Author Question: The nurse should instruct parents to administer a daily proton pump inhibitor to their child with ... (Read 106 times)

Tirant22 · **on:** Jun 28, 2018

The nurse should instruct parents to administer a daily proton pump inhibitor to their child with gastroesophageal reflux at which time?

a. Bedtime
b. With a meal
c. Midmorning
d. 30 minutes before breakfast

Question 2

An infant with short bowel syndrome will be on total parenteral nutrition (TPN) for an extended period of time. What should the nurse monitor the infant for ?

a. Central venous catheter infection, electrolyte losses, and hyperglycemia
b. Hypoglycemia, catheter migration, and weight gain
c. Venous thrombosis, hyperlipidemia, and constipation
d. Catheter damage, red currant jelly stools, and hypoglycemia

ashely1112 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
Proton pump inhibitors are most effective when administered 30 minutes before breakfast so that the peak plasma concentrations occur with mealtime. If they are given twice a day, the second best time for administration is 30 minutes before the evening meal.

Answer to Question 2

ANS: A
Numerous complications are associated with short bowel syndrome and long-term TPN. Infectious, metabolic, and technical complications can occur. Sepsis can occur after improper care of the catheter. The gastrointestinal tract can also be a source of microbial seeding of the catheter. The nurse should monitor for catheter infection, electrolyte losses, and hyperglycemia. Hypoglycemia, weight gain, constipation, or red currant jelly stools are not characteristics of short bowel syndrome with extended TPN.