Practice Question
A patient recently diagnosed with chronic GERD has been prescribed omeprazole (Prilosec), a proton pump inhibitor. Which statement should the nurse include in their patient teaching?
Answer Choices:
Correct Answer:
Since Prilosec decreases gastric acid production, protective gut flora may be lost which puts you at a higher risk for C. Diff.
Rationale:
✅ Omeprazole is a proton pump inhibitor (PPI) that reduces stomach acid by blocking the H⁺/K⁺ ATPase in parietal cells.
✅ Lower gastric acidity reduces the body’s natural defense against ingested pathogens, increasing risk for GI infections.
✅ PPIs are associated with increased risk of C. difficile infection, especially with prolonged use or hospitalization.
✅ The nurse should teach the patient to report watery diarrhea, fever, abdominal cramping, particularly after antibiotics or during long PPI therapy.
✅ This teaching is clinically important because it focuses on a serious preventable complication linked to acid suppression therapy.
Prilosec may cause tardive dyskinesia…
✅ Tardive dyskinesia is linked to dopamine-blocking antipsychotics, not PPIs.
✅ This teaching would misinform the patient and distract from real PPI risks.
Prilosec neutralizes the acid…and should be taken after meals.
✅ PPIs do not neutralize acid like antacids; they decrease acid production.
✅ They are often most effective when taken before meals (commonly before breakfast).
Prilosec is primarily used for urinary retention…
✅ Omeprazole is not a urinary retention drug; it is used for GERD, ulcers, and acid-related disorders.
✅ This statement is incorrect and would confuse the medication purpose.
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This question is from Custom NURS2201 Final Exam 2025 – LFT which contains 74 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN Custom Exam(s)
- Answer Choices: 4