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?
"An indication for this medication is used in clients taking short-term NSAIDs to prevent duodenal ulcers."
"This medication is indicated for female clients expecting a child or are currently pregnant."
"This medication is contraindicated for female clients expecting a child or are currently pregnant."
"An indication for this medication is used in clients to prevent stress-induced ulcers."
The Correct Answer is C
A. 4 teaspoons – This is incorrect because 4 teaspoons would provide 400 mg (100 mg x 4 = 400 mg), but the correct dose per administration is 400 mg. However, this is not the correct calculation, as only 2 teaspoons are needed.
B. 2 teaspoons – This is correct. The prescribed dose is 400 mg, and since the medication concentration is 100 mg per teaspoon, 2 teaspoons (100 mg x 2 = 200 mg) is the correct dose for each administration.
C. 1 teaspoon – This is incorrect because 1 teaspoon would only provide 100 mg, and the prescribed dose is 400 mg. This is not enough to meet the prescribed dose.
D. 3 teaspoons – This is incorrect because 3 teaspoons would provide 300 mg (100 mg x 3 = 300 mg), which is not enough to meet the prescribed 400 mg dose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
A. Long-term use of omeprazole is associated with an increased risk of osteoporosis and fractures due to decreased calcium absorption caused by reduced stomach acid. This complication is significant in older adults, particularly with prolonged therapy.
B. Torsades de Pointes is not a common complication of omeprazole. QT prolongation is more often linked to medications like ondansetron or antiarrhythmics.
C. Nausea is not a typical complication of omeprazole; rather, it is a symptom the drug may help alleviate as part of managing gastrointestinal conditions.
D. Rebound acid hypersecretion can occur after discontinuation of omeprazole. The body may produce an excessive amount of acid to compensate for the previous suppression, leading to worsening symptoms if the medication is abruptly stopped.
Correct Answer is A
Explanation
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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