A patient who has gastroesophageal reflux disease (GERD) receives a prescription for a proton pump inhibitor (PPI) medication. What will the nurse include when teaching the patient about this drug?
a. "The FDA has determined that there is a gastric cancer risk with this drug."
b. "This drug will be given on a short-term basis only."
c. "You may experience hypermagnesemia when taking this drug."
d. "You should report any fever and cough to your provider."
D
PPIs can increase the risk of community-acquired and hospital-acquired pneumonia in the first few days of use and patients should be taught to report symptoms to their provider. The FDA has concluded that there is no increased risk of gastric cancer associated with PPIs. PPIs are often used long-term to treat GERD, since the risk of relapse is greater than 80%. There is a risk of hypomagnesemia, not hypermagnesemia with long-term use.
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Which teaching strategy is appropriate for a client who wishes to use mind-body complementary therapy to supplement traditional treatment for cancer?
a. Instruct the client to make a follow-up appointment with the health care provider after using mind-body treatments to assess the client's response to treatment. b. Instruct the client never to use alternative or complementary treatments for serious illnesses. c. Explain to the client that physicians and nurses are not prepared to recommend and monitor alternative treatments. d. Explain to the client that physicians and nurses do not incorporate such treatments into their practice.
The client who has megaloblastic anemia will usually have red blood cells that are:
a. macrocytic. c. normocytic. b. hypochromic. d. sickled.
A patient who is terminally ill describes himself as "agnostic." The nurse caring for this person can correctly assume that the patient
a. does not possess spirituality. b. will not experience spiritual distress. c. will practice the rituals of a particular denomination. d. will benefit from general spiritual care interventions.
A teen has been fitted for a brace in order to correct scoliosis. Before applying the brace, the nurse teaches the teen about proper use. Which of the following instructions would be best?
a. "You must wear your brace 24/7" b. "You should wear a T-shirt over your brace" c. "You must not exercise while wearing the brace" d. None of the above