This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The nurse is caring for a patient who will begin taking omeprazole (Prevacid) 20 mg per day for 4 to ... (Read 76 times)

tatyanajohnson

  • Hero Member
  • *****
  • Posts: 569
on: Jul 23, 2018
The nurse is caring for a patient who will begin taking omeprazole (Prevacid) 20 mg per day for 4 to 8 weeks to treat gastroesophageal reflux disease esophagitis. The nurse learns that the patient takes digoxin.
 
  The nurse will contact the provider for orders to
  a. decrease the dose of omeprazole.
  b. increase the dose of digoxin.
  c. increase the omeprazole to 60 mg per day.
  d. monitor for digoxin toxicity.

Question 2

A patient who is diagnosed with peptic ulcer disease has been started on a regimen that includes ranitidine (Zantac) 300 mg daily at bedtime.
 
  The patient calls the clinic 1 week later to report no relief from discomfort. What action will the nurse take?
  a. Contact the provider to discuss changing to cimetidine (Tagamet).
  b. Notify the provider to discuss increasing the dose.
  c. Reassure the patient that the drug may take 1 to 2 weeks to be effective.
  d. Suggest that the patient split the medication into twice daily dosing.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

jesse.fleming

  • Sr. Member
  • ****
  • Posts: 301
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
Proton pump inhibitors can enhance the effects of digoxin, so patients should be monitored for digoxin toxicity. Changing the dose of either medication is not indicated prior to obtaining lab results that are positive for digoxin toxicity.

Answer to Question 2

ANS: C
Patients taking histamine2 blockers can expect abdominal pain to decrease after 1 to 2 weeks of drug therapy. Cimetidine is not as potent as ranitidine and interacts with many medications through the cytochrome P450 system. Three hundred milligrams is the maximum dose.


tatyanajohnson

  • Member
  • Posts: 569
Reply 2 on: Jul 23, 2018
:D TYSM

pangili4

  • Member
  • Posts: 346
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

The liver is the only organ that has the ability to regenerate itself after certain types of damage. As much as 25% of the liver can be removed, and it will still regenerate back to its original shape and size. However, the liver cannot regenerate after severe damage caused by alcohol.

Did you know?

Critical care patients are twice as likely to receive the wrong medication. Of these errors, 20% are life-threatening, and 42% require additional life-sustaining treatments.

Did you know?

A strange skin disease referred to as Morgellons has occurred in the southern United States and in California. Symptoms include slowly healing sores, joint pain, persistent fatigue, and a sensation of things crawling through the skin. Another symptom is strange-looking, threadlike extrusions coming out of the skin.

Did you know?

Cyanide works by making the human body unable to use oxygen.

Did you know?

There are 60,000 miles of blood vessels in every adult human.

In the communication technique of collaborating, the nurse sends the message that the nurse and pati In the communication technique of collaborating, the nurse sends the message that the nurse and pati
The nurse cares for the postop client in the postanesthesia care unit (PACU). The nurse cares for the postop client in the postanesthesia care unit (PACU).
Patient teaching: heart assessment Patient teaching: heart assessment
Patient registration form. Patient registration form.
The nurse begins the general survey The nurse begins the general survey
The stress response involves several pathways, which begin with a signaling stimulus The stress response involves several pathways, which begin with a signaling stimulus
Video: Gastroesophageal Reflux Disease (GERD)

For a complete list of videos, visit our video library