The proton pump inhibitor Esomeprazole (Nexium) is prescribed for a client who incurred extensive burn injuries 5 days ago. Which nursing assessment would best evaluate the effectiveness of the drug?
Bowel sounds.
Stool frequency.
Abdominal distention.
Fecal occult blood test.
The Correct Answer is D
Choice A reason:
Bowel sounds are a general indicator of intestinal activity and can be assessed in patients with various conditions. However, they are not specific to the effectiveness of Esomeprazole, which is primarily used to reduce gastric acid production and prevent stress ulcers, particularly in patients with burn injuries⁷.
Choice B reason:
Stool frequency may indicate gastrointestinal motility and function but does not directly assess the effectiveness of Esomeprazole. This drug's main role is to decrease stomach acidity, which would not necessarily change stool frequency unless there was a pre-existing issue related to acid production⁷.
Choice C reason:
Abdominal distention can be caused by a variety of factors, including gas, fluid, or enlargement of organs. While it's important to monitor in burn patients, it does not specifically evaluate the effectiveness of Esomeprazole in preventing gastric acid-related complications⁷.
Choice D reason:
A fecal occult blood test is used to detect bleeding in the gastrointestinal tract, which could signify the development of stress ulcers. Since Esomeprazole is prescribed to prevent such ulcers by reducing stomach acid, this test is a direct measure of the drug's effectiveness in burn patients⁷.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
Choice A reason: Dornase alfa is used to break down mucus and is beneficial for children with cystic fibrosis, not typically prescribed for asthma.
Choice B reason: Placing a child in an upright position can help ease breathing during an asthma attack by reducing pressure on the diaphragm.
Choice C reason: Bronchodilators are medications that help open the airways and are a mainstay in the treatment of asthma.
Choice D reason: Chest percussion can help loosen mucus in the lungs; however, it is not commonly used in the routine management of asthma.
Choice E reason: Monitoring oxygen saturation is crucial in assessing the severity of an asthma attack and determining the effectiveness of treatment.
Correct Answer is C
Explanation
Choice A reason: Collecting a stool specimen for culture is not the preferred method for diagnosing Enterobius vermicularis, as the pinworm eggs are rarely present in the stool.
Choice B reason: Initiating IV fluids is not a diagnostic measure for Enterobius vermicularis and is not relevant unless the child is dehydrated or requires fluids for another reason.
Choice C reason: The tape test is the standard diagnostic procedure for Enterobius vermicularis. It involves placing clear tape around the anus to collect any eggs that may be present, which are then examined under a microscope.
Choice D reason: Testing the stool for occult blood is not a diagnostic measure for Enterobius vermicularis, as this infection does not typically cause bleeding.
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