Question

The nurse is reviewing a client's medical history and notes that the client has been diagnosed with peptic ulcer disease. Which medication has most likely been prescribed for this client?

Answer 1

Correct Answers:

Aluminium hydroxide.

Rationale :

💊Aluminium hydroxide is an antacid that neutralizes gastric hydrochloric acid.

🩹Reducing gastric acidity helps relieve epigastric pain and irritation associated with peptic ulcer disease.

⚖️The medication raises the stomach’s pH, thereby decreasing pepsin activity.

🚽The nurse should monitor for constipation and hypophosphatemia, especially with prolonged use.

📌Core Message:

Aluminium hydroxide relieves peptic-ulcer symptoms by neutralizing gastric acid and reducing mucosal irritation.

Answer 2

Correct Answers:

Improved level of consciousness.
Decreasing serum ammonia.
Increased bowel movements.

Rationale :

🧠Lactulose treats hepatic encephalopathy by lowering intestinal absorption of ammonia.

🧪The medication acidifies the colon and converts ammonia into nonabsorbable ammonium, which is eliminated in stool.

🚽Increased bowel movements demonstrate enhanced removal of ammonia-containing intestinal contents.

✨As the serum ammonia decreases, the client should demonstrate an improved level of consciousness.

📌Core Message:

Effective lactulose therapy produces regular stools, lowers serum ammonia, and improves consciousness in hepatic encephalopathy.

Answer 3

Correct Answers:

Explain to the client that the two tablets of 125 mcg is the same dose as one pill of 250 mcg.

Rationale :

🧮Two tablets containing 125 mcg each provide the prescribed total dose of 250 mcg.

💊Different tablet strengths do not represent a dosage change when the total amount administered remains identical.

🗣️The nurse should acknowledge the client’s concern and provide a clear medication explanation before administration.

✅After verifying the prescription and completing required assessments, the nurse may safely administer the prescribed dose.

📌Core Message:

Two 125-mcg digoxin tablets deliver the same total dose as one 250-mcg tablet.

Answer 4

Correct Answers:

Low sodium antacid.

Rationale :

🔥An antacid can provide short-term relief by neutralizing gastric acid responsible for heartburn.

🧂A client with heart failure should select a low-sodium formulation to avoid sodium and fluid retention.

❤️Excess sodium can worsen edema, hypertension, and cardiac workload.

👨‍⚕️The client should consult the healthcare provider because antacids may interact with other prescribed medications.

📌Core Message:

Clients with heart failure should consult the provider about a low-sodium antacid to relieve heartburn without increasing fluid retention.

Answer 5

Correct Answers:

Fentanyl.

Rationale :

🩹Fentanyl is a potent opioid used to manage severe, persistent cancer-related pain.

🎗️A client receiving hospice care for metastatic cancer commonly requires strong palliative analgesia.

💉Fentanyl may be administered through transdermal, transmucosal, or parenteral routes depending on the client’s clinical needs.

⚠️The nurse should monitor for respiratory depression, sedation, and constipation during opioid therapy.

📌Core Message:

Fentanyl provides potent opioid analgesia for severe cancer pain in hospice and palliative care.

Answer 6

Correct Answers:

Psyllium hydrophilic should be taken with a full glass of water.

Rationale :

🌾Psyllium is a bulk-forming laxative that absorbs water and increases stool size and softness.

💧Each dose must be taken with a full glass of water to prevent esophageal or intestinal obstruction.

⏳Its effects usually develop within 12 to 72 hours, rather than immediately.

📅Regular use with adequate fluid intake can help prevent constipation associated with diverticulosis.

📌Core Message:

Psyllium must be taken with adequate water to soften stool and prevent gastrointestinal obstruction.

Answer 7

Correct Answers:

Urinary output equals intake.

Rationale :

🚽Bethanechol stimulates muscarinic receptors, increasing contraction of the urinary bladder’s detrusor muscle.

💧Effective treatment allows the client to empty the bladder and produce urinary output consistent with fluid intake.

📉Improved bladder emptying reduces postvoid residual volume and urinary retention.

⚠️The nurse should monitor for cholinergic effects such as bradycardia, diarrhea, sweating, and bronchospasm.

📌Core Message:

Bethanechol is effective when detrusor contraction improves bladder emptying and restores adequate urinary output.

Answer 8

Correct Answers:

Rinsing the mouth with water should be one after each use.

Rationale :

💧Rinsing the mouth after inhaler use removes residual medication particles from the oral cavity.

🍄This action is particularly important with inhaled corticosteroids because it reduces oral candidiasis.

🗣️Rinsing also helps prevent throat irritation and hoarseness.

🚫The client should rinse and spit out the water rather than swallowing the medication residue.

📌Core Message:

Rinsing the mouth after inhaler use helps prevent oral candidiasis and throat irritation, especially with inhaled corticosteroids.

