A client is diagnosed with a gastric ulcer secondary to NSAID overuse. The nurse would question which health care provider order?
1. Clarithromycin
2. Omeprazole
3. Famotidine
4. Ranitidine
Correct Answer: 1
Rationale 1: A combination of antibiotics is concurrently used to eradicate H. pylori and help decrease antibiotic resistance. Those with peptic ulcers who are not infected with H. pylori have been shown to have a worse outcome when receiving H. pylori treatment.
Rationale 2: Proton pump inhibitors are indicated for use in gastric ulcers.
Rationale 3: H2-receptor antagonists are indicated for use in gastric ulcers.
Rationale 4: H2-receptor antagonists are indicated for use in gastric ulcers.
Global Rationale: A combination of antibiotics is concurrently used to eradicate H. pylori and help decrease antibiotic resistance. Those with peptic ulcers who are not infected with H. pylori have been shown to have a worse outcome when receiving H. pylori treatment. The remaining drugs are logical for the treatment of NSAID induced gastric ulcers.
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A patient has trouble speaking words, and the patient's speech is garbled. Which nursing diagnosis is most appropriate for this patient?
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