An older female client has been prescribed esomeprazole (Nexium) for treatment of chronic gastric ulcers. What teaching is particularly important for this client?
a. Check with the pharmacist before taking other medications.
b. Increase intake of calcium and vitamin D.
c. Report any worsening of symptoms to the provider.
d. Take the medication as prescribed by the provider.
ANS: B
All of this advice is appropriate for any client taking this medication. However, long-term use is associated with osteoporosis and osteoporosis-related fractures. This client is already at higher risk for this problem and should be instructed to increase calcium and vitamin D intake. The other options are appropriate for any client taking any medication and are not specific to the use of esomeprazole.
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