A client with gastroesophageal reflux disease (GERD) is ...

[pane00]

A client with gastroesophageal reflux disease (GERD) is prescribed esomeprazole (Nexium). What should the nurse ensure the client understands about this medication? (Select all that apply.)
 
  1. Take at bedtime or before breakfast.
  2. Aspirin should be used for analgesia.
  3. Do not smoke when taking this medication.
  4. Limit alcohol intake when taking this medication.
  5. Nonsteroidal anti-inflammatory drugs (NSAIDs) should be avoided when taking this medication.

Question 2

Which finding would indicate the need to evaluate the client for oral cancer?
 
  1. Gingivitis
  2. Presence of dental caries
  3. Velvety red patch on inner cheek
  4. White, curd like patches on the mucous membranes

[shaikhs]

Answer to Question 1

Answer: 1, 3, 5

1. This medication should be taken at bedtime or before breakfast.
2. Aspirin should be avoided because it may interfere with healing.
3. Smoking should be avoided because it may interfere with healing.
4. Alcohol should be avoided and not just limited because it may interfere with healing.
5. NSAIDs should be avoided because they may interfere with healing.

Answer to Question 2

Answer: 3

1. Gingivitis is related to dental hygiene and gum irritation.
2. Dental caries are related to dental hygiene and gum irritation.
3. Erythroplakia are slightly raised irregular red patches indicative of oral cancer.
4. White, curd like changes are seen with oral fungal infections.