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.
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Related Questions
Correct Answer is D
Explanation
A. The HbA1c test does not check for ketones in urine. Ketone testing is separate and used to assess for diabetic ketoacidosis or inadequate insulin use, not for monitoring long-term blood glucose control.
B. While the HbA1c test involves hemoglobin, it does not measure the total amount of hemoglobin in the blood. Instead, it reflects the percentage of hemoglobin that has glucose attached to it over a period of time.
C. The HbA1c test does not measure oxygen levels in the blood. It specifically measures the average blood glucose level over a 2-3 month period by assessing the percentage of glucose-bound hemoglobin.
D. The HbA1c test provides an indication of long-term blood glucose control, reflecting the average blood glucose levels over the past 2-3 months. It is a crucial tool for managing diabetes and monitoring the effectiveness of treatment plans.
Correct Answer is D
Explanation
A. Antidiarrheal agents are generally avoided in cases of shigella infection, as they can slow the elimination of the bacteria and worsen the infection.
B. A diet high in sodium is not appropriate; instead, oral rehydration therapy (ORT) is recommended to replace fluids and electrolytes lost during diarrhea.
C. Shigella is a bacterial infection, not a viral one, so antiviral medications would not be effective. Antibiotics may be prescribed in some cases, but antivirals are not appropriate.
D. Oral rehydration therapy is crucial to prevent dehydration and restore lost fluids and electrolytes in children with diarrhea from shigella.
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