A nurse is caring for a client who is prescribed aluminum hydroxide (Amphojel) and cimetidine (Tagamet HB). Which of the following statements from the client requires additional teaching?

"I will take both aluminum hydroxide (Amphojel) and cimetidine (Tagamet HB) at the same time."

"I will take aluminum hydroxide (Amphojel) 1 hour before taking cimetidine (Tagamet HB)."

"I can take aluminum hydroxide (Amphojel) 2 hours before taking cimetidine (Tagamet HB)."

None of the above

Answer and Explanation

The Correct Answer is A

A. "I will take both aluminum hydroxide (Amphojel) and cimetidine (Tagamet HB) at the same time." – This is correct. Taking aluminum hydroxide and cimetidine simultaneously reduces the effectiveness of cimetidine by impairing its absorption. This statement indicates a need for further teaching.

B. "I will take aluminum hydroxide (Amphojel) 1 hour before taking cimetidine (Tagamet HB)." – This is incorrect. Taking aluminum hydroxide 1 hour before cimetidine allows enough time for the antacid's effects on stomach acidity to stabilize, reducing interference.

C. "I can take aluminum hydroxide (Amphojel) 2 hours before taking cimetidine (Tagamet HB)." – This is incorrect. Taking the antacid 2 hours before cimetidine provides sufficient time for proper absorption of the medication.

D. None of the above – This is incorrect because statement A reflects improper administration.

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

Explanation

A. Taking an oral hypoglycemic agent is inappropriate in this situation. Oral agents are typically used for long-term management of type 2 diabetes and would not help in an acute hypoglycemic episode.

B. Self-administering a long-acting insulin would further lower blood glucose levels and exacerbate the hypoglycemic symptoms, making this an unsafe action.

C. Checking her blood glucose level is an appropriate first step to confirm the suspected hypoglycemia and determine the severity.

D. Drinking 4 ounces of orange juice is a correct intervention, as it provides a quick source of glucose to raise the blood sugar level and alleviate symptoms.

A. Neutralizes the acidity of the gastric acid. B. Acts as an endogenous prostaglandin in the GI tract. C. Antagonizes H2 receptors on parietal cells. D. Creates a protective barrier that adheres to an ulcer, which can stick to the ulcer for up to 6 hours.

Correct Answer is D

Explanation

A. Sucralfate does not neutralize gastric acid; antacids are responsible for neutralization.

B. Sucralfate does not mimic endogenous prostaglandins. Medications like misoprostol act as prostaglandins to protect the stomach lining.

C. Sucralfate does not block H2 receptors. Medications like cimetidine or ranitidine work through this mechanism to reduce acid production.

D. Sucralfate creates a viscous, protective barrier that adheres to the ulcer site, shielding it from further damage by gastric acid, bile, and pepsin for up to 6 hours, thereby promoting healing.

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A nurse is caring for a client who is prescribed aluminum hydroxide (Amphojel) and cimetidine (Tagamet HB). Which of the following statements from the client requires additional teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Three hours after self-administering regular insulin subcutaneously, the client contacts you at the provider's office by telephone to report that she is shaking, sweating, and has a rapid pulse. Which of the following actions should you NOT advise her to take? (Select All That Apply.)

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

Explanation

A nurse is preparing to educate a patient who has newly been prescribed sucralfate (Carafate) for the management of peptic ulcer disease (PUD). What is the mechanism of action for this medication?

Correct Answer is D

Explanation

A nurse is teaching a 49-year-old male client who has been newly prescribed cimetidine (Tagamet HB) for the management of peptic ulcer disease. Which of the following statements should the nurse include in the teaching?

You are caring for a client with hypothyroidism that is taking levothyroxine (Synthroid). The client reports diarrhea, weight loss, palpitations, and heat intolerance. You suspect which of the following adverse effects of this drug?

A nurse is preparing to provide an in-service to the community about misoprostol (Cytotec). Which of the following statements should the nurse include in her teaching to the community?

A nurse is educating a client about self-administering regular insulin. The nurse should instruct the client to rotate injection sites to prevent which of the following?

A nurse is caring for a client who has been prescribed ondansetron (Zofran) for postoperative nausea and vomiting. Which of the following is a complication associated with this medication?