Author Question: An older female client has been prescribed esomeprazole (Nexium) for treatment of chronic gastric ... (Read 28 times)

Anajune7 · **on:** Jun 25, 2018

An older female client has been prescribed esomeprazole (Nexium) for treatment of chronic gastric ulcers. What teaching is particularly important for this client?

a. Check with the pharmacist before taking other medications.
b. Increase intake of calcium and vitamin D.
c. Report any worsening of symptoms to the provider.
d. Take the medication as prescribed by the provider.

Question 2

A client is being taught about drug therapy for Helicobacter pylori infection. What assessment by the nurse is most important?

a. Alcohol intake of 1 to 2 drinks per week
b. Family history of H. pylori infection
c. Former smoker still using nicotine patches
d. Willingness to adhere to drug therapy

Missbam101 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
All of this advice is appropriate for any client taking this medication. However, long-term use is associated with osteoporosis and osteoporosis-related fractures. This client is already at higher risk for this problem and should be instructed to increase calcium and vitamin D intake. The other options are appropriate for any client taking any medication and are not specific to the use of esomeprazole.

Answer to Question 2

ANS: D
Treatment for this infection involves either triple or quadruple drug therapy, which may make it difficult for clients to remain adherent. The nurse should assess the client's willingness and ability to follow the regimen. The other assessment findings are not as critical.