A patient is given a diagnosis of peptic ulcer disease.A laboratory test confirms the presence of Helicobacter pylori.The primary care NP orders a proton pump inhibitor (PPI) before meals twice daily,clarithromycin,and amoxicillin.After 14 days of treatment,H.pylori is still present.The NP should order:
A) continuation of the PPI for 4 to 8 weeks.
B) a PPI, amoxicillin, and metronidazole for 14 days.
C) a PPI, clarithromycin, and amoxicillin for 14 more days.
D) a PPI, bismuth subsalicylate, tetracycline, and metronidazole.
Correct Answer:
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