Author Question: A nurse is ordered to administer lansoprazole to a client on a mechanical soft diet. How should the ... (Read 66 times)

AEWBW · **on:** Jul 23, 2018

A nurse is ordered to administer lansoprazole to a client on a mechanical soft diet. How should the nurse administer this medication?

1. Sprinkle granules into applesauce, then administer.
2. Crush the tablet and stir it into pudding, then administer.
3. Ask the client to chew the medication.
4. First ask the client to drink an entire glass of water, then give the medication.

Question 2

The nurse is reviewing the medication administration record for a client who is receiving an initial regimen for the eradication of H. pylori. The nurse anticipates the inclusion of which medications for this client?

Standard Text: Select all that apply.
1. Omeprazole
2. Metronidazole
3. Bismuth subsalicylate
4. Amoxicillin
5. Clarithromycin

shewald78 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: Lansoprazole granules may be sprinkled from the capsule into soft foods such as applesauce.
Rationale 2: Do not crush, break, or chew lansoprazole tablets. If taking lansoprazole capsules, the granules may be sprinkled from the capsule into soft foods such as applesauce.
Rationale 3: Do not crush, break, or chew lansoprazole tablets.
Rationale 4: The client should be ordered to drink a full glass of water after taking the medication to ensure all medication is taken.
Global Rationale: Lansoprazole granules may be sprinkled from the capsule into soft foods such as applesauce. The tablets should not be crushed, broken, or chewed. Drinking a full glass of water will not help the client swallow this tablet, but should be done after taking the medication.

Answer to Question 2

Correct Answer: 1,4,5
Rationale 1: Omeprazole is a medication included in the initial medication regimen in the eradication of H. pylori.
Rationale 2: Metronidazole is not included in the initial medication regimen in the eradication of H. pylori.
Rationale 3: Bismuth subsalicylate is not included in the initial medication regimen in the eradication of H. pylori.
Rationale 4: Amoxicillin is a medication included in the initial medication regimen in the eradication of H. pylori.
Rationale 5: Clarithromycin is a medication included in the initial medication regimen in the eradication of H. pylori.
Global Rationale: Initial regimen includes: Omeprazole, clarithromycin (Biaxin), and amoxicillin (Amoxil, Others). Alternative regimens include: Omeprazole (or other PPI), clarithromycin (Biaxin), and metronidazole (Flagyl), or omeprazole (or other PPI), bismuth subsalicylate (Pepto-Bismol), metronidazole (Flagyl), and tetracycline