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 A

Explanation

Choice A rationale
Before starting an enteral feeding using a newly inserted nasogastric feeding tube, it is crucial to review abdominal x-ray results to confirm the correct placement of the tube.
Choice B rationale

While reviewing chest x-ray results can provide useful information about the patient’s overall health, it is not specifically required before starting an enteral feeding.
Choice C rationale
Flushing the feeding tube is an important step in maintaining tube patency, but it does not need to be done specifically before starting an enteral feeding.
Choice D rationale
Auscultating bowel sounds can provide information about gastrointestinal function, but it is not specifically required before starting an enteral feeding.

A. CEA is a chemotherapy drug used to treat cancer. B. CEA is a surgical procedure used to remove cancerous tumors. C. CEA is a tumor suppressor gene that inhibits the growth of cancer cells. D. CEA is a blood test used to detect and monitor certain types of cancer.

Correct Answer is D

Explanation

Choice A rationale
CEA is not a chemotherapy drug. Chemotherapy drugs are medications used to treat cancer, while CEA is a protein that can be measured in the blood.
Choice B rationale
CEA is not a surgical procedure. It’s a type of protein in the body that can be measured through a blood test.
Choice C rationale
CEA is not a tumor suppressor gene. Tumor suppressor genes are genes that regulate cell division and prevent the formation of tumors, while CEA is a protein that can be present in higher amounts in people with certain types of cancer.
Choice D rationale
CEA is a blood test used to detect and monitor certain types of cancer. It’s often used in people who’ve been previously diagnosed with certain types of cancer, most commonly colorectal cancer.

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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

What action should the nurse take before starting an enteral feeding using a newly inserted nasogastric feeding tube?

Correct Answer is A

Explanation

The nurse is explaining to a patient the purpose of certain lab tests that have been ordered. A carcinoembryonic antigen (CEA) test was ordered and the patient is asking what this value will indicate. Which of the following is correct?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a patient who has dumping syndrome following gastric surgery. Which of the following information should the nurse reinforce in the teaching?

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The nurse is educating a patient about dumping syndrome and food choices. Which of these foods should the patient avoid?

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