What is an appropriate nursing action for a hospitalized client receiving aprepitant?

Monitor the client’s temperature closely.

Place an NPO sign above the client’s bed.

Encourage fluids as tolerated.

Elevate the head of the bed

Answer and Explanation

The Correct Answer is C

This is because aprepitant can cause dehydration as an adverse effect, so the nurse will want to encourage the client to drink as much liquid as possible.

Choice A is wrong because the client’s temperature would not be affected by aprepitant.

Choice B is wrong because the client must be encouraged for fluid intake as tolerated, so placing an NPO sign on the door would not be appropriate for this client.

Choice D is wrong because elevating the head of the bed would be unnecessary for a client receiving aprepitant.

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Correct Answer is C

Explanation

The nurse should question an order for bismuth salts for a client with an allergy to aspirin because bismuth salts contain salicylates, which are chemically related to aspirin and can cause allergic reactions.

Choice A is wrong because rheumatoid arthritis is not a contraindication for bismuth salts.

Bismuth salts may have anti-inflammatory effects that could benefit clients with rheumatoid arthritis.

Choice B is wrong because viral gastroenteritis is not a contraindication for bismuth salts.

Bismuth salts may help reduce diarrhea and inflammation caused by viral gastroenteritis.

Choice D is wrong because hypertension is not a contraindication for bismuth salts.

Bismuth salts do not affect blood pressure or interact with antihypertensive medications.

A. Proton pump inhibitor. B. Histamine-2 antagonist. C. Prostaglandin. D. Antipeptic agent.

Correct Answer is A

Explanation

This is because proton pump inhibitors (PPIs) are drugs that block the enzyme that produces hydrochloric acid in the stomach, thereby reducing the amount of acid secreted into the lumen. PPIs are commonly used to treat peptic ulcer disease and gastroesophageal reflux disease.

Choice B. Histamine-2 antagonist is wrong because histamine-2 antagonists (H blockers) are drugs that block the action of histamine on the parietal cells of the stomach, thereby reducing the amount of acid secreted into the lumen.

However, PPIs are more potent and effective than H blockers in suppressing acid secretion.

Choice C. Prostaglandin is wrong because prostaglandins are substances that protect the stomach lining from the damaging effects of acid and other factors.

Prostaglandins do not directly affect the secretion of acid into the lumen, but they may increase the production of mucus and bicarbonate that buffer the acid.

Choice D. Antipeptic agent is wrong because antipeptic agents are drugs that form a protective barrier over the ulcer crater, preventing further damage from acid and pepsin.

Antipeptic agents do not affect the secretion of acid into the lumen, but they may enhance healing by creating a favorable environment for tissue repair.

Normal ranges for hydrochloric acid secretion in the stomach are 1.5 to 3.5 liters per day, with a pH of 1.5 to 3.53.

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What is an appropriate nursing action for a hospitalized client receiving aprepitant?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse should question an order for bismuth salts for a client with what condition?

Correct Answer is C

Explanation

A client with peptic ulcer disease is experiencing fewer symptoms because of the suppression of hydrochloric acid secretion into the lumen of the stomach. What category of medication is this client most likely receiving?

Correct Answer is A

Explanation

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With what client should the nurse question the administration of human insulin?

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