Practice Question
A client is prescribed lansoprazole 15 mg PO once a day. At which of the following times should the nurse administer the medication?
Answer Choices:
Correct Answer:
30 minutes before breakfast
Rationale:
🟣 Mechanism: Lansoprazole is a proton pump inhibitor (PPI) that suppresses gastric acid secretion by inhibiting the H⁺/K⁺ ATPase pump.
🟣 Timing: PPIs are most effective when gastric proton pumps are most active, typically before the first meal of the day.
🟣 Administration: Take 30–60 minutes before breakfast, swallowed whole (do not crush or chew).
🟣 Expected Outcome: Relief of GERD symptoms, healing of ulcers, and prevention of acid reflux.
🟣 Education: Long-term use may require monitoring of magnesium and vitamin B₁₂ levels
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This question is from EXAM THREE FA25 which contains 25 questions.
More Questions from This Exam
A nurse is taking a health history of a client who reports occasionally taking several over-the-counter medications, including an H₂ receptor antagonist (H₂RA). Which of the following outcomes indicates the H₂RA is therapeutic?
Answer Choices:
A. Relief of heartburn
B. Cessation of diarrhea
C. Passage of flatus
D. Absence of constipation
A nurse is teaching a client who has a new prescription for sucralfate to treat a gastric ulcer. Which of the following statements by the client indicates an understanding of the teaching?
Answer Choices:
A. "I will take this medication as needed to reduce pain."
B. "I will reduce my fluid intake with this medication."
C. "I will take this medication with an antacid."
D. "I will take this medication 1 hour before meals and at bedtime."
A nurse is teaching a client who has a new prescription for aluminum hydroxide to treat heartburn. The nurse should instruct the client to monitor for and report which of the following adverse reactions?
Answer Choices:
A. Constipation
B. Flatulence
C. Palpitations
D. Headache
A nurse is teaching a client who has a duodenal ulcer about his new prescription for cimetidine. The nurse should include which of the following instructions in the teaching?
Answer Choices:
A. "Take the medication with an antacid to minimize stomach upset."
B. "Your doctor might need to reduce your theophylline dose while taking this medication."
C. "Take the medication on an empty stomach for better absorption."
D. "You should plan to take this medication for at least 6 months."
Ondansetron would be contraindicated in a client who presents with what clinical manifestation?
Answer Choices:
A. Nausea
B. Hypertension
C. Prolonged QT interval
D. Diarrhea
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Medical-Surgical
- Answer Choices: 4