Answer 9

Correct Answers:

Replacement of the heparin infusion with warfarin PO daily.

Rationale :

💧Rinsing the mouth after inhaler use removes residual medication particles from the oral cavity.

🍄This action is particularly important with inhaled corticosteroids because it reduces oral candidiasis.

🗣️Rinsing also helps prevent throat irritation and hoarseness.

🚫The client should rinse and spit out the water rather than swallowing the medication residue.

📌Core Message:

Rinsing the mouth after inhaler use helps prevent oral candidiasis and throat irritation, especially with inhaled corticosteroids.

Answer 10

Correct Answers:

At the first sign of an asthma attack the client uses the albuterol inhaler.

Rationale :

🫁Albuterol is a short-acting beta₂-adrenergic agonist used as a rescue bronchodilator.

🚨The client should use it at the first sign of wheezing, chest tightness, or another acute asthma symptom.

🌬️The medication relaxes bronchial smooth muscle and rapidly improves airflow.

📞Failure to obtain relief after prescribed rescue doses requires prompt medical evaluation.

📌Core Message:

Albuterol should be used promptly at the first sign of acute bronchospasm because it provides rapid airway dilation.

1 :
The nurse is reviewing a client's medical history and notes that the client has been diagnosed with peptic ulcer disease. Which medication has most likely been prescribed for this client?

2 :
The nurse is monitoring a client who has liver failure and is taking lactulose. Which finding(s) indicate that the medication is having the desired effect? Select all that apply.

4 :
A client with a history of heart failure (HF) reports episodes of heartburn when lying down after dinner. The home health nurse should encourage the client to talk to the healthcare provider (HCP) about using which over the counter (OTC) medication to relieve this problem?

5 :
The nurse is assessing the medication history for a hospice client with metastatic liver cancer. Which medication is likely prescribed for this client?

6 :
The client with a history of diverticulosis has a prescription for psyllium hydrophilic laxative and the nurse is planning medication teaching. Which instruction should the nurse include when teaching the client about this medication?

7 :
Which assessment finding indicates to the nurse that the prescription bethanechol is effective for a client diagnosed with urinary retention?

8 :
The nurse is teaching a client how to use an inhaler device. Which client statement indicates to the nurse that the client understands the instructions?

10 :
The inhaler albuterol, is prescribed for a client with reactive airway disease. Which behaviour indicates to the nurse that the client understands the teaching concerning this medication?

1 : The nurse is reviewing a client's medical history and notes that the client has been diagnosed with peptic ulcer disease. Which medication has most likely been prescribed for this client?

2 : The nurse is monitoring a client who has liver failure and is taking lactulose. Which finding(s) indicate that the medication is having the desired effect? Select all that apply.

4 : A client with a history of heart failure (HF) reports episodes of heartburn when lying down after dinner. The home health nurse should encourage the client to talk to the healthcare provider (HCP) about using which over the counter (OTC) medication to relieve this problem?

5 : The nurse is assessing the medication history for a hospice client with metastatic liver cancer. Which medication is likely prescribed for this client?

6 : The client with a history of diverticulosis has a prescription for psyllium hydrophilic laxative and the nurse is planning medication teaching. Which instruction should the nurse include when teaching the client about this medication?

7 : Which assessment finding indicates to the nurse that the prescription bethanechol is effective for a client diagnosed with urinary retention?

8 : The nurse is teaching a client how to use an inhaler device. Which client statement indicates to the nurse that the client understands the instructions?

10 : The inhaler albuterol, is prescribed for a client with reactive airway disease. Which behaviour indicates to the nurse that the client understands the teaching concerning this medication?

1 :
The nurse is reviewing a client's medical history and notes that the client has been diagnosed with peptic ulcer disease. Which medication has most likely been prescribed for this client?

2 :
The nurse is monitoring a client who has liver failure and is taking lactulose. Which finding(s) indicate that the medication is having the desired effect? Select all that apply.

4 :
A client with a history of heart failure (HF) reports episodes of heartburn when lying down after dinner. The home health nurse should encourage the client to talk to the healthcare provider (HCP) about using which over the counter (OTC) medication to relieve this problem?

5 :
The nurse is assessing the medication history for a hospice client with metastatic liver cancer. Which medication is likely prescribed for this client?

6 :
The client with a history of diverticulosis has a prescription for psyllium hydrophilic laxative and the nurse is planning medication teaching. Which instruction should the nurse include when teaching the client about this medication?

7 :
Which assessment finding indicates to the nurse that the prescription bethanechol is effective for a client diagnosed with urinary retention?

8 :
The nurse is teaching a client how to use an inhaler device. Which client statement indicates to the nurse that the client understands the instructions?

10 :
The inhaler albuterol, is prescribed for a client with reactive airway disease. Which behaviour indicates to the nurse that the client understands the teaching concerning this medication?