The nurse is teaching a client about the administration of ...

[Jkov05]

The nurse is teaching a client about the administration of omeprazole (Prilosec) for PUD. The nurse teaches the client that the medication must be administered no fewer than _______ minutes prior to a meal, preferably breakfast.
 
  Standard Text: Record your answer rounding to the nearest whole number.
  What will be an ideal response?

Question 2

The nurse is performing a head-to-toe assessment on a client taking aluminum hydroxide (AlternaGel). Why must the nurse closely assess for bowel changes?
 
  1. Hyperactive bowel sounds indicate imminent vomiting; suction should be made available.
  2. Hypoactive bowel sounds indicate duodenal ulcerations.
  3. Hematochezia is a sign that the medication is working.
  4. A distended abdomen could indicate constipation, a side effect of this medication.

[jaykayy05]

Answer to Question 1

Correct Answer: 20
Rationale: Clients prescribed PPIs should be taught to take the medication 2030 minutes before meals, preferably before breakfast.
Global Rationale: Clients prescribed PPIs should be taught to take the medication 2030 minutes before meals, preferably before breakfast.

Answer to Question 2

Correct Answer: 4
Rationale 1: Hyperactive bowel sounds indicate increased gastric motility and a possible obstruction if bowel sounds are absent below the level of obstruction.
Rationale 2: Hypoactive bowel sounds do not indicate duodenal ulcers.
Rationale 3: Hematochezia, which is bright red blood per rectum, is not a sign that aluminum hydroxide is working. This symptom should be reported to the health care provider immediately.
Rationale 4: During treatment with aluminum hydroxide, the nurse must assess for bowel changes. Magnesium-based products can cause diarrhea, and those with calcium and aluminum can cause constipation.
Global Rationale: During treatment with aluminum hydroxide, the nurse must assess for bowel changes. Magnesium-based products can cause diarrhea, and those with calcium and aluminum can cause constipation.
Vomiting is not the concern. Hematochezia, which is bright red blood per rectum, is not a sign that aluminum hydroxide is working. This symptom should be reported to the health care provider immediately. Hypoactive bowel sounds do not indicate duodenal ulcers.

[Jkov05]

Thank you!

[jaykayy05]

Always glad to help...