The nurse is caring for a client recently diagnosed with a gastric ulcer. The primary care provider has prescribed pantoprazole. Which statement made by the client reflects a good understanding of this medication?
"I will take my pantoprazole 10 minutes before my bedtime."
"I will take my pantoprazole 20-30 minutes before my first meal of the day."
"This medication will coat my ulcer and help it to heal."
"I will be on pantoprazole for the rest of my life."
The Correct Answer is B
B. Taking pantoprazole before the first meal of the day allows for optimal acid suppression during the period of increased gastric acid production after waking up. This timing helps maximize the medication's effectiveness in reducing stomach acid and promoting ulcer healing.
A. Pantoprazole is a proton pump inhibitor (PPI) medication used to reduce stomach acid production and promote healing of gastric ulcers. It is typically taken once daily, usually in the morning before the first meal of the day. Taking pantoprazole before bedtime may not provide optimal acid suppression throughout the day when gastric acid production is typically higher.
C. Pantoprazole does not coat the ulcer; rather, it works by inhibiting the proton pumps in the stomach lining that produce acid. By reducing acid production, pantoprazole helps to create an environment in which the ulcer can heal more effectively.
D. While some individuals with conditions such as gastroesophageal reflux disease (GERD) or chronic gastric ulcers may require long-term or even lifelong pantoprazole therapy to manage their symptoms and prevent ulcer recurrence, the duration of treatment varies depending on the underlying condition, the severity of symptoms, and the response to treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. Crohn's disease exacerbation often leads to malnutrition due to decreased oral intake, malabsorption, and increased nutrient losses through diarrhea. Addressing imbalanced nutrition is crucial to replenish depleted nutrient stores, support healing, and prevent further complications.
A. While fluid overload can be a concern in certain situations, such as when administering intravenous fluids or in clients with renal impairment, it is not typically a primary concern in clients hospitalized with Crohn's disease exacerbation. Crohn's disease is more commonly associated with dehydration due to diarrhea and malabsorption rather than fluid overload.
B. In the acute phase of Crohn's disease exacerbation, addressing immediate physiological needs and stabilizing the client's condition typically take precedence over psychosocial concerns.
D. Social isolation can be a concern for clients with chronic illnesses, including Crohn's disease, as it may impact their quality of life and emotional well-being. However, in the acute phase of exacerbation, addressing physiological needs and stabilizing the client's condition typically takes precedence over psychosocial concerns such as social isolation.
Correct Answer is A
Explanation
A . Bacterial infection is the most common cause of cystitis. The majority of cases of cystitis are caused by bacteria, most commonly Escherichia coli (E. coli). Bacteria can enter the urinary tract through the urethra and multiply in the bladder, leading to inflammation and symptoms of cystitis such as urinary urgency, frequency, and burning with urination.
B, C, D While other options such as fungal, parasitic, or viral infections can cause cystitis in certain cases, they are less common compared to bacterial infections.
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