A client with a history of peptic ulcer disease is prescribed sucralfate as part of the preventive treatment plan. Which of the following instructions should the nurse provide to the client about taking sucralfate?
"Take sucralfate with meals to maximize its protective effects."
"Crush the sucralfate tablets before swallowing for better absorption."
"Avoid taking any antacids while on sucralfate to prevent interactions."
"Sucralfate can cause drowsiness, so take it before bedtime."
The Correct Answer is C
Choice A reason:
Taking sucralfate with meals is not recommended, as it can reduce its effectiveness. Sucralfate should be taken on an empty stomach, at least 1 hour before meals, to allow it to form a protective barrier over the ulcerated areas.
Choice B reason:
Crushing sucralfate tablets is not advised, as it can interfere with the medication's ability to adhere to the ulcer site and provide protection.
Choice C reason:
This statement is correct. Taking antacids with sucralfate can reduce its effectiveness, as antacids can interfere with its therapeutic actions. Clients should avoid taking antacids together with sucralfate.
Choice D reason:
Sucralfate does not typically cause drowsiness, so taking it before bedtime is not necessary for this medication. It should be taken at regular intervals during the day as prescribed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
Assessing for signs of fluid overload is a priority when administering PPIs intravenously, as these medications can increase the risk of fluid retention in some clients.
Choice B reason:
Monitoring liver function test results is important for clients taking certain medications, but it is not the priority when administering PPIs to this client.
Choice C reason:
Elevating the head of the client's bed is a standard measure to prevent aspiration and improve digestion, but it is not the priority in this scenario.
Choice D reason:
Checking for drug interactions with other medications is essential for safe medication administration, but it is not the priority when administering PPIs intravenously to this client.
Correct Answer is C
Explanation
Choice A reason:
Elevated white blood cell count may indicate inflammation or infection, but it is not directly related to jaundice and dark-colored urine, which are characteristic of increased bilirubin levels.
Choice B reason:
Impaired blood clotting is not directly related to jaundice and dark-colored urine. It may be a concern in liver disease but does not explain the specific manifestations mentioned in the question.
Choice C reason:
This statement is correct. Jaundice and dark-colored urine are indicative of increased bilirubin levels in the blood, which can occur in cholecystitis due to obstruction of the bile ducts.
Choice D reason:
Elevated serum amylase is more associated with pancreatitis rather than cholecystitis. It is not directly related to the clinical manifestations described.
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