A client who has recently been prescribed Sucralfate makes which statement that indicates they need more education about their medication?
“This medication will help prevent future ulcers.”.
“I should not take this medication with food.”.
“This medication can cause constipation.”.
“I will call my doctor if I start coughing up blood.”.
The Correct Answer is B
Choice A rationale
Sucralfate is a medication used to treat and prevent ulcers. It works by forming a protective barrier over the ulcer, allowing it to heal. Therefore, the statement “This medication will help prevent future ulcers” is correct.
Choice B rationale
Sucralfate should be taken on an empty stomach, not with food. This is because food can interfere with the medication’s ability to form a protective barrier over the ulcer.
Choice C rationale
Constipation is a common side effect of sucralfate. Therefore, the statement “This medication can cause constipation” is correct.
Choice D rationale
Coughing up blood can be a sign of a serious condition, such as a bleeding ulcer. If a patient taking sucralfate starts coughing up blood, they should definitely call their doctor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Digoxin is a cardiac glycoside used to treat heart failure and atrial fibrillation. While it’s important to monitor digoxin levels in patients receiving gentamicin due to the risk of increased digoxin levels, it’s not the most concerning medication.
Choice B rationale
Furosemide is a loop diuretic that can cause ototoxicity, especially when used with aminoglycosides like gentamicin. Therefore, this is the medication the nurse should be most concerned about.
Choice C rationale
Prednisolone is a corticosteroid medication. While it’s important to monitor for potential interactions, it’s not the most concerning medication in this context.
Choice D rationale
Warfarin is an anticoagulant medication. While it’s important to monitor for potential interactions, it’s not the most concerning medication in this context.
Correct Answer is B
Explanation
Choice A rationale
While a blood culture could be useful in diagnosing a systemic infection, it would not be the most appropriate intervention for a patient reporting watery diarrhea and abdominal cramps after 2 weeks of antibiotic therapy.
Choice B rationale
A stool sample should be collected to test for Clostridium difficile. This bacterium can overgrow in the gut during antibiotic therapy, leading to symptoms such as watery diarrhea and abdominal cramps.
Choice C rationale
Discontinuing the antibiotic immediately may not be the best course of action without confirming the cause of the symptoms.
Choice D rationale
Prescribing an antidiarrheal could alleviate discomfort, but it would not address the underlying cause of the symptoms.
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