A client who has gastroesophageal reflux disease (GERD) has been ...

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A client who has gastroesophageal reflux disease (GERD) has been taking proton pump inhibitors (PPIs) for many years. The nurse discusses which potential complication of this long-term therapy?
 
  1. Increased risk of anemia
  2. Increased risk of osteopenia
  3. Increased risk of hypertension
  4. Increased risk of intestinal irritation

Question 2

Which nursing action is the best way to prevent adverse drug effects?
 
  1. A thorough assessment
  2. A thorough assessment and medication history
  3. A thorough medication history
  4. Checking vital signs prior to administering medication

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Answer to Question 1

2
Rationale 1: Anemia is not a consequence of long-term use of PPIs.
Rationale 2: Long-term use of PPIs increases risk of osteopenia and osteoporosis.
Rationale 3: Hypertension is not a consequence of long-term use of PPIs.
Rationale 4: Intestinal irritation is not a consequence of long-term use of PPIs.
Global Rationale: Long-term use of PPIs increases risk of osteopenia and osteoporosis. It does not increase risk of anemia, hypertension, or intestinal irritation.

Answer to Question 2

2

Rationale 1: Thorough assessment and medication history is the best way to prevent adverse drug effects.
Rationale 2: Thorough assessment and medication history is the best way to prevent adverse drug effects.
Rationale 3: Thorough assessment and medication history is the best way to prevent adverse drug effects.
Rationale 4: While this is a necessary step for some medications, it is not the best way to prevent adverse drug effects.

Global Rationale: Both a thorough assessment and medication history done together is the best way to prevent adverse drug effects. Either done alone is not enough. While this is a necessary step for some medications, it is not the best way to prevent adverse drug effects.