A patient with a complex medical history states that his primary care provider has changed his proton pump inhibitor from omeprazole (Prilosec) to esomeprazole (Nexium)
The patient is unsure of the rationale for this change in medication and has raised this question with the nurse. What rationale is most plausible? A) Nexium has fewer adverse effects.
B) Nexium can be used long term.
C) Nexium has fewer drug interactions.
D) Nexium can be taken on an outpatient basis.
C
Feedback:
The actions and pharmacokinetics of the other PPIs—esomeprazole (Nexium), lansoprazole (Prevacid), pantoprazole (Protonix), and rabeprazole (AcipHex)—are similar to those of omeprazole. However, the drug interactions associated with omeprazole reportedly do not occur with these other PPIs.
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A child has been admitted with bacterial meningitis. Which action by the nurse takes priority?
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