A patient with a peptic ulcer has been diagnosed with H. pylori. ...

[Jramos095]

A patient with a peptic ulcer has been diagnosed with H. pylori. The provider has ordered lansoprazole (Prevacid), clarithromycin (Biaxin), and metronidazole (Flagyl). The patient asks the nurse why two antibiotics are needed.
 
  The nurse will explain that two antibiotics
  a. allow for less toxic dosing.
  b. combat bacterial resistance.
  c. have synergistic effects.
  d. improve acid suppression.

Question 2

A patient who takes propantheline bromine (Pro-Banthine) and omeprazole (Prilosec) for an ulcer will begin taking an antacid. The nurse will give which instruction to the patient regarding how to take the antacid?
 
  a. Take the antacid 2 hours after taking the propantheline.
  b. Take the antacid along with a meal.
  c. Take the antacid with milk.
  d. Take the antacid with the propantheline bromine.

[kxciann]

Answer to Question 1

ANS: B
The use of two antibiotics when treating H. pylori peptic ulcer disease helps to combat bacterial resistance because H. pylori develops resistance rapidly. Giving two antibiotics, in this case, is not to reduce the dose or to cause synergistic effects. Antibiotics do not affect acid production.

Answer to Question 2

ANS: A
Antacids can slow the absorption of anticholinergics and should be taken 2 hours after anticholinergic administration. Antacids should be given 1 to 3 hours after a meal and should not be given with dairy products.

[Jramos095]

Thanks for the timely response, appreciate it

[LVPMS]

Excellent