A patient who complains of gastric distress from NSAIDS such as aspirin or indomethacin will most likely benefit from the administration of which medication?
Misoprostol (Cytotec)
Lansoprazole (Prevacid)
Magaldrate (Riopan)
Magnesium trisilicate (Gaviscon)
The Correct Answer is A
A. Misoprostol (Cytotec)
The patient complaining of gastric distress from NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) like aspirin or indomethacin may benefit from the administration of misoprostol (Cytotec). Misoprostol is a prostaglandin analog that helps protect the stomach lining and reduce the risk of NSAID-induced gastric ulcers.
B. Lansoprazole (Prevacid)
Lansoprazole is a proton pump inhibitor (PPI) that reduces stomach acid production. While PPIs can be used for certain acid-related conditions, they do not directly protect against NSAID-induced gastric distress.
C. Magaldrate (Riopan)
Magaldrate is an antacid that neutralizes stomach acid. It may provide relief from symptoms of indigestion but does not specifically address the gastric distress caused by NSAIDs.
D. Magnesium trisilicate (Gaviscon)
Magnesium trisilicate is an antacid that helps neutralize stomach acid. Like magaldrate, it may alleviate symptoms of indigestion but does not target the underlying issue of NSAID-induced gastric distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Give the child fluids and proceed to the emergency department.
While giving the child fluids is generally important, proceeding to the emergency department without consulting poison control may not be the most appropriate initial action. Poison control can provide specific guidance based on the substance ingested.
B. Call the poison control center and follow directions.
The safest advice for a toddler who has ingested a small amount of household cleaning fluid is to call the poison control center and follow their directions. Poison control centers are staffed with professionals who can provide specific guidance based on the type and amount of the ingested substance. They can advise on the appropriate steps to take, such as whether immediate medical attention is needed or if monitoring at home is sufficient.
C. Administer syrup of ipecac and monitor for vomiting.
The use of syrup of ipecac is no longer recommended as a routine measure for ingested substances. It can have adverse effects and may not be effective for all substances. Consulting poison control for guidance is considered a more appropriate approach.
D. Have the toddler eat bread to absorb the substance.
The ingestion of certain substances may not be effectively addressed by having the toddler eat bread. The specific advice for management should come from poison control, which can provide evidence-based guidance.
Correct Answer is B
Explanation
A. The patient's understanding of the medication:
While it's important for the patient to understand their medication, assessing their understanding is typically done through patient education and counseling. This assessment is vital for promoting adherence and safe medication practices but is not the primary consideration immediately before administration.
B. The patient's ability to swallow:
This is the correct answer. Assessing the patient's ability to swallow is crucial before administering oral medications to ensure that the patient can safely and effectively take the prescribed medication without the risk of aspiration or choking.
C. The patient's allergies:
Assessing the patient's allergies is an essential step in medication administration, but it is generally part of the overall medication safety process. It may not be the primary assessment immediately before administering an oral medication, but it is a crucial consideration.
D. The eyesight:
The patient's eyesight is not typically a primary assessment before administering oral medications. While visual impairments can affect a patient's ability to read medication labels or instructions, it is not the immediate concern when assessing readiness for oral medication administration.
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