A nurse is planning to teach a client who has peptic ulcer disease about medications.
Drag words from the choices below to fill in each blank in the following sentence.
The nurse should plan to instruct the client to
The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}
Rationales for Correct Choices
- Not take the antacid within 30 min of the sucralfate: Antacids can interfere with the absorption and adherence of sucralfate to the gastric mucosa. Spacing administration by at least 30 minutes ensures optimal therapeutic action of both medications.
- Shake the suspension thoroughly before administration: Sucralfate is a suspension, meaning its medication particles are dispersed in a liquid. To ensure the client receives the correct, full dose and therapeutic effect, the medication must be shaken well immediately before measuring and administering.
Rationale for Incorrect Choices:
- Discontinue the sucralfate as soon as ulcer manifestations subside: Stopping sucralfate too early can prevent complete healing of the ulcer. Full courses should be completed as prescribed.
- Take the sucralfate with meals: Sucralfate should be taken on an empty stomach (at least 1 hour before meals and at bedtime) to allow it to form the protective barrier on the ulcer before food and acid production increase.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Inject air into the vial with NPH insulin in it: Air should be injected into the NPH vial after preparing the regular insulin to maintain proper technique, but it is not the first step in the process.
B. Draw up the regular insulin dose: Drawing up regular insulin occurs after injecting air into both vials. Ensuring proper air injection first helps maintain accurate dosing and prevents a vacuum from forming in the vials.
C. Inject air into the vial with regular insulin in it: Injecting air into the regular insulin vial is the first step in mixing NPH and regular insulin. This step equalizes pressure inside the vial, making it easier to withdraw the correct dose without contaminating or altering the insulin.
D. Draw up the NPH insulin dose: Drawing up NPH insulin is done last to prevent contamination of the regular insulin with the intermediate-acting insulin. This ensures the correct order of mixing and maintains the integrity of both insulin types.
Correct Answer is C
Explanation
A. Seizures: Seizures are not an indication for potassium chloride administration. While severe electrolyte imbalances can contribute to seizures, potassium replacement is specifically indicated for low potassium levels rather than seizure management.
B. Kidney transplant: Kidney transplant patients may require careful electrolyte monitoring, but potassium chloride is not automatically indicated unless hypokalemia is present. Administration is based on lab values, not transplant status alone.
C. Arrhythmia: Hypokalemia can cause cardiac arrhythmias due to altered myocardial excitability. Potassium chloride is administered to correct low potassium levels and help prevent or treat arrhythmias.
D. Endocarditis: Endocarditis is an infection of the heart valves and is treated with antibiotics. Potassium chloride does not play a role in treating bacterial infections or inflammation of the heart.
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