A client with H. pylori asks the nurse why bismuth (Pepto-Bismol) has been prescribed along with oral antibiotics for treatment. What should the nurse explain about the use of bismuth (Pepto-Bismol) for treatment of this health problem?
Select all that apply.
A) "It helps prevent the side effects of antibiotics."
B) "It increases stomach acid to help kill bacteria."
C) "It helps relieve ulcer-related constipation."
D) "It is effective with inhibiting bacterial growth."
E) "It keeps bacteria from sticking in your stomach."
Answer: D, E
Bismuth compounds (Pepto-Bismol) are added to the antibiotic regimen to inhibit bacterial growth. Bismuth compounds prevent H. pylori from adhering to the gastric mucosa. Bismuth does not prevent all side effects of antibiotics. Bismuth does not increase stomach acid. Bismuth is used to relieve diarrhea, not constipation.
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