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. 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.

A. Dosage in safe range B. Peripheral IV in large vein C. No known allergies D. Used for prophylaxis E. Blood urea nitrogen 17 mg/dL (6.07 mmol/L) F. Potassium 4.4 mEq/L (4.4 mmol/L)

Correct Answer is ["A","B","C","E"]

Explanation

A. Dosage in safe range: Ensuring that the dosage is within a safe range is crucial for preventing potential toxicity or adverse reactions.
B. Peripheral IV in large vein: Administering vancomycin through a peripheral IV in a large vein reduces the risk of phlebitis and ensures proper medication delivery.
C. No known allergies: Confirming that the client has no known allergies, especially to vancomycin or related antibiotics, is essential to avoid an allergic reaction.
D. Used for prophylaxis: While using vancomycin for prophylaxis is appropriate, this does not directly relate to safety in administration, which is more concerned with avoiding adverse reactions.
E. Blood urea nitrogen 17 mg/dL (6.07 mmol/L): A normal BUN level suggests that the kidneys are functioning properly, which is important because vancomycin is renally excreted, and impaired renal function could increase the risk of toxicity.
F. Potassium 4.4 mEq/L (4.4 mmol/L): Although within the normal range, this value does not directly impact the safety of vancomycin administration, unlike factors such as renal function or potential allergic reactions.

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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

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

Exhibits The nurse is preparing the client's plan of care. Select 4 findings that would indicate to the nurse that the administration of the vancomycin antibiotic would be safe to administer.

Correct Answer is ["A","B","C","E"]

Explanation

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