The nurse understands that it is important that the teaching plan for a patient on omeprazole (Prilosec) should include which of the following?

Therapeutic effects may take weeks

This drug should not be taken for a prolonged period of time.

This drug must be used with antacids to be effective

This drug is safe for long-term use

Answer and Explanation

The Correct Answer is B

A. Therapeutic effects may take weeks: the onset of the antisecretory effect of omeprazole is usually achieved within one hour, but it may take up to 4 weeks for it to work fully.
B. This drug should not be taken for a prolonged period of time: prolonged use can lead to complications such as nutrient malabsorption and bone fractures.
C. This drug must be used with antacids to be effective: This is incorrect; omeprazole is a proton pump inhibitor and works independently of antacids.
D. This drug is safe for long-term use: Omeprazole is generally safe for short-term use, but long-term use should be carefully monitored due to potential risks (such as decreased bone density, vitamin B12 deficiency, and kidney disease). It is not considered safe for indefinite or unrestricted long-term use.

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Correct Answer is A

Explanation

A. Stimulates secretions: Expectorants work by thinning and loosening mucus in the airways, making it easier to cough up and clear out. This mechanism helps to reduce cough by facilitating the removal of mucus.
B. Suppresses the urge to cough: Cough suppressants, or antitussives, work by suppressing the cough reflex, not by stimulating secretions. This choice describes a different type of medication used for dry, unproductive coughs.
C. Reduces inflammation: Anti-inflammatory medications reduce inflammation, but they do not specifically target mucus production or the cough reflex. Expectorants do not primarily work by reducing inflammation.
D. Dries mucous membranes: Drying mucous membranes would typically be the action of antihistamines or decongestants, which are not the primary mechanism of action for expectorants. Expectorants aim to keep mucus hydrated to facilitate its removal.

A. 15 mg B. 20 mg C. 10 mg D. 2.5 mg

Correct Answer is B

Explanation

A. 15 mg: This calculation is incorrect because it underestimates the total daily dosage.
B. 20 mg: This calculation is correct. Here’s the breakdown: Each dose is 10 mL (which contains 5 mg), given four times a day. Thus, 5 mg per dose × 4 doses = 20 mg daily.
C. 10 mg: This calculation is incorrect as it only accounts for two doses rather than four daily doses.
D. 2.5 mg: This calculation is incorrect because it represents the dosage per 5 mL (1 teaspoon), not the total daily dosage.

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The nurse understands that it is important that the teaching plan for a patient on omeprazole (Prilosec) should include which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is going to take an expectorant to manage a cough. The nurse should explain that this type of medication treats coughs by which of the following mechanisms?

Correct Answer is A

Explanation

A patient has been experiencing acute diarrhea. In order to control this condition, the healthcare provider initially orders Lomotil 10 ml (2 teaspoons), four times a day. Every 5 mL (1 teaspoon) contains 2.5 mg of medication. How many milligrams of medication will the patient receive a day?

Correct Answer is B

Explanation

A nurse is reviewing medications for a client who has just been diagnosed with a small bowel obstruction. The nurse should withhold senna prescribed orally based on understanding of which of the following?

The nurse is teaching a client about digestion. Which statement reflects that the client understands the teaching?

A nurse is caring for an older adult client who has cancer and is receiving opioids for pain relief. The client has a new prescription for docusate PO daily. When collecting data from the client, which of the following therapeutic effects of docusate should the nurse expect?

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

Gas exchange occurs in which of the following structures?

Decongestants should be used with caution in patients with which diagnoses? (Select All that Apply.)

Which instruction is most appropriate for a client who is receiving a bulk-forming laxative?