A client brings her mother to the office and states, I'm worried ...

[burchfield96]

A client brings her mother to the office and states, I'm worried about Mom; she takes aluminum hydroxide up to three times a day for this pain in her abdomen. Which statement about aluminum hydroxide is true?
 
  1. Aluminum hydroxide can cause acute appendicitis and should be stopped immediately.
  2. A transient abdominal discomfort occurs with the use of aluminum hydroxide and there is no need for concern.
  3. It is safe to take aluminum hydroxide up to three times daily, due to its safety profile.
  4. Antacids are for occasional use only; further investigation is warranted.

Question 2

A client is prescribed omeprazole (Prilosec). The nurse prepares to perform client teaching based on the knowledge that omeprazole is a:
 
  1. nicotinic receptor blocker.
  2. proton pump inhibitor.
  3. muscarinic receptor blocker.
  4. histamine-2 receptor agonist.

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Answer to Question 1

Correct Answer: 4
Rationale 1: Aluminum hydroxide is not known to cause acute appendicitis; however, it can mask the symptoms of appendicitis.
Rationale 2: Transient abdominal discomfort is not normally associated with aluminum hydroxide.
Rationale 3: Antacids are for occasional use only. OTC medications taken long-term can mask symptoms of more serious diseases such as cancer or complicated ulcers.
Rationale 4: OTC medications taken long-term can mask symptoms of more serious diseases such as cancer or complicated ulcers. This client's discomfort should be further investigated.
Global Rationale: OTC medications taken long-term can mask symptoms of more serious diseases such as cancer or complicated ulcers. This client's discomfort should be further investigated. Antacids are for occasional use only. Transient abdominal discomfort is not normally associated with aluminum hydroxide. Aluminum hydroxide is not known to cause acute appendicitis; however, it can mask the symptoms of appendicitis.

Answer to Question 2

Correct Answer: 2
Rationale 1: Omeprazole is not a nicotinic receptor blocker.
Rationale 2: Omeprazole is a proton pump inhibitor.
Rationale 3: Omeprazole is not a muscarinic receptor blocker.
Rationale 4: Omeprazole is not a histamine-2 receptor blocker.
Global Rationale: Omeprazole is a proton pump inhibitor.

[burchfield96]

Excellent

[lindahyatt42]

TYSM