The nurse is caring for a client who is being treated for peptic ulcer disease. Which medication should the client be taught to avoid?

H2-receptor blockers

Antacids

PPIS

NSAIDS

Answer and Explanation

The Correct Answer is D

A) H2-receptor blockers:
H2-receptor blockers, such as ranitidine and famotidine, are commonly used to reduce stomach acid production and treat peptic ulcer disease. They help promote ulcer healing and alleviate symptoms. These medications are generally safe and appropriate for use in clients with peptic ulcer disease.

B) Antacids:
Antacids are medications that neutralize stomach acid and provide symptomatic relief from peptic ulcer disease. While they do not directly treat the underlying cause of the ulcer, they can help alleviate symptoms such as pain and discomfort. Antacids are generally safe for use in clients with peptic ulcer disease.

C) PPIs (Proton Pump Inhibitors):
PPIs, such as omeprazole and pantoprazole, are potent acid-suppressing medications commonly used to treat peptic ulcer disease and gastroesophageal reflux disease (GERD). They are effective at reducing stomach acid production and promoting ulcer healing. PPIs are generally safe and appropriate for use in clients with peptic ulcer disease.

D) NSAIDs (Nonsteroidal Anti-Inflammatory Drugs).
NSAIDs, such as ibuprofen, aspirin, and naproxen, can exacerbate peptic ulcer disease by increasing the risk of gastric irritation, erosion, and ulceration. These medications inhibit the production of prostaglandins, which help protect the stomach lining. Chronic or excessive use of NSAIDs can lead to the development of new ulcers or worsening of existing ulcers. Therefore, clients with peptic ulcer disease are typically advised to avoid NSAIDs or to use them with caution under the guidance of a healthcare provider.

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Correct Answer is C

Explanation

To calculate the rate of administration in milliliters per hour (mL/hr):

Given the total volume to be infused: 1000 mL

Given the total time for infusion: 5 hours

Divide the total volume by the total time to find the rate of administration per hour:

1000 mL ÷ 5 hours = 200 mL/hr

Therefore, the rate of administration will be 200 mL/hr.

To calculate the rate of administration in drops per minute (drops/min):

Given the drop factor: 15 drops/mL

Given the total volume to be infused: 1000 mL

Given the total time for infusion: 5 hours

First, find the total drops:

Total drops = Total volume × Drop factor

Total drops = 1000 mL × 15 drops/mL = 15,000 drops

Next, find the rate of drops per minute:

Rate of drops per minute = Total drops ÷ Total time in minutes

As there are 5 hours in total, we multiply by 60 to convert hours to minutes:

Rate of drops per minute = 15,000 drops ÷ (5 hours × 60 minutes/hour) = 50 drops/min

Therefore, the rate of administration will be 200 mL/hr and 50 drops/min.

A. Respirations rate. B. Heart rate. C. Blood pressure. D. Temperature.

Correct Answer is C

Explanation

A) Respirations rate:
Respiratory rate is an important vital sign to monitor in patients with shock, as respiratory distress can indicate inadequate oxygenation. However, blood pressure is generally considered more critical to assess initially in the context of shock because it directly reflects tissue perfusion and oxygen delivery.

B) Heart rate:
Heart rate is an important vital sign to monitor in patients with shock, as tachycardia (rapid heart rate) may indicate the body's compensatory response to maintain cardiac output and tissue perfusion. However, blood pressure is generally considered more critical to assess initially in the context of shock because it directly reflects tissue perfusion and oxygen delivery.

C) Blood pressure.
In shock, the body's vital organs are not receiving adequate blood flow and oxygen, leading to a life-threatening condition. While all vital signs are important to monitor in a patient experiencing shock, blood pressure is typically considered the most critical because it reflects the perfusion pressure—the force driving blood through the circulatory system to deliver oxygen and nutrients to the body's tissues. A decrease in blood pressure can indicate inadequate tissue perfusion and impending organ failure. Therefore, timely assessment and monitoring of blood pressure are essential for identifying and managing shock effectively.

D) Temperature:
Temperature monitoring is important in assessing for signs of infection or other systemic issues that may contribute to shock, such as sepsis. However, blood pressure is generally considered more critical to assess initially in the context of shock because it directly reflects tissue perfusion and oxygen delivery.

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The nurse is caring for a client who is being treated for peptic ulcer disease. Which medication should the client be taught to avoid?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

In the plan of care, the most important intervention for a patient experiencing shock is assessing:

Correct Answer is C

Explanation

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