A nurse is reinforcing teaching with a client who has GERD and a prescription for pantoprazole. Which of the following statements indicates an understanding of the teaching?

"I will need to remain upright for 1 hour after taking the medication."

"I have to take this medication on an empty stomach."

"I should expect to have diarrhoea while taking this medication."

"I can take antacids at the same time as this medication."

Answer and Explanation

The Correct Answer is A

Pantoprazole is a proton pump inhibitor (PPI) used to reduce stomach acid production and treat conditions such as gastroesophageal reflux disease (GERD). Taking pantoprazole before a meal is generally recommended to optimize its effectiveness.

Remaining upright for at least 1 hour after taking the medication helps prevent the medication from refluxing back into the oesophagus. This position allows the medication to reach the stomach and be absorbed properly.

Taking the medication on an empty stomach is not necessary, as it can be taken with or without food. However, it is generally recommended to take it before a meal for better absorption.

Experiencing diarrhea is not a common side effect of pantoprazole. If diarrhea occurs and persists, the client should contact their healthcare provider.

Antacids should not be taken at the same time as pantoprazole. Antacids can interfere with the absorption of pantoprazole, so it is advised to take them at least 2 hours apart.

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Correct Answer is C

Explanation

When collecting data from a client who is receiving gentamicin via IV infusion, the nurse should identify the new onset of hearing loss as an adverse eﬀect of the treatment¹. Gentamicin can cause vestibulocochlear nerve damage, which can aﬀect hearing and balance¹.

A. Complete an incident report. B. Notify the client's provider. C. Document the fall in the client's medical record. D. Measure the client's vital signs.

Correct Answer is D

Explanation

The first action the nurse should take in this situation is to assess the client's condition for any injuries or signs of distress. Therefore, the nurse should measure the client's vital signs to determine if there are any immediate concerns such as hypotension or tachycardia. After ensuring the client's safety and addressing any immediate needs, the nurse should complete an incident report and document the fall in the client's medical record. The provider may also need to be notified depending on the severity of the fall and any resulting injuries.

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A nurse is reinforcing teaching with a client who has GERD and a prescription for pantoprazole. Which of the following statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has pyelonephritis and is receiving gentamicin via IV infusion. Which of the following manifestations should the nurse identify as an adverse eﬀect of the treatment?

Correct Answer is C

Explanation

A nurse enters a client's room and finds her sitting on the floor next to the shower. The client states that she slipped on some water outside of the shower. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

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A nurse is collecting data from a client who has pyelonephritis and is receiving gentamicin via IV infusion. Which of the following manifestations should the nurse identify as an adverse eﬀect of the treatment?

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