A nurse is reinforcing teaching with a client who has a duodenal ulcer and a new prescription for cimetidine. Which of the following instructions should the nurse include?

"Drinking grapefruit juice while taking cimetidine can lead to toxicity."

"Avoid taking the medication at bedtime."

“Take an antacid 30 min prior to taking cimetidine to minimize stomach upset."

“You will need to continue taking this medication for up to 6 weeks."

Answer and Explanation

Correct Answer : B,D

When reinforcing teaching with a client who has a duodenal ulcer and a new prescription for cimetidine, the nurse should include the following instructions:

"Avoid taking the medication at bedtime.": Cimetidine is most effective when taken during waking hours to help control gastric acid secretion. Taking it at bedtime may not provide optimal therapeutic benefits.

"You will need to continue taking this medication for up to 6 weeks.": Cimetidine is often prescribed for the treatment of duodenal ulcers and may require several weeks of continuous use to promote healing. It is important for the client to understand the duration of treatment and the need for adherence to the prescribed regimen.

The following statements are incorrect or not applicable:

"Drinking grapefruit juice while taking cimetidine can lead to toxicity.": Cimetidine does not have a known interaction with grapefruit juice. However, it is always important to consult the healthcare provider or pharmacist about potential drug interactions, including those related to specific foods or beverages.

"Take an antacid 30 minutes prior to taking cimetidine to minimize stomach upset.": Cimetidine is an H2 receptor antagonist that works by reducing stomach acid production. It is not necessary to take an antacid prior to taking cimetidine to minimize stomach upset. However, if the client experiences stomach upset or discomfort, they should consult their healthcare provider for further guidance on managing these symptoms.

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Correct Answer is D

Explanation

Esomeprazole is a proton pump inhibitor (PPI) medication commonly used to reduce stomach acid production. It is prescribed for conditions such as gastroesophageal reflux disease (GERD) and stomach ulcers. One of the primary goals of esomeprazole is to alleviate stomach pain and discomfort associated with excessive stomach acid.

The other statements mentioned are not directly related to the effectiveness of esomeprazole: "My feet are no longer sore and itchy": Sore and itchy feet are not typical symptoms relieved by esomeprazole. This statement does not indicate the medication's effectiveness.

"I can move my joints more easily": Improved joint mobility is not a direct effect of esomeprazole. This statement does not relate to the medication's purpose.

"My bowel movements have increased in frequency and are much softer": Esomeprazole primarily affects stomach acid production and is not directly related to bowel movements. This statement is not indicative of the medication's effectiveness.

A. "I don't have as much heartburn after I eat anymore." B. "I noticed that I have had less urge to smoke lately." C. "I occasionally have stomach pain and dark stools. D. "I can sleep while lying flat again. E. "I have not been as dizzy as I was before."

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

Explanation

From the given statements, the nurse can identify the following statements as indicating the effectiveness of cimetidine treatment:

"I don't have as much heartburn after I eat anymore.": Cimetidine is a histamine-2 receptor antagonist commonly used to reduce stomach acid production. Decreased heartburn after eating suggests that the medication has been effective in reducing excessive acid production and relieving heartburn symptoms.

"I can sleep while lying flat again.": Cimetidine can help alleviate symptoms of gastroesophageal reflux disease (GERD) by reducing stomach acid. Improved ability to sleep while lying flat suggests that the medication has successfully reduced acid reflux and related symptoms.

The following statements do not directly indicate the effectiveness of cimetidine treatment: ● "I noticed that I have had less urge to smoke lately."

● "I occasionally have stomach pain and dark stools."

● "I have not been as dizzy as I was before."

These statements may be unrelated to the effects of cimetidine or may require further assessment to determine their significance. It's important for the nurse to address any concerns or symptoms mentioned by the client and evaluate their overall response to the medication

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A nurse is reinforcing teaching with a client who has a duodenal ulcer and a new prescription for cimetidine. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has been taking esomeprazole for several months. Which of the following client statements should the nurse identify as indicating effectiveness of the medication?

Correct Answer is D

Explanation

A nurse is caring for a client who is taking cimetidine. Which of the following client statements indicates to the nurse that the cimetidine treatment has been effective? (Select all that apply.)

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

Explanation

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