Podcast
Questions and Answers
The client has been taking omeprazole (Prilosec) for 4 weeks. What symptom indicates the optimal intended effect of the medication?
The client has been taking omeprazole (Prilosec) for 4 weeks. What symptom indicates the optimal intended effect of the medication?
Which statement by the client indicates the best understanding of the medication regimen for a Helicobacter pylori infection?
Which statement by the client indicates the best understanding of the medication regimen for a Helicobacter pylori infection?
What should the nurse have available for possible use after giving acetylcysteine (Mucomyst) by nebulizer?
What should the nurse have available for possible use after giving acetylcysteine (Mucomyst) by nebulizer?
The client understands the most effective use of guaifenesin (Humibid) if he or she states that they will:
The client understands the most effective use of guaifenesin (Humibid) if he or she states that they will:
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After administering naloxone hydrochloride for respiratory depression, the nurse checks the client for:
After administering naloxone hydrochloride for respiratory depression, the nurse checks the client for:
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What condition is the client likely experiencing if they are taking isoniazid (INH) and complain of numbness and tingling in the extremities?
What condition is the client likely experiencing if they are taking isoniazid (INH) and complain of numbness and tingling in the extremities?
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What should the nurse teach the client beginning a 6-month course of therapy with isoniazid (INH)?
What should the nurse teach the client beginning a 6-month course of therapy with isoniazid (INH)?
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What does long-term therapy with rifampin (Rifadin) cause?
What does long-term therapy with rifampin (Rifadin) cause?
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What should a patient taking ethambutol (Myambutol) report immediately?
What should a patient taking ethambutol (Myambutol) report immediately?
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What should the nurse include in the client-teaching plan regarding cycloserine (Seromycin)?
What should the nurse include in the client-teaching plan regarding cycloserine (Seromycin)?
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Which statement made by a postoperative client taking warfarin sodium (Coumadin) reflects the need for further teaching?
Which statement made by a postoperative client taking warfarin sodium (Coumadin) reflects the need for further teaching?
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What test is prescribed to monitor therapeutic effect of heparin sodium?
What test is prescribed to monitor therapeutic effect of heparin sodium?
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Which data collection finding indicates a potential serious complication associated with propranolol?
Which data collection finding indicates a potential serious complication associated with propranolol?
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What should a client taking isosorbide mononitrate (Imdur) do for chronic headaches caused by the medication?
What should a client taking isosorbide mononitrate (Imdur) do for chronic headaches caused by the medication?
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After starting tissue plasminogen activator, alteplase (Activase, tPA), which action is a priority nursing intervention?
After starting tissue plasminogen activator, alteplase (Activase, tPA), which action is a priority nursing intervention?
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Study Notes
Medication Effects and Understanding
- Omeprazole (Prilosec) is evaluated for optimal effects, indicated by the absence of heartburn.
- Clarithromycin, esomeprazole, and amoxicillin treat Helicobacter pylori infections. Effective understanding includes their role in killing bacteria and reducing acid production.
H2-Receptor Antagonists
- Common H2-receptor antagonists include:
- Nizatidine (Axid)
- Ranitidine (Zantac)
- Famotidine (Pepcid)
- Cimetidine (Tagamet)
Acetylcysteine Administration
- Suction equipment should be available during acetylcysteine (Mucomyst) nebulization in case of respiratory complications.
Guaifenesin Usage
- Guaifenesin (Humibid) should be taken with a full glass of water for optimal efficacy.
Naloxone Administration
- After administering naloxone for respiratory depression, monitor for sudden increases in pain, indicating withdrawal effects.
Isoniazid Side Effects
- Peripheral neuritis may occur with isoniazid (INH); symptoms include numbness and tingling in extremities.
- Clients on INH should report yellowing of skin or eyes (jaundice) as it indicates possible liver issues.
Rifampin Considerations
- Rifampin (Rifadin) can cause orange discoloration in bodily fluids including sweat and urine.
Ethambutol Monitoring
- Patients must report visual acuity issues immediately while on ethambutol (Myambutol).
Cycloserine Education
- Weekly serum drug-level testing is necessary for patients on cycloserine (Seromycin) to monitor for toxicity.
Tuberculosis Baseline Testing
- Liver enzyme levels should be checked before initiating therapy with isoniazid (INH) for tuberculosis.
Rifabutin Side Effects
- Monitor for:
- Signs of hepatitis
- Flu-like syndrome
- Low neutrophil count
- Ocular pain or blurred vision
Warfarin Discharge Instructions
- Clients on warfarin should avoid taking enteric-coated aspirin (Ecotrin) for headaches, which indicates a need for further teaching.
Digoxin Therapeutic Range
- The therapeutic serum level for digoxin is 0.5 to 2 ng/mL; low potassium increases toxicity risks.
Heparin Monitoring
- The activated partial thromboplastin time (aPTT) is essential for monitoring therapeutic effects of heparin.
Propranolol Complications
- Audible expiratory wheezes may indicate serious complications when taking propranolol (Inderal LA).
Isosorbide Mononitrate Recommendations
- Chronic headaches caused by isosorbide mononitrate (Imdur) can be alleviated by taking the medication with food.
Myocardial Infarction Interventions
- The priority nursing intervention when administering alteplase (Activase, tPA) is to monitor for signs of bleeding.
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Description
This quiz assesses knowledge on the use of omeprazole in treating conditions like heartburn and peptic ulcers. Test your understanding of medication effects and patient care related to Helicobacter pylori infection. Perfect for nursing students or professionals in healthcare.