The next step in treatment when a patient has been on proton pump inhibitors twice daily for 12 weeks and not improving is:
1. Add a prokinetic (metoclopramide)
2. Referral for endoscopy
3. Switch to another proton pump inhibitor
4. Add a cytoprotective drug
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A 12-year-old has been selected to be a cheerleader for her middle school. This child has been recently diagnosed with type 1 diabetes
In teaching this child's mother about care for her child, the nurse wants the mother to understand that with increased physical activity, the child will need: 1. Decreased food intake. 2. Increased doses of insulin. 3. Increased food intake. 4. Decreased doses of insulin.
The client will be having a surgical procedure that does not use cardiopulmonary bypass, and the surgeon keeps the heart at a rate of 40 beats/minute. What surgical procedure does the nurse anticipate preparing the client for?
A) Port access coronary artery bypass (PACAB) B) Heart transplant C) Coronary artery bypass grafting D) Off-pump coronary artery bypass (OPCAB)
A preceptor is discussing stroke with a new nurse on the unit. The preceptor would tell the new nurse which cardiac dysrhythmia is associated with cardiogenic embolic strokes?
A) Ventricular tachycardia B) Atrial fibrillation C) Supraventricular tachycardia D) Bundle branch block
The nurse is examining a toddler client. The toddler has a fever and the nurse notes the ear canal is red and swollen and the presence of purulent drainage. Based on this assessment data, which diagnosis does the nurse anticipate?
A. Tophi. B. Otitis media. C. Hemotympanum. D. Otitis externa.