If a patient with gastroesophageal reflux disease who is taking a proton pump inhibitor daily is not improving, the plan of care would be:

1. Prokinetic (metoclopramide) for 8 to 12 weeks
2. Proton pump inhibitor (omeprazole) twice a day for 4 to 8 weeks
3. Histamine2 receptor antagonist (ranitidine) for 4 to 8 weeks
4. Cytoprotective drug (misoprostol) for 4 to 8 weeks


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Nursing

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The nurse is assessing the temperature of a diaphoretic toddler who is crying and being uncooperative. What would be the best method to assess temperature in this child?

A) Oral thermometer B) Axillary method C) Temporal scanning D) Rectal route

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The nurse is reviewing the contents of a patient's medical record. Which condition should the nurse suspect is occurring in this patient?

1. testicular torsion 2. varicocele 3. orchitis 4. indirect inguinal hernia

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When assessing a patient with a sore throat, the nurse notes anterior cervical lymph node swelling, a temperature of 101.6° F (38.7° C), and yellow patches on the tonsils. Which action will the nurse anticipate taking?

a. Teach the patient about the use of expectorants. b. Use a swab to obtain a sample for a rapid strep antigen test. c. Discuss the need to rinse the mouth out after using any inhalers. d. Teach the patient to avoid use of nonsteroidal antiinflammatory drugs (NSAIDs).

Nursing

An infant was born at 31-weeks' gestation and weighed 1430 g. What is the correct initial feeding regimen for this infant?

1. 10 mg/kg/day of premature formula 24 kcal/oz. 2. 20 mg/kg/day of premature formula 24 kcal/oz. 3. 40 mg/kg/day of postdischarge formula 22 kcal/oz. 4. 50 mg/kg/day of term formula 20 kcal/oz.

Nursing