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 C

Explanation

Choice A rationale
High-fat meals can exacerbate symptoms of gallbladder disease or pancreatitis, but they are not typically associated with peptic ulcer disease.
Choice B rationale
Relief of pain after a bowel movement is more indicative of conditions such as irritable bowel syndrome or inflammatory bowel disease, not peptic ulcer disease.
Choice C rationale
Peptic ulcer disease is characterized by a gnawing or burning pain that can be relieved by eating. This is because food neutralizes the stomach acid temporarily. However, the pain often returns after the food has been digested.
Choice D rationale

Pain radiating to the lower back can be a symptom of conditions such as pancreatitis or gallstones, but it is not typically associated with peptic ulcer disease.

A. Diabetes mellitus B. Attention-deficit/hyperactivity disorder C. Rheumatoid arthritis D. Hypotension

Correct Answer is A

Explanation

Choice A rationale
Childhood obesity can indeed lead to diabetes mellitus. Obesity in children increases the risk of developing type 2 diabetes, a chronic condition that affects the way the body processes blood sugar (glucose)34.
Choice B rationale
While attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children, there’s no direct evidence to suggest that childhood obesity is a potential complication or cause of ADHD3.
Choice C rationale

Rheumatoid arthritis is an autoimmune and inflammatory disease, which means that the immune system attacks healthy cells in the body by mistake, causing inflammation (painful swelling) in the affected parts of the body. There is no direct link between childhood obesity and the development of rheumatoid arthritis.
Choice D rationale
Hypotension, or low blood pressure, is not typically associated with childhood obesity. On the contrary, obesity in children can increase the risk of high blood pressure.

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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 collecting data from a client in the health clinic who is reporting epigastric pain. Which of the following statements made by the client should the nurse identify as being consistent with peptic ulcer disease?

Correct Answer is C

Explanation

A nurse is assisting with a class about the long-term effects of childhood obesity. Which of the following conditions should the nurse include as a potential complication of childhood obesity?

Correct Answer is A

Explanation

A nurse is providing instructions to a patient who is scheduled for a barium swallow to assess dysphagia. Which of the following patient statements would indicate to the nurse that the instructions have been understood?

A patient has received a barium swallow test to rule out esophageal strictures and gastric ulcer. The nurse is educating the patient on what is expected post barium swallow. What statement indicates that the patient did not understand all of the teaching by the nurse?

A nurse is collecting data on a client who has acute pancreatitis. Which of the following factors should the nurse anticipate in the client’s history?

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?

A nurse is providing dietary advice to a patient who has GERD. Which of the following food choices by the patient would indicate an understanding of the advice?

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

The nurse in the GI Suite is preparing a patient for an Esophagogastroduodenoscopy (EGD). Which statement below indicates the patient may need some additional teaching?

A nurse is gathering information from a patient who is experiencing a perforation of a peptic ulcer. Which of the following symptoms should the nurse anticipate?