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:
This statement is incorrect and indicates a need for further education. PPIs should be taken on an empty stomach, at least 30 minutes before meals, to allow for optimal absorption and effectiveness.
Choice B reason:
This statement is correct. Clients should continue taking the PPI for the full duration as prescribed, even if they start to feel better, to prevent ulcer recurrence.
Choice C reason:
This statement is correct. PPIs can decrease calcium absorption and increase the risk of osteoporosis in some clients. Increasing calcium intake or taking calcium supplements may be necessary for clients on long-term PPI therapy.
Choice D reason:
This statement is correct. Antacids can interfere with the action of PPIs, and clients should avoid taking them together. If needed, antacids should be taken at least 1 hour before or after the PPI.
Correct Answer is C
Explanation
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.
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