A client who has been taking cimetidine for hyperacidity calls the clinic to say that the medication has not been effective. The nurse reviews his history and notes that which factor may be influencing the effectiveness of this drug?
He takes the cimetidine with meals.
He takes an antacid 3 hours after the cimetidine dose.
He drinks a glass of water with each dose.
He smokes two packs of cigarettes a day.
The Correct Answer is D
D. smoking increases acid production counteracting the effects of cimetidine
A. Cimetidine should be taken with meals
B. Other medications including antacids can be taken 2hrs after cimetidine
C. Water has no effect on effectiveness of cimetidine
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Epoetin alfa increases red cells production and blood viscosity which can increase blood pressure leading to hypertension
A, B, C are not adverse effects of epoetin alfa
Correct Answer is C
Explanation
C. nasal decongestants cause vasoconstriction to reduce blood flow and secretions. On wearing off, the vessels dilate causing rebound nasal congestion
A. Oral formulation is less potent
B. Oral formulation have longer duration of effect that could cause systemic side effects
D. nasal sprays have immediate action as they bypass metabolism
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