The physician has ordered combination therapy for the client with Helicobacter pylori. The nurse plans to do medication education. What will the best plan by the nurse include?

Combination therapy has the best outcomes when omeprazole, propranolol, bismuth salicylate are used.

Combination therapy has the best outcomes when omeprazole, clarithromycin, and amoxicillin are used

The use of sucralfate along with antibiotics is the best combination therapy for peptic ulcer disease

Various antibiotics are used to eradicate the bacteria that are responsible for the development of peptic ulcer disease

Answer and Explanation

The Correct Answer is B

A. Combination therapy has the best outcomes when omeprazole, propranolol, bismuth salicylate are used.

Propranolol is not an antibiotic and is not part of the standard combination therapy for H. pylori. Bismuth subsalicylate may be used in some regimens, but the standard involves a proton pump inhibitor, clarithromycin, and amoxicillin or metronidazole.

B. Combination therapy has the best outcomes when omeprazole, clarithromycin, and amoxicillin are used.

This is the correct choice. The standard combination therapy for H. pylori infection includes a proton pump inhibitor (such as omeprazole), clarithromycin, and amoxicillin or metronidazole.

C. The use of sucralfate along with antibiotics is the best combination therapy for peptic ulcer disease.

Sucralfate is not typically part of the standard antibiotic combination therapy for H. pylori. It is a cytoprotective agent that may be used to treat ulcers but is not a primary component in eradicating H. pylori.

D. Various antibiotics are used to eradicate the bacteria that are responsible for the development of peptic ulcer disease.

While this statement is true, it does not specify the standard combination therapy. The most common antibiotics used in combination therapy for H. pylori include clarithromycin and amoxicillin or metronidazole, along with a proton pump inhibitor.

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Correct Answer is D

Explanation

A. Depression:

CNS stimulants are generally not indicated for depression. In fact, they can exacerbate symptoms and are not considered a first-line treatment for depressive disorders.

B. Opiate overdose:

CNS stimulants are not indicated for treating opiate overdose. In cases of overdose, other medications like naloxone are commonly used to reverse the effects of opioids.

C. Poor appetite:

CNS stimulants may be used to increase alertness and decrease fatigue, but they are not typically prescribed to address poor appetite. Appetite stimulation is often managed through other approaches.

D. Narcolepsy:

This is the correct answer. CNS stimulants, such as modafinil or methylphenidate, are commonly prescribed to manage symptoms of narcolepsy. These medications help improve wakefulness and reduce excessive daytime sleepiness.

A. Aspirin and warfarin B. Sulfasalazine and acetaminophen C. Tolmetin and propranolol D. Meloxicam and amlodipine

Correct Answer is A

Explanation

A. Aspirin and warfarin

The combination of aspirin and warfarin poses a potential risk of increased bleeding and bruising. Both aspirin and warfarin are anticoagulants, and when used together, they can potentiate each other's effects, leading to a higher risk of bleeding events, including easy bruising.

B. Sulfasalazine and acetaminophen

Sulfasalazine is often used in the treatment of arthritis and inflammatory bowel disease, while acetaminophen is a commonly used pain reliever. There is no significant interaction between these two medications leading to increased bleeding or bruising.

C. Tolmetin and propranolol

Tolmetin is a nonsteroidal anti-inflammatory drug (NSAID) used for pain relief, and propranolol is a beta-blocker used for conditions such as hypertension. While both medications have their own potential side effects, there is no specific interaction between them that significantly increases the risk of bleeding or bruising.

D. Meloxicam and amlodipine

Meloxicam is an NSAID, and amlodipine is a calcium channel blocker used for hypertension. Similar to option C, there is no known significant interaction between these two medications that would lead to increased bleeding or bruising.

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The physician has ordered combination therapy for the client with Helicobacter pylori. The nurse plans to do medication education. What will the best plan by the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse understands that a central nervous system (CNS) stimulant would be indicated for a patient with which of the following health alterations?

Correct Answer is D

Explanation

A patient with a complicated medical history including hypertension, a-fib, and arthritis calls the health care provider's office to speak with a nurse about "all of these bruises I have all of a sudden." Which potential drug interaction should concern the nurse with these symptoms?

Correct Answer is A

Explanation

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