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
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
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The nurse is teaching a prenatal class about newborn immunity. Which statement by a participant requires further teaching?
A) "Newborns obtain passive immunity from the mother." B) "Newborns obtain active immunity across the placenta." C) "Only antibody to infections to which the mother has been exposed will transfer to the newborn." D) "Maternal antibody provides temporary immunity to the newborn."
Which of the following best describes one of the main problems in ensuring quality for health care in the United States?
a. Consumers believe American health care is high-quality and the best in the world. b. Every hospital and health care agency has its own approach to data collection and documentation. c. Finances are the basis of clinical decisions, not quality of care. d. We all agree on what quality is but not on how best to measure it.
A client is suspected of having myasthenia gravis. A small dose of tubocurarine is administered, and the client develops increased muscle weakness. What would the nurse expect to immediately administer?
1. A sympathetic stimulant 2. A cholinesterase inhibitor 3. A calcium channel blocker 4. A dopamine agonist
Which of the following questions is answered by completing a cost–benefit analysis?
a. Can similar outcomes be achieved with less cost? b. Can unlicensed assistive personnel give care equally rapidly? c. Was the care appropriate and given correctly? d. Was the nurse as efficient and as skilled as possible?