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. 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.
Correct Answer is C
Explanation
A. Selecting a catheter that fits snugly is important for proper suctioning, but it is more important to ensure the catheter is the correct size for the infant’s tracheostomy tube and airway.
B. Instilling saline prior to suctioning is generally not recommended unless specified by the healthcare provider, as it can increase the risk of aspiration and discomfort.
C. Suctioning should be done in short 3 to 4 second increments to avoid injury to the airway and to minimize the infant’s distress. Prolonged suctioning can cause hypoxia and trauma to the mucosa.
D. Suctioning for infants with tracheostomies requires sterile technique to prevent infection, not clean technique.
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