The nurse is providing patient education for a patient with peptic ulcer disease secondary to chronic nonsteroidal anti-inflammatory drug (NSAID) use. The patient has been newly prescribed misoprostol (Cytotec)
What would the nurse be most accurate in informing the patient about the drug?
A) Reduces the stomach's volume of hydrochloric acid
B) Increases the speed of gastric emptying
C) Protects the stomach's lining
D) Increases lower esophageal sphincter pressure
Ans: C
Feedback: Misoprostol is a synthetic prostaglandin that, like prostaglandin, protects the gastric mucosa. NSAIDs decrease prostaglandin production and predispose the patient to peptic ulceration. Misoprostol doesn't reduce gastric acidity (option A), improve emptying of the stomach (option B), or increase lower esophageal sphincter pressure (option D).
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The nurse is caring for a patient who is unable to take oral medications because of persistent nausea and vomiting. The nurse decides to call the primary care physician and ask for a different medication administration route. This demonstrates the act of:
a. collaboration. b. delegation. c. assertiveness. d. advocacy.
A patient complains of dyspnea, which has gradually worsened over the past few years. To examine the quantity of the patient's dyspnea, you should determine
a. how far she can walk before she experiences shortness of breath. b. how many packs of cigarettes she smokes a day. c. whether she experiences shortness of breath during the night. d. whether sitting up alleviates the dyspnea.
Which drug is usually the best choice for PCA for a child in the immediate postoperative period?
a. Codeine b. Morphine c. Methadone d. Meperidine
The purpose of the toe pleat is to prevent ____________________.
Fill in the blank(s) with the appropriate word(s).