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

A.While monitoring the client's physical condition, including range of motion, is important, it typically needs to be done more frequently than every 60 minutes. The Joint Commission and other regulatory bodies often recommend continuous observation and checks every 15 minutes.

B.Typically, a provider's order for restraints must be obtained immediately or within a very short time frame (often within an hour), not 48 hours. Regulations vary but generally require prompt notification and authorization.

C.Restraints should only be used as a last resort and for the shortest duration possible. The goal is to ensure the client's safety and the safety of others while minimizing the use of restraints. Removing the restraints as soon as the client is calm and no longer a threat to themselves or others is essential to respecting the client's rights and promoting their dignity.

D.Offer the client a nutritious snack every 4 hr.: While providing nutrition and hydration is important, the primary focus immediately after applying restraints should be on the client's safety and the frequent assessment of their condition. Offering a snack every 4 hours is not the immediate priority in this context.

A. "Increase your dietary fiber intake." B. "Eliminate berries and citrus fruits from your diet." C. "Avoid drinking milk with the iron supplement.: D. "Take the iron supplement with green tea."

Correct Answer is C

Explanation

A.While increasing dietary fiber can help with constipation, a common side effect of iron supplements, it does not directly improve the absorption of the medication

B.Berries and citrus fruits, on the other hand, are good sources of vitamin C, which can actually enhance iron absorption. Therefore, eliminating them from the diet would not be beneficial for improving iron absorption.

C.The recommendation the nurse should make to improve the absorption of the iron supplement (ferrous sulfate) is to avoid drinking milk with the medication. Calcium in milk can interfere with the absorption of iron, so it is best to separate the consumption of these two substances.

D.Green tea contains compounds called tannins, which can interfere with iron absorption. Therefore, it is not recommended to take iron supplements with green tea.

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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?

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