A client with severe GERD is still having symptoms of reflux despite taking omeprazole (Prilosec) 20 mg daily. What is the nurse's best action?
A. Document the finding as the only action.
B. Notify the health care provider.
C. Instruct the client to stop the medication immediately.
D. Instruct the client to take an antacid in addition to the omeprazole.
B
Omeprazole is a proton pump inhibitor that acts to reduce gastric acid secretion. If once-daily dosing fails to control the client's symptoms, the nurse should notify the health care provider, because the dose can be increased to twice daily for better symptom control.
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