The nurse designs a plan of care for the client with peptic ulcer ...

[Charlie]

The nurse designs a plan of care for the client with peptic ulcer disease (PUD) who is taking omeprazole (Prilosec) for the management of his illness. What will the best plan by the nurse include?
 
  1. Omeprazole (Prilosec) should not be crushed or chewed.
  2. Omeprazole (Prilosec) is best taken with yogurt.
  3. Omeprazole (Prilosec) is recommended for long-term treatment of peptic ulcer disease (PUD).
  4. Omeprazole (Prilosec) should be administered before meals.
  5. Omeprazole (Prilosec) should be administered after meals.

Question 2

The physician has ordered combination therapy for the client with peptic ulcer disease (PUD). The nurse plans to do medication education. What will the best plan by the nurse include?
 
  1. Combination therapy has the best outcomes when antibiotics are used with antacids.
  2. Combination therapy has the best outcomes when antibiotics are used with proton-pump inhibitors.
  3. The use of sucralfate (Carafate) along with antibiotics is the best combination therapy for peptic ulcer disease (PUD).
  4. Various antibiotics are used to eradicate the bacteria that are responsible for the development of peptic ulcer disease (PUD).

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Answer to Question 1

Correct Answer: 1,4
Rationale 1: Omeprazole (Prilosec) is enteric-coated and needs to dissolve in the intestine; it should not be crushed or chewed.
Rationale 2: Yogurt may help replace beneficial bacteria, but should not be taken at the same time.
Rationale 3: Omeprazole (Prilosec) is recommended for short-term, not long-term, use.
Rationale 4: Omeprazole (Prilosec) should be administered before meals.
Rationale 5: Omeprazole (Prilosec) should be administered before, not after, meals in order to be most effective.

Answer to Question 2

Correct Answer: 2
Rationale 1: Combination therapy has the best outcomes when antibiotics are used with proton-pump inhibitors, not with antacids.
Rationale 2: Combination therapy has the best outcomes when antibiotics are used with proton-pump inhibitors.
Rationale 3: Combination therapy has the best outcomes when antibiotics are used with proton-pump inhibitors, not with sucralfate (Carafate).
Rationale 4: Combination therapy has the best outcomes when antibiotics are combined with proton-pump inhibitors, rather than when used alone.

[Charlie]

Thank you!

[asdfasdf]

Always glad to help...