A patient with peptic ulcer disease is noted to have a positive breath test for H. pylori. What will the nurse anticipate the health care provider will order?
antacids and narcotics.
pepsin inhibitors and antiemetics.
proton pump inhibitors and antibiotics.
emetic agents and tranquilizers.
The Correct Answer is C
A. Antacids and narcotics.
Antacids can provide temporary relief of symptoms, but they do not treat the underlying H. pylori infection. Narcotics are not typically used as a standard treatment for peptic ulcer disease related to H. pylori.
B. Pepsin inhibitors and antiemetics.
Pepsin inhibitors and antiemetics may address symptoms but do not target the H. pylori infection directly. The standard treatment involves antibiotics to eradicate the bacteria and proton pump inhibitors to reduce acid production.
C. Proton pump inhibitors and antibiotics.
A positive breath test for H. pylori indicates the presence of Helicobacter pylori bacteria, which is associated with peptic ulcer disease. The standard treatment for H. pylori infection involves a combination of proton pump inhibitors (to reduce stomach acid production) and antibiotics (to eradicate the bacteria).
D. Emetic agents and tranquilizers.
Emetic agents are used to induce vomiting and are not indicated for the treatment of H. pylori infection. Tranquilizers are not part of the standard treatment for peptic ulcer disease associated with H. pylori.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Administer the dose since the patient is not toxic.
This is not the appropriate action. With a drowsy patient and a high serum phenytoin level, there is a concern for toxicity. Administering the next dose could worsen the toxicity.
B. Contact the provider to discuss decreasing the phenytoin dose.
While adjusting the dose may be a consideration, the immediate action should be to withhold the next dose and report the elevated level to the healthcare provider. The provider can then determine the appropriate course of action.
C. Give the drug and monitor closely for adverse effects.
Giving the drug without further intervention is not appropriate when there are signs of potential toxicity, such as drowsiness. Monitoring alone is not sufficient in this case.
D. Report drug toxicity to the providers.
This is the correct choice. With a drowsy patient and a serum phenytoin level of 18 mcg/mL, which is considered high, reporting the drug toxicity to the healthcare provider is the immediate and appropriate action. The provider can then determine the next steps, such as adjusting the dose or ordering additional tests.
Correct Answer is ["36"]
Explanation
To calculate the infusion time for an IV of 1,500 mL running at 25 gtt/min. if the drop factor is 15 gtt/mL, we need to use the following formula:
Infusion time (in minutes) = Volume (in mL) x Drop factor (in gtt/mL) / Flow rate (in gtt/min)
Plugging in the given values, we get:
Infusion time = 1,500 x 15 / 25
Infusion time = 900 / 25
Infusion time = 36
Therefore, the infusion time for this IV is 36 minutes.
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