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 ["B","C","E"]
Explanation
potassium is important for muscle contraction ad energy production. Low potassium cause anorexia and nausea
A- Hypokalemia cause constipation
D-Hypokalemia does not cause tinnitus
Correct Answer is C
Explanation
Rationale- Laxatives increase bowel peristalsis which could be risky when given in a client with abdominal pain of unknown origin as it may lead to bowel perforation in cases of obstruction.
A. Laxative help clear ammonia from the gut reducing the risk of hepatic encephalopathy.
B. Laxatives are safe in diverticulosis after ruling out acute diverticulitis
D. Laxatives help in passage of stool in cases of chronic constipation
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