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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D"]
Explanation
A. Dimenhydrinate is an antihistamine commonly used to treat motion sickness by reducing the stimulation of the vestibular system.
B. Metoclopramide is not used for motion sickness. Its primary use is for nausea and vomiting caused by conditions such as gastroparesis or chemotherapy, as it works by enhancing gastrointestinal motility.
C. Scopolamine is specifically indicated for motion sickness. It acts as an anticholinergic to reduce the effects of motion on the vestibular system.
D. Ondansetron is not used for motion sickness. It is a serotonin antagonist primarily used to treat nausea and vomiting associated with chemotherapy, radiation, or postoperative recovery.
Correct Answer is C
Explanation
A. Nausea is the symptom prochlorperazine is intended to treat, so its occurrence would suggest that the medication is not effective rather than being a complication.
B. Prolonged QT interval is not a typical complication of prochlorperazine; it is more commonly associated with medications like ondansetron.
C. Restlessness can indicate akathisia, a potential extrapyramidal side effect of prochlorperazine. This condition involves an intense feeling of restlessness and the need to move, commonly associated with dopamine antagonists.
D. Vomiting is a symptom treated by prochlorperazine and would likely occur due to inadequate control rather than being a complication of the drug itself.
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