The nurse instructs a client prescribed omeprazole for peptic ulcer disease about the use of the medication. Which patient statements indicate understanding of the instructions? (Select all that apply.)

I will take the capsule before eating a meal in the morning.

I should not take antacids while I’m on this medication.

I will report any abdominal pain, diarrhea, or bleeding that occurs.

I will need to take this drug for 3 weeks for my ulcer to heal.

If I wish, I can open the capsule and sprinkle it on the food.

Answer and Explanation

Correct Answer : A,B,E

Choice A rationale
Omeprazole should be taken before eating a meal in the morning. This is because the drug works best when the stomach is empty, allowing it to effectively block the production of stomach acid.
Choice B rationale
It’s not necessary to avoid antacids while taking omeprazole. In fact, antacids can be used in combination with omeprazole if needed.
Choice C rationale
Patients should indeed report any abdominal pain, diarrhea, or bleeding that occurs while taking omeprazole. These could be signs of a serious side effect or complication.
Choice D rationale
The duration of treatment with omeprazole can vary depending on the condition being treated. For peptic ulcer disease, treatment typically lasts for 4-8 weeks, not just 3 weeks.
Choice E rationale

Omeprazole capsules can be opened and the contents sprinkled on food if needed. This can make the medication easier to swallow.

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Correct Answer is B

Explanation

Choice A rationale
Folate, also known as vitamin B9, is essential for many functions in the body, including cell growth and division, amino acid metabolism, and the formation of white and red blood cells. However, it is not the treatment for pernicious anemia.
Choice B rationale
Pernicious anemia is a condition where the body cannot absorb enough vitamin B12 in the small intestine, causing a drop in red blood cells. Treatment for pernicious anemia involves vitamin B12 injections or oral supplementation to restore levels to an optimal range, followed by continued injections or oral medications to maintain these levels.
Choice C rationale
Vitamin C is essential for the growth, development, and repair of all body tissues. It’s involved in many body functions, including the formation of collagen, absorption of iron, the immune system, wound healing, and the maintenance of cartilage, bones, and teeth. However, it is not the treatment for pernicious anemia.
Choice D rationale
Iron is a mineral that our bodies need for many functions. For example, iron is part of hemoglobin, a protein which carries oxygen from our lungs throughout our bodies. However, it is not the treatment for pernicious anemia.

A. Ammonia B. Hydrochloric Acid C. Potassium D. Carbon Dioxide

Correct Answer is D

Explanation

Choice A rationale
The UREA breath test does not measure ammonia levels. While H. pylori can convert urea to ammonia and carbon dioxide, the test specifically measures the level of carbon dioxide in the breath.
Choice B rationale
The UREA breath test does not measure hydrochloric acid. Hydrochloric acid is produced by the stomach to aid in digestion, but it is not measured in the UREA breath test.
Choice C rationale
The UREA breath test does not measure potassium. Potassium is an important electrolyte in the body, but it is not related to the presence of H. pylori or the UREA breath test.
Choice D rationale
The UREA breath test measures carbon dioxide in the breath.

H. pylori bacteria break down urea into ammonia and carbon dioxide. Excess carbon dioxide in the breath is a sign of an H. pylori infection.

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The nurse instructs a client prescribed omeprazole for peptic ulcer disease about the use of the medication. Which patient statements indicate understanding of the instructions? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about pernicious anemia with a client following a total gastrectomy. Which of the following dietary supplements should the nurse include in the teaching as the treatment for pernicious anemia?

Correct Answer is B

Explanation

The physician orders a patient with a duodenal ulcer to take a UREA breath test. Which lab value will the test measure to determine if H. Pylori is present?

Correct Answer is D

Explanation

The physician orders a patient with a duodenal ulcer to take a UREA breath test. Which lab value will the test measure to determine if H. Pylori is present?

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