The nurse should instruct parents to administer a daily proton pump inhibitor to their child with gastroesophageal reflux at which time?
a. Bedtime
b. With a meal
c. Midmorning
d. 30 minutes before breakfast
ANS: D
Proton pump inhibitors are most effective when administered 30 minutes before breakfast so that the peak plasma concentrations occur with mealtime. If they are given twice a day, the second best time for administration is 30 minutes before the evening meal.
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The nurse understands that health is typically defined as the state of being without illness. What is wrong with this definition?
1. It suggests that being healthy is difficult to achieve. 2. It suggests that all who are without illness are healthy. 3. It suggests that health and illness correlate with one another. 4. It suggests that individuals diagnosed with illness cannot possibly be healthy.
A female client is hospitalized with injury and tissue destruction of the left pectoralis major and serratus anterior muscles due to a motor vehicle accident
The nurse would include which of the following information during the discharge teaching? 1. Prosthestic devices 2. Support bras 3. Plastic surgery 4. Physical therapy
A patient dying of colon cancer tells a nurse that he is sure that he can beat the cancer if he changes his eating habits. The nurse understands that the patient is likely in the stage defined by Kübler-Ross as
1. Acceptance. 2. Anger. 3. Denial. 4. Bargaining.
The nurse instructs a patient with peripheral atherosclerosis on foot care. Which observation indicates that teaching has been effective? Select all that apply.
A. The patient uses a razor to cut the toenails. B. The patient inspects feet and legs each day with a mirror. C. The patient applies powder to the feet after a shower. D. The patient washes feet and legs with warm water. E. The patient walks barefoot in the bedroom.