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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is "{\"xRanges\":[93.828125,113.828125],\"yRanges\":[223,243]}"
Explanation
A. Lateral aspect: The preferred location for performing a heel stick on a neonate is the lateral (outer) aspect of the heel, avoiding the central area and the arch of the foot. This area contains fewer nerve endings and less tissue, making it safer and less painful for the infant. It also minimizes the risk of injury to the underlying bones, blood vessels, and nerves.
B. Heel: The heel is not recommended as a puncture site because it contains fat, bone, and nerves, and puncturing the heel could cause injury or complications such as osteochondritis (bone infection). This site also carries a higher risk of injury to blood vessels and tendons.
C. Medial aspect: The medial (inner) aspect of the heel is also not recommended because it is near the medial plantar artery and nerves. Puncturing this area could result in damage to these structures, leading to complications. The lateral aspect is a safer, preferred location.
Correct Answer is A
Explanation
A. Applying an ice collar helps reduce swelling and discomfort in the throat after a tonsillectomy. Cold therapy is effective in the early postoperative period to minimize bleeding and pain.
B. Using a straw should be avoided after a tonsillectomy because it may cause trauma to the surgical site and increase the risk of bleeding.
C. Coughing and deep breathing should be avoided after a tonsillectomy as they can cause irritation or dislodge the blood clots in the surgical site, leading to bleeding.
D. Providing cherry fruit juice is not ideal, as acidic or red-colored liquids can irritate the throat and may make it difficult to monitor for post-operative bleeding.
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