A patient is diagnosed with peptic ulcer disease complicated by H. pylori. What is the rationale for adding bismuth to the patient's medication regimen?

A) Increases pepsin activity
B) Decreases gastrin secretion
C) Prevents metabolic alkalosis
D) Protects gastric mucosa from stomach acid


D
Feedback:
Health care providers use bismuth subsalicylate to coat ulcers, protecting them from stomach acid to treat H. pylori. Bismuth does not increase pepsin activity, decrease gastrin secretion, or prevent metabolic alkalosis.

Nursing

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The nurse is performing passive range-of-motion exercises on his patient when the patient begins to complain of pain. What is the first thing the nurse should do?

a. Notify the health care provider. b. Hyperextend the joint. c. Stop the range of motion. d. Switch to active range of motion.

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Which area of the abdomen shown in the accompanying figure will the nurse palpate to assess for splenomegaly?

a. 1 b. 2 c. 3 d. 4

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A client with myasthenia gravis is experiencing a cholinergic crisis. Which symptoms are associated with this condition? (Select all that apply.)

a. Bradycardia b. Rash c. Vomiting d. Fever e. Drooling f. Weakness

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A client needs to have soft contact lenses removed. What should the nurse do when removing the lenses?

1. Gently pinch the lens and lift it out. 2. Have the client look up. 3. Pull the lower eyelid upward. 4. Use the pad of the ring finger.

Nursing