A nurse is reinforcing teaching with a parent of a child who has gastroesophageal reflux disease and a new prescription for lansoprazole capsules. Which of the following statements by the parent indicates an understanding of the teaching?
"I should administer this medication 30 minutes before breakfast."
"I should place the capsule under my child's tongue."
"I will administer this medication four times per day."
"I will have my child chew the capsule completely."
The Correct Answer is A
A. Lansoprazole is a proton pump inhibitor (PPI) that is most effective when taken 30 minutes before meals, as it works by reducing stomach acid production in response to food intake.
B. Lansoprazole capsules should not be placed under the tongue, as they are intended to be swallowed whole to ensure proper absorption.
C. Lansoprazole is typically prescribed once daily, not four times per day, unless otherwise directed by the healthcare provider.
D. Chewing the capsule would interfere with its controlled-release formulation, leading to reduced effectiveness. The capsule should be swallowed whole.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Children with asthma are at an increased risk for respiratory infections, including pneumococcal infections. Therefore, pneumococcal immunization is recommended for children with asthma to help prevent pneumonia and other infections.
B. Salmeterol is a long-acting beta-agonist used for asthma maintenance and not for acute exacerbations. The nurse should instruct the guardian to use a quick-relief bronchodilator (e.g., albuterol) for acute symptoms.
C. When using a peak flow meter, the child should inhale as deeply as possible, but the exhalation should be long and forceful. Inhaling quickly may not give an accurate reading of lung function.
D. Physical activity and sports are important for children with asthma, as long as their asthma is well controlled. The nurse should not recommend avoiding school sports unless the child has an active exacerbation or poor asthma control.
Correct Answer is C
Explanation
A. Grapes pose a choking hazard to toddlers due to their size and shape, and should be cut into small pieces or avoided for safety reasons.
B. Raw carrots are also a choking hazard and should not be recommended as a snack for toddlers. They should be cooked or cut into small pieces to make them safer.
C. A hard-boiled egg is a good snack for a toddler as it is nutritious and easy to eat when cut into small pieces. It provides protein and is safe to consume without choking risks.
D. Popcorn can be a choking hazard for toddlers and should not be recommended. It is difficult for toddlers to chew and digest properly.
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