A patient who has GERD with erosive esophagitis has been taking a PPI for 4 weeks and reports a decrease in symptoms. The patient asks the primary care NP if the medication may be discontinued. The NP should tell the patient that:
a. the dose may be decreased for long-term therapy.
b. antireflux surgery must be done before the PPI can be discontinued.
c. the condition may eventually be cured, but therapy must continue for years.
d. once the symptoms have cleared completely, the medication may be discontinued.
A
Once PPIs have proven clinically effective for treatment of patients with esophagitis, therapy should be continued long-term and titrated down to the lowest effective dose based on symptom control. PPI therapy is considered safer than surgery and should be tried first before surgery is performed. GERD is a lifelong syndrome and is not curable.
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When the nurse enters a patient's room to administer a medication, he calls out from the bathroom, telling her to leave his medication on the bedside table
He reassures her that he will take the medication as soon as he is finished. How should the nurse proceed? a. Inform the patient that she will return when he is finished in the bathroom. b. Wait outside the bathroom door until the patient is ready for the dose. c. Withhold the dose until the next administration time later in the day. d. Document that the dose was omitted in the medication administration record.
Reducing the number of preventable childhood illnesses is a major national goal in Healthy People 2020. What will the school nurse teach families regarding immunizations in order to reach this goal?
1. A minor illness with a low-grade fever is a contraindication to receiving an immunization according to Healthy People 2020. 2. Vaccines should be given one at a time for optimum active immunity in the prevention of illness and disease. 3. Premature infants and low-birth-weight infants should receive half doses of vaccines for protection from communicable diseases. 4. It is important to maintain vaccination coverage for recommended vaccines in early childhood and to maintain them through kindergarten.
The nurse has provided education for a client prescribed nifedipine (Adalat CC). Which statement made by the client indicates an understanding of the teaching?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. "If I drink alcohol while taking this medication, I will get very sick to my stomach." B. "I should stop taking my melatonin sleep medication." C. "I should no longer drink grapefruit juice." D. "I should no longer drink sports drinks with caffeine in them." E. "I should stop taking my vitamin C supplement."
When auscultating over a patient's femoral arteries, the nurse notices the presence of a bruit on the left side. The nurse knows that bruits:
a. Are often associated with venous disease.
b. Occur in the presence of lymphadenopathy.
c. In the femoral arteries are caused by hypermetabolic states.
d. Occur with turbulent blood flow, indicating partial occlusion.