A nurse is preparing to administer a histamine-2 receptor antagonist (H2 blocker) to a client. Which of the following actions should the nurse take?
Administer the medication with a full meal.
Shake the medication well before administration.
Administer the medication intravenously.
Monitor the client for signs of anaphylaxis.
The Correct Answer is D
D) Correct. H2 blockers, such as ranitidine or famotidine, are usually administered orally and do not require shaking. However, the nurse should monitor the client for signs of anaphylaxis, such as rash, itching, difficulty breathing, or swelling, as rare but serious allergic reactions can occur. Prompt recognition and intervention are essential in such cases.
A) Incorrect. H2 blockers can be taken with or without food, depending on the client's preference or specific instructions from the healthcare provider.
B) Incorrect. H2 blockers do not require shaking before administration.
C) Incorrect. H2 blockers are typically administered orally and are not given intravenously unless there are specific indications and healthcare provider orders.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D) Correct. Antacid medications can interfere with the absorption of other medications. Therefore, the client should be advised to avoid taking other medications within 1 hour of taking an antacid.
A) Incorrect. Antacid medications can be taken with or without food, depending on the client's preference or specific instructions from the healthcare provider.
B) Incorrect. Antacid medications do not need to be crushed before swallowing. They are typically available as tablets, chewable tablets, or liquids.
C) Incorrect. Taking antacid medication immediately before bedtime is not necessary or recommended unless specifically prescribed by the healthcare provider. The timing of antacid administration can vary based on the client's symptoms and medication regimen.
Correct Answer is B
Explanation
B) Correct. Proton pump inhibitors (PPIs) are most effective when taken on an empty stomach, about 30 minutes before a meal. This ensures optimal absorption and inhibits gastric acid secretion during mealtime.
A) Incorrect. PPIs do not need to be taken with a full glass of water. However, taking them with a small amount of water is recommended to aid in swallowing.
C) Incorrect. PPIs should not be crushed. They are usually in delayed-release or enteric-coated form to protect the medication from stomach acid and facilitate absorption in the small intestine.
D) Incorrect. Taking PPIs right before bedtime is not necessary or recommended unless specifically prescribed by the healthcare provider.
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