is correct. Dark, tarry stools may indicate gastrointestinal bleeding, a potential complication of peptic ulcer disease. The client should promptly notify their healthcare provider if they experience this symptom.
Choice C reason:
This statement is incorrect and indicates a need for further education. While antacids can provide temporary relief from heartburn, they do not address the underlying issue of stomach irritation caused by NSAIDs. The client should avoid NSAIDs or discuss alternative pain management strategies with their healthcare provider.
Choice D reason:
Avoiding alcohol is advisable while on NSAIDs as alcohol can increase the risk of gastrointestinal bleeding and worsen peptic ulcer disease.
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