A client with GERD must be cautioned against the overuse of ...

[bobbysung]

A client with GERD must be cautioned against the overuse of antacids to avoid which syndrome?
 
  1. Metabolic alkalosis
  2. Metabolic acidosis
  3. Respiratory alkalosis
  4. Respiratory acidosis

Question 2

Effective client teaching regarding the treatment of H. pylori has been done for a client when the client states:
 
  1. I will stop taking this medication when my symptoms subside.
  2. I will be sure to take all of the medication exactly as prescribed.
  3. I will stop taking this medication if I get an upset stomach.
  4. I will take this medication when I experience pain or heartburn.

[Ashley I]

Answer to Question 1

Correct Answer: 1
Rationale 1: Ingestion of large amounts of antacid can leave a client with a pH base excess. This contributes to metabolic alkalosis.
Rationale 2: Metabolic acidosis is a syndrome where there is a base deficit or acid excess.
Rationale 3: Respiratory alkalosis is associated with hyperventilation.
Rationale 4: Respiratory acidosis is associated with hypoventilation.
Global Rationale: Being a base, antacids that contain bicarbonate may provoke metabolic alkalosis (e.g., fatigue, mental status changes, muscle twitching, depressed respiratory rate) in patients at risk. The remaining acid-base imbalances are not associated with routine use of antacids.

Answer to Question 2

Correct Answer: 2
Rationale 1: Combination antibiotic therapy for the treatment of H. pylori must be continued, as prescribed, for 714 days. Failure to complete a course of antibiotic therapy can result in resistant strains of H. pylori.
Rationale 2: This statement indicates that effective client teaching has been performed.
Rationale 3: Combination can result in dyspepsia.
Rationale 4: Combination antibiotic therapy for the treatment of H. pylori must be continued, as prescribed, for 714 days. Failure to complete a course of antibiotic therapy can result in resistant strains of H. pylori.
Global Rationale: Combination antibiotic therapy for the treatment of H. pylori must be continued, as prescribed, for 714 days. Failure to complete a course of antibiotic therapy can result in resistant strains of H. pylori.

[bobbysung]

Excellent

[kthug]

Gracias!