An older adult patient with severe gastroesophageal reflux disease (GERD) has had only minimal relief using a histamine2-receptor antagonist (H2RA). The patient is to begin taking omeprazole (Prilosec). What will the nurse teach this patient?
a. A complete cure is expected with this medication.
b. Lifestyle changes can be as effective as medication therapy.
c. Long-term therapy may be needed.
d. The medication will be used until surgery can be performed.
ANS: C
Proton pump inhibitors, such as omeprazole, are much better than H2RAs for treating GERD. For patients with severe GERD, long-term maintenance therapy is recommended. These drugs do not cure GERD; relapse is common when the drugs are discontinued. Lifestyle changes can help but should not be considered a substitute for drugs. Surgery is reserved for young, healthy patients who cannot or will not stick to a drug regimen.
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When administering nasal spray, which instruction by the nurse is appropriate?
a. "You will need to blow your nose before I give this medication." b. "You will need to blow your nose after I give this medication." c. "When I give this medication, you will need to hold your breath." d. "You need to sit up for 5 minutes after you receive the nasal spray."
Which examples of a pregnant client's culture may influence her decision making? (Select all that apply.)
A. The client's grandfather makes the family's major health care decisions. B. The client follows the nutrition advice of the certified nurse-midwife. C. The client's husband comes to a prenatal visit to hear the fetal heartbeat. D. The client plans to return to work full-time at six weeks postpartum. E. The client includes specific foods in her diet every day during pregnancy.
Leaders and managers often exercise power differently. Select the powers frequently used by leaders as represented by these clinical situations. Select all that apply
1. The clinical specialist suggests changing the type of dressing. 2. The night shift nurse is the vice president's niece. 3. The nurse manager asks a nurse to work more than 2 hours. 4. The charge nurse knows who has to take calls over the holiday weekend. 5. The day shift nurse has frequently been awarded "nurse of the year."
Which assessment finding for a patient in the community deserves priority intervention by the psychiatric nurse? The patient:
a. receives Social Security disability income plus a small check from a trust fund every month. b. was absent from two of six planned Alcoholics Anonymous meetings in the past 2 weeks. c. lives in an apartment with two patients who attend partial hospitalization programs. d. has a sibling who was recently diagnosed with a mental illness.