A nurse counsels a client on long-term omeprazole therapy ab… | MyMerci
Medical EmergenciesPA
Question
A nurse counsels a client on long-term omeprazole therapy about adverse effects with prolonged use. Which group of risks should the nurse emphasize?
1Improved bone density
2Hypomagnesemia, vitamin B12 deficiency, increased risk of C. difficile infection, hip and spine fractures, and CKD risk✓ Correct answer
3Lower hemoglobin A1c
4Decreased risk of pneumonia
Explanation
Correct (2): Long-term PPI use (>1 year) is associated with hypomagnesemia, B12 deficiency, increased C. difficile infection, community-acquired pneumonia, osteoporotic fractures (hip/spine), interstitial nephritis, and CKD. Use the lowest effective dose and consider de-escalation when indication resolves. (1,3,4) Wrong direction.
In-depth explanation
Memory Tip Long-term PPI = "M.B.C. (Magnesium·B12·C.diff·CKD)·Fractures·Pneumonia." Yearly Mg, B12 check; reassess indication annually.
Clinical scenario
Scenario 62-year-old female on omeprazole 20 mg PO daily × 5 years for GERD. Provider requests counseling about long-term PPI risks.