Page 1557 - Saunders Comprehensive Review For NCLEX-RN

2. Heartburn
3. Flatulence
4. Constipation
562. A client with a peptic ulcer is diagnosed with a Helicobacter pylori infection.
The nurse is teaching the client about the medications prescribed, including
clarithromycin, esomeprazole, and amoxicillin. Which statement by the client
indicates the best understanding of the medication regimen?
1. “My ulcer will heal because these medications will kill the
bacteria.”
2. “These medications are only taken when I have pain from my
ulcer.”
3. “The medications will kill the bacteria and stop the acid
production.”
4. “These medications will coat the ulcer and decrease the acid
production in my stomach.”
563. A client has a new prescription for metoclopramide. On review of the chart,
the nurse identifies that this medication can be safely administered with
which condition?
1. Intestinal obstruction
2. Peptic ulcer with melena
3. Diverticulitis with perforation
4. Vomiting following cancer chemotherapy
564. The nurse determines the client needs further instruction on cimetidine if
which statements were made? Select all that apply.
1. “I will take the cimetidine with my meals.”

2. “I’ll know the medication is working if my diarrhea stops.”

3. “My episodes of heartburn will decrease if the medication is
effective.”
4. “Taking the cimetidine with an antacid will increase its

effectiveness.”
5. “I will notify my primary health care provider if I become
depressed or anxious.”

6. “Some of my blood levels will need to be monitored closely
since I also take warfarin for atrial fibrillation.”
565. The nurse has given instructions to a client who has just been prescribed
cholestyramine. Which statement by the client indicates a need for further
instruction?
1. “I will continue taking vitamin supplements.”
2. “This medication will help lower my cholesterol.”
3. “This medication should only be taken with water.”
4. “A high-fiber diet is important while taking this medication.”

Answers

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