A nurse is reinforcing teaching with a parent of a child who has gastroesophageal reflux disease and a new prescription for lansoprazole capsules.Which of the following statements by the parent indicates an understanding of the teaching?

Choice A rationaleChewing a lansoprazole capsule is not recommended. Lansoprazole is a proton pump inhibitor designed to reduce stomach acid. Chewing the capsule would destroy the enteric coating, which protects the medication from being broken down by stomach acid before it reaches the intestines, where it is absorbed. Proper administration is crucial for the medication's effectiveness in treating conditions like gastroesophageal reflux disease.Choice B rationalePlacing a lansoprazole capsule under the tongue is not an appropriate method of administration. Lansoprazole capsules are meant to be swallowed whole so the medication can reach the stomach and intestines where it acts to reduce acid production. Sublingual administration would bypass the intended route, leading to reduced effectiveness and potential irritation or discomfort in the mouth.Choice C rationaleAdministering lansoprazole four times per day is incorrect for standard dosages. Lansoprazole is typically prescribed once or twice daily, depending on the severity of the condition and the patient’s specific needs. Overuse of this medication can lead to adverse effects, including nutrient deficiencies, increased risk of infections, and potential kidney issues. Following the prescribed dosage schedule is essential for safe and effective treatment.Choice D rationaleAdministering lansoprazole 30 minutes before breakfast is the correct method. Taking lansoprazole before meals ensures the medication is absorbed and activated in time to reduce stomach acid production during and after eating. This timing maximizes the effectiveness of the treatment for conditions like gastroesophageal reflux disease, providing symptom relief and promoting healing of the esophagus and stomach lining.