After administering a proton pump inhibitor (PPI), which action should the nurse take to evaluate the effectiveness of the medication?

Auscultate for bowel sounds in all quadrants.

Measure the client's fluid intake and output.

Ask the client about gastrointestinal pain.

Monitor the client's serum electrolyte levels.

Answer and Explanation

The Correct Answer is C

A. Auscultate for bowel sounds in all quadrants: While assessing bowel sounds can help evaluate gastrointestinal function, it does not assess the effectiveness of a proton pump inhibitor. PPIs primarily work to reduce gastric acid secretion, not to change bowel sounds.

B. Measure the client's fluid intake and output: Measuring fluid intake and output is important for general fluid balance but does not specifically assess the effectiveness of a PPI. This action is more relevant to other concerns such as hydration status.

C. Ask the client about gastrointestinal pain: The primary indication for PPIs is the treatment of gastrointestinal conditions like acid reflux, ulcers, or GERD. Asking the client about gastrointestinal pain directly assesses the effectiveness of the PPI in reducing symptoms such as heartburn or discomfort.

D. Monitor the client's serum electrolyte levels: While electrolyte imbalances can be a concern with prolonged PPI use, monitoring electrolytes is not the immediate method to assess PPI effectiveness. Reduction in gastrointestinal symptoms is a more direct indicator.

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Correct Answer is B

Explanation

A. "You didn't do anything wrong.” This statement is well-intended, but may minimize the parent’s emotional experience. It’s important to acknowledge the parent’s feelings rather than just reassuring them. This response does not invite further expression of their emotions.

B. "This must be a very difficult time for you." This response acknowledges the parent's emotional distress and validates their feelings, creating an opportunity for them to express their concerns. It provides emotional support and opens the door for further discussion.

C. "Is there any particular reason why you think this is your fault?" While it may be important to understand the parent’s concerns, this response is confrontational. It may inadvertently make the parent feel blamed, which could worsen their state instead of comfort.

D. "With surgery, your baby should have a full recovery." This response may give false hope and oversimplifies the complexities of myelomeningocele. Recovery outcomes depend on various factors. The focus should be on providing emotional support rather than making promises.

A. Hold the client at arm's length while transferring to better distribute the body weight. B. Place the client's locked wheelchair on the client's strong side next to the bed. C. Pull the client into position by reaching from the opposite side of the bed. D. Apply a gait belt around the client's waist once a standing position has been assumed.

Correct Answer is B

Explanation

A. Hold the client at arm's length while transferring to better distribute the body weight: Holding the client at arm's length is not recommended as it does not provide adequate support. The caregiver should be close to the client to maintain control to ensure safe transfer.

B. Place the client's locked wheelchair on the client's strong side next to the bed: Positioning the wheelchair on the client’s strong side provides support and stability during the transfer, allowing the caregiver to assist effectively while ensuring the client’s safety.

C. Pull the client into position by reaching from the opposite side of the bed: Reaching from the opposite side of the bed can cause strain on the caregiver's back and may increase the risk of injury. It is safer to stay close to the client during transfers to minimize physical strain.

D. Apply a gait belt around the client's waist once a standing position has been assumed: The gait belt should be applied before the client assumes a standing position. This ensures proper support and control during the transfer. Waiting until standing could cause instability.

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After administering a proton pump inhibitor (PPI), which action should the nurse take to evaluate the effectiveness of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The parent of a child born with a myelomeningocele asks the nurse, "What did I do to deserve this?" Which response is most helpful?

Correct Answer is B

Explanation

The nurse is demonstrating correct transfer procedures to the unlicensed assistive personnel (UAP) working on a rehabilitation unit. The UAP asks the nurse how to safely move a physically disabled client from the wheelchair to a bed. Which action should the nurse recommend?

Correct Answer is B

Explanation

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