The patient is being treated for an H. pylori infection with proton pump inhibitor, metronidazole, and tetracycline but is not responding. The nurse expects that:
a. bismuth will be added to the current triple therapy.
b. a 6-day course of levofloxacin may be used.
c. a second-line therapy is not usually effective.
d. the proton pump inhibitor will be changed to a higher dose.
A
Triple-agent therapy with a proton pump inhibitor and two antibiotics for 14 days is the recommended treatment for eradication of H. pylori. In case first-line therapy fails, a bismuth-based quadruple therapy has been proven to be effective in 76% of patients. This second-line therapy consists of a PPI, bismuth, metronidazole, and a tetracycline. A 10-day course of levofloxacin may also be administered as a second-line therapy for H. pylori infections.
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The nurse manager asks staff members to work as a group in planning the activities for Nurse?s Week. Which is the correct name for this group?
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The nurse is reviewing laboratory results on a patient who had a large burn 48 hours ago. Which result requires priority action by the nurse?
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Before applying a cord clamp, the nurse assesses the umbilical cord. The mother asks why the nurse is looking at the umbilical cord. The nurse should reply, "I'm checking the blood vessels in the cord to see if it has:
A. One artery, one vein." B. Two arteries, one vein." C. Two veins, one artery." D. Two veins, two arteries."
To help fulfill the mission of the National Institute for Nursing Research—to promote and improve the health of individuals, families, communities, and populations—a study may be conducted which
a. assesses the effectiveness of strategies for weight management in patients with type 2 diabetes. b. compares the attitudes of nurses toward clients with type 1 and type 2 diabetes. c. generates up-to-date nursing diagnoses reflecting the needs of clients with type 2 diabetes. d. reviews hospital nurses' adherence to glucose-monitoring guidelines for patients with type 2 diabetes.