D this medication can cause hyperkalemia a omeprazole

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D. This medication can cause hyperkalemia. A. Omeprazole is administered in the morning for treatment of heartburn. B. CORRECT: Omeprazole reduces gastric acid secretion by inhibiting the enzyme that produces gastric acid. C. Omeprazole is administered before meals with a glass of water. D. Omeprazole can cause hypomagnesemia. A nurse is teaching a client who is taking sucralfate PO for peptic ulcer disease has a new prescription for phenytoin to control seizures. Which of the following instructions
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should the nurse include? A. Take an antacid with the sucralfate. B. Take sucralfate with a glass of milk. C. Allow a 2-hr interval between these medications. D. Chew the sucralfate thoroughly before swallowing. A. A ntacids can interfere with the effects of sucralfate, so the client should allow a 30 min interval between the sucralfate and the antacid. B. S ucralfate should be taken on an empty stomach, 1 hr before meals. C. CORRECT: Sucralfate can interfere with the absorption of phenytoin, so the client should allow a 2-hr interval between the sucralfate and phenytoin. D. T he client should swallow the sucralfate whole A nurse is caring for four clients who have peptic ulcer disease. The nurse should recognize misoprostol is contraindicated for which of the following clients? A. A client who is pregnant B. A client who has osteoarthritis C. A client who has a kidney stone D. A client who has a urinary tract infection A. CORRECT: Misoprostol can induce labor and is contraindicated in pregnancy. B. T here are no contraindications for use in clients who have osteoarthritis. C. T here are no contraindications for use in clients who have kidney stones. D. T here are no contraindications for use in clients who have urinary tract infections. A nurse is providing a client who has peptic ulcer disease with instructions about managing his condition. Which of the following instructions should the nurse include? (Select all that apply.) A. "Eat a bedtime snack." B. "Drink decaffeinated coffee" C. "Low-dose aspirin therapy should be avoided." D. "Seek measures to
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reduce stress." E. "Avoid smoking." A. T he client should avoid a bedtime snack to reduce gastric acid secretion. B. T he client should avoid caffeinated and decaffeinated coffee to reduce gastrin release. C. A lthough frequent use of NSAIDs can decrease prostaglandin production resulting in injury to gastric tissue, low-dose aspirin therapy is permitted. D. CORRECT: Reducing stress is beneficial for healing of the ulcer and prevention of complications. E. CORRECT: Smoking inhibits healing of the ulcer. A nurse is caring for a client who is receiving daily doses of oprelvekin. Which of the following laboratory values should the nurse monitor to determine effectiveness of this medication? A. Hemoglobin B. Absolute neutrophil count C. Platelet count D. Total white blood count A. H emoglobin levels should be monitored for a client receiving epoetin alfa.
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