A patient is given a diagnosis of peptic ulcer disease. A laboratory test confirms the presence of Helicobacter pylori. The primary care NP orders a proton pump inhibitor (PPI) before meals twice daily, clarithromycin, and amoxicillin
After 14 days of treatment, H. pylori is still present. The NP should order: a. continuation of the PPI for 4 to 8 weeks.
b. a PPI, amoxicillin, and metronidazole for 14 days.
c. a PPI, clarithromycin, and amoxicillin for 14 more days.
d. a PPI, bismuth subsalicylate, tetracycline, and metronidazole.
B
A PPI, along with amoxicillin and metronidazole, is used as first-line treatment in macrolide-allergic patients and for re-treatment for 14 days if first-line treatment of choice failed because of occasional resistance to clarithromycin.
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The nurse is assessing a new client who is being evaluated for coronary heart disease. After reviewing his dietary habits, the nurse notes which of the following as a possible contributing factor to this client's condition?
A) Monounsaturated fatty acids C) Trans fatty acids B) Saturated fatty acids D) Polyunsaturated fatty acids
A 29-year-old woman with systemic lupus erythematosus has been prescribed 2 weeks of high-dose prednisone therapy. Which information about the prednisone is most important for the nurse to include?
a. "Weigh yourself daily to monitor for weight gain caused by increased appetite." b. "A weight-bearing exercise program will help minimize the risk for osteoporosis." c. "The prednisone dose should be decreased gradually rather than stopped suddenly." d. "Call the health care provider if you experience mood alterations with the prednisone."
The nurse is evaluating the body alignment of a patient in the sitting position. In this position
a. The body weight is directly on the buttocks only. b. Both feet are supported on the floor with ankles flexed. c. The edge of the seat is in contact with the popliteal space. d. The arms hang comfortably at the sides.
Telling private information about a resident would
a. break confidentiality. b. show a lack of courtesy. c. break federal regulations regarding health care facilities. d. break state laws