A nurse is caring for a client who is admitted to the medical-surgical unit.
Complete the following sentence by using the lists of options.
The nurse anticipates the client will likely require
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
The nurse anticipates the client will likely require proton pump inhibitors (PPIs) as evidenced by the client's reports of burning epigastric pain.
Rationale
Proton pump inhibitors (PPIs) are commonly prescribed for peptic ulcer disease to reduce stomach acid production, helping to heal the ulcer and alleviate pain. This intervention is anticipated if the client experiences epigastric pain.
Antibiotics would be prescribed if there is evidence of an H. pylori infection, which is a common cause of peptic ulcers.
Antacids can be used for symptom management, but they are typically a short-term measure rather than a primary treatment for healing ulcers
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Infusing vancomycin at a faster rate could increase the risk of infusion-related reactions such as "red man syndrome" and is not recommended.
B. For scheduled non-time-critical medications (which includes most routine intravenous antibiotics), standard acute care guidelines allow a 1-hour window for administration: up to 30 minutes before or up to 30 minutes after the scheduled time. Therefore, telling the client that the medication can be started 30 minutes early is the only statement that falls safely within this established clinical grace period.
C. Waiting up to 2 hours after the scheduled time violates standard safety protocols. Delaying an antibiotic by 2 hours can cause the drug's therapeutic serum concentration to drop below the minimum inhibitory concentration (MIC), potentially reducing its effectiveness against the infection.
D. Adjusting the time and schedule to the client's convenience may not ensure that the medication is administered effectively and within the proper timeframe.
Correct Answer is B
Explanation
A. Tucking the chin toward the chest (not lifting the chin) may help improve swallowing by narrowing the airway, making it easier to swallow and reducing the risk of aspiration.
B.This positioning makes it easier for the nurse to observe signs of dysphagia, offer assistance as needed, and maintain better eye contact with the client. It also helps promote a more relaxed and reassuring environment, which can improve the client’s ability to swallow.
C. Talking during feeding can increase the risk of aspiration and compromise safe swallowing.
D. Coughing during feedings should not be discouraged, as it may indicate that the client is attempting to clear the airway and should be monitored carefully.
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