A client who is newly diagnosed with erosive esophagitis secondary to gastroesophageal reflux disease (GERD) reports to the nurse that they did not notice any reduction in symptoms after taking lansoprazole PO for one full week. Which action should the nurse take?
Notify the healthcare provider that the client may need a change in dosage.
Auscultate the client’s bowel sounds and measure the abdominal girth.
Advise the client that healing typically takes several weeks to occur.
Confirm that the client is taking the medication one hour after meals.
The Correct Answer is C
Choice A rationale
Lansoprazole, a proton pump inhibitor (PPI), typically requires several weeks to achieve its full therapeutic effect. Notifying the healthcare provider for a dosage change after only one week is premature and not supported by clinical guidelines.
Choice B rationale
Auscultating bowel sounds and measuring abdominal girth are not directly related to the effectiveness of lansoprazole in treating GERD. These actions are more relevant for assessing gastrointestinal motility and potential complications like bowel obstruction.
Choice C rationale
Healing of erosive esophagitis with PPIs like lansoprazole usually takes several weeks. Advising the client that healing typically takes several weeks to occur is appropriate and aligns with the expected therapeutic timeline.
Choice D rationale
Lansoprazole should be taken before meals, not after, to maximize its effectiveness. Confirming that the client is taking the medication one hour after meals would not address the issue of symptom persistence.
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Correct Answer is B
Explanation
Choice A rationale
Decreasing speaking speed may help with clarity, but it does not address the issue of hearing loss.
Choice B rationale
Over-enunciating word syllables can help the client understand speech better, especially if they have hearing difficulties. This technique makes it easier for the client to read lips and understand spoken words.
Choice C rationale
Raising voice volume to a shout can be uncomfortable and may not improve understanding. It can also be perceived as rude or aggressive.
Choice D rationale
Exaggerating nonverbal expressions may help with communication, but it is not as effective as over-enunciating word syllables for clients with hearing difficulties.
Correct Answer is A
Explanation
Choice A rationale
For long-term control of normal eye pressure is the accurate response. Open-angle glaucoma is a chronic condition that requires ongoing treatment to maintain normal intraocular pressure and prevent further damage to the optic nerve. Eye drops are typically used for life to manage the condition.
Choice B rationale
Until a smaller angle can be restored is not accurate because open-angle glaucoma does not involve a change in the angle of the anterior chamber. The goal of treatment is to lower intraocular pressure, not to restore the angle.
Choice C rationale
For long-term control of pain and swelling is not accurate because open-angle glaucoma primarily involves increased intraocular pressure and optic nerve damage, not pain and swelling. The goal of treatment is to lower intraocular pressure.
Choice D rationale
Until the excess pressure is reduced is not accurate because open-angle glaucoma requires ongoing treatment to maintain normal intraocular pressure. Stopping treatment once pressure is reduced can lead to a recurrence of elevated pressure and further damage.