Author Question: A patient who has gastroesophageal reflux disease (GERD) receives a prescription for a proton pump ... (Read 23 times)

abarnes · **on:** Jul 23, 2018

A patient who has gastroesophageal reflux disease (GERD) receives a prescription for a proton pump inhibitor (PPI) medication. What will the nurse include when teaching the patient about this drug?

a. The FDA has determined that there is a gastric cancer risk with this drug.
b. This drug will be given on a short-term basis only.
c. You may experience hypermagnesemia when taking this drug.
d. You should report any fever and cough to your provider.

Question 2

A college student tells the nurse that several friends have been using synthetic marijuana to get high. What will the nurse tell this patient about this type of substance?

a. These substances are fairly safe because they are derived from herbs.
b. They can cause hypertension, nausea, vomiting, and hallucinations.
c. These substances do not have mind-altering affects.
d. These substances produce a high and they are not illegal.

vickybb89 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
PPIs can increase the risk of community-acquired and hospital-acquired pneumonia in the first few days of use and patients should be taught to report symptoms to their provider. The FDA has concluded that there is no increased risk of gastric cancer associated with PPIs. PPIs are often used long-term to treat GERD, since the risk of relapse is greater than 80. There is a risk of hypomagnesemia, not hypermagnesemia with long-term use.

Answer to Question 2

B
Synthetic marijuana can produce severe symptoms including hypertension, nausea, vomiting, and hallucinations. Although once thought safe, it is no longer considered safe. It produces a high and can cause hallucinations. Many types of synthetic marijuana are now illegal.