A client with peptic ulcer disease is scheduled to receive doses of pantoprazole IV and sucralfate PO before breakfast at 0730. The client reports experiencing heartburn when the nurse brings the scheduled medications. Which action should the nurse take?

Hold the dose of IV pantoprazole until the client has finished eating breakfast.

Provide a PRN dose of antacid along with the scheduled medications.

Instruct the client to take the dose of sucralfate PO while eating breakfast.

Administer both of the medications before breakfast as scheduled.

Answer and Explanation

The Correct Answer is D

A. Pantoprazole should be given before breakfast to inhibit gastric acid secretion; delaying it until after breakfast would reduce its effectiveness.
B. Administering an antacid alongside sucralfate may interfere with the absorption of sucralfate.
C. Sucralfate should be taken on an empty stomach before meals to form a protective barrier on the ulcer site, not while eating.
D. Both pantoprazole and sucralfate are scheduled to be administered before breakfast to maximize their effectiveness in reducing gastric acid and protecting the ulcer site.

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Correct Answer is A

Explanation

A. Sumatriptan is a triptan used to treat migraines, but it can cause vasoconstriction, which may exacerbate coronary artery disease. Therefore, it is crucial to assess for a history of this condition before administration.
B. Irritable bowel syndrome does not significantly impact the use of sumatriptan.
C. Seasonal allergic rhinitis is not a contraindication for sumatriptan use.
D. Type 2 diabetes mellitus is not a contraindication for sumatriptan use, though blood glucose levels should be monitored as part of overall management.

A. Limit the intake of foods high in potassium. B. Cover your skin before going outside. C. Monitor skin for excessive bruising. D. Replace salt with a salt substitute.

Correct Answer is A

Explanation

A. Spironolactone is a potassium-sparing diuretic; therefore, it is important to limit potassium intake to prevent hyperkalemia.
B. Skin protection is not a specific concern related to spironolactone use.
C. Spironolactone does not commonly cause excessive bruising; monitoring for signs of hyperkalemia is more relevant.
D. Using a salt substitute may increase potassium intake, which is contraindicated with spironolactone.

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A client with peptic ulcer disease is scheduled to receive doses of pantoprazole IV and sucralfate PO before breakfast at 0730. The client reports experiencing heartburn when the nurse brings the scheduled medications. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Before administering the initial dose of sumatriptan succinate to a client with a migraine headache, it is most important to determine if the client's history includes which problem?

Correct Answer is A

Explanation

A client with heart failure (HF) develops hyperaldosteronism and spironolactone is prescribed. Which instruction should the nurse include in the client's plan of care?

Correct Answer is A

Explanation

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