A client with peptic ulcer disease has been prescribed sucralfate. What health education should the nurse provide to this client?
Take the medication at bedtime to accommodate sedative effects
Ensure adequate potassium intake during therapy
Blood levels will be evaluated after 1 week
Take the medication 2 hours before or after other medications
The Correct Answer is D
A. Take the medication at bedtime to accommodate sedative effects: Sucralfate does not have sedative properties. It acts locally in the gastrointestinal tract by forming a protective barrier over ulcers, so timing is related to food and drug interactions, not sleep.
B. Ensure adequate potassium intake during therapy: Sucralfate does not cause potassium depletion and does not interfere with potassium balance. There is no need for specific potassium intake adjustments during therapy with this medication.
C. Blood levels will be evaluated after 1 week: Sucralfate is not absorbed systemically to a significant extent, so blood level monitoring is not required. Its effects are localized to the gastric mucosa, making serum concentration irrelevant.
D. Take the medication 2 hours before or after other medications: Sucralfate can interfere with the absorption of many drugs by forming a coating in the GI tract. To prevent reduced efficacy of other medications, it should be spaced at least 2 hours apart from them.
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Related Questions
Correct Answer is D
Explanation
A. Take the medication at bedtime to accommodate sedative effects: Sucralfate does not have sedative properties. It acts locally in the gastrointestinal tract by forming a protective barrier over ulcers, so timing is related to food and drug interactions, not sleep.
B. Ensure adequate potassium intake during therapy: Sucralfate does not cause potassium depletion and does not interfere with potassium balance. There is no need for specific potassium intake adjustments during therapy with this medication.
C. Blood levels will be evaluated after 1 week: Sucralfate is not absorbed systemically to a significant extent, so blood level monitoring is not required. Its effects are localized to the gastric mucosa, making serum concentration irrelevant.
D. Take the medication 2 hours before or after other medications: Sucralfate can interfere with the absorption of many drugs by forming a coating in the GI tract. To prevent reduced efficacy of other medications, it should be spaced at least 2 hours apart from them.
Correct Answer is C
Explanation
A. "You may experience increased urinary frequency while on this medication.": Phenazopyridine does not cause increased urinary frequency. It acts as a local anesthetic on the urinary tract to relieve discomfort but has no diuretic effect on bladder function.
B. "Take this medication for at least 10 days, even if your symptoms improve.": Phenazopyridine is typically prescribed for short-term use (usually no more than 2 days) to relieve UTI symptoms. Prolonged use is not recommended due to potential toxicity.
C. "You should avoid wearing soft contact lenses while taking this medication.": Phenazopyridine may discolor body fluids, including tears, and can permanently stain soft contact lenses. Patients should be advised to avoid their use while on the drug.
D. "This medication will treat the infection causing your symptoms.": Phenazopyridine does not have antibacterial properties. It only provides symptom relief from burning and urgency; the actual infection must be treated with antibiotics.
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