The physician has ordered bismuth (Pepto-Bismol) for the client with a peptic ulcer who is colonized with H. pylori. The client asks the nurse why he is receiving this drug. What is the best response by the nurse?
1. "Bismuth (Pepto-Bismol) increases stomach acid to help kill bacteria."
2. "Bismuth (Pepto-Bismol) helps prevent the side effects of antibiotics."
3. "Bismuth (Pepto-Bismol) is effective for inhibiting bacterial growth."
4. "Bismuth (Pepto-Bismol) keeps bacteria from sticking in your stomach."
5. "Bismuth (Pepto-Bismol) helps relieve ulcer-related constipation."
3,4
Rationale 1: Bismuth (Pepto-Bismol) does not increase stomach acid.
Rationale 2: Bismuth (Pepto-Bismol) does not prevent the side effects of antibiotics.
Rationale 3: Bismuth compounds (Pepto-Bismol) are added to the antibiotic regimen to inhibit bacterial growth.
Rationale 4: Bismuth compounds (Pepto-Bismol) prevent H. pylori from adhering to the gastric mucosa.
Rationale 5: Bismuth (Pepto-Bismol) is used to relieve diarrhea, not constipation.
Global Rationale: Bismuth compounds (Pepto-Bismol) are added to the antibiotic regimen to inhibit bacterial growth and to prevent H. pylori from adhering to the gastric mucosa. Bismuth (Pepto-Bismol) does not increase stomach acid or prevent the side effects of antibiotics. Bismuth (Pepto-Bismol) is used to relieve diarrhea, not constipation.
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