Page 1560 - Saunders Comprehensive Review For NCLEX-RN

ulcer to assist in directing you to the correct option.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Planning
Content Area: Pharmacology: Gastrointestinal Medications: Gastric protectants
Health Problem: Adult Health: Gastrointestinal: Upper GI disorders
Priority Concepts: Clinical Judgment; Tissue Integrity
Reference: Ignatavicius, Workman, Rebar (2018), p. 1112.

560. Answer: 2

Rationale: The client who uses NSAIDs is prone to gastric mucosal injury.
Misoprostol is a gastric protectant and is given specifically to prevent this occurrence
in clients taking NSAIDs frequently. Diarrhea can be a side effect of the medication
but is not an intended effect. Options 3 and 4 are unrelated to the purpose of
misoprostol.
Test-Taking Strategy: Focus on the subject, the intended therapeutic effect of
misoprostol for a client who chronically uses NSAIDs. This indicates that the
medication is being given to prevent the occurrence of specific symptoms. Recalling
that NSAIDs can cause gastric mucosal injury will direct you to the correct option.
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Evaluation
Content Area: Pharmacology: Gastrointestinal Medications: Gastric protectants
Health Problem: Adult Health: Gastrointestinal: Upper GI disorders
Priority Concepts: Evidence; Tissue Integrity
Reference: Lewis et al. (2017), pp. 903, 914.

561. Answer: 2

Rationale: Omeprazole is a proton pump inhibitor classified as an antiulcer agent.
The intended effect of the medication is relief of pain from gastric irritation, often
called heartburn by clients. Omeprazole is not used to treat the conditions identified
in options 1, 3, and 4.
Test-Taking Strategy: Focus on the subject, the optimal intended effect of
omeprazole. Recalling that this medication is a proton pump inhibitor will direct you
to the correct option.
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Evaluation
Content Area: Pharmacology: Gastrointestinal Medications: Proton pump
inhibitors
Health Problem: Adult Health: Gastrointestinal: Upper GI disorders
Priority Concepts: Evidence; Tissue Integrity
Reference: Skidmore-Roth (2017), pp. 880-881.

562. Answer: 3

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