A nurse is teaching a 49-year-old male client who has been newly prescribed cimetidine (Tagamet HB) for the management of peptic ulcer disease. Which of the following statements should the nurse include in the teaching?

"This medication may cause increased libido."

"You may take this medication with antacids to prevent stomach upset."

"This medication will neutralize your stomach acid."

"This medication may cause decreased libido."

Answer and Explanation

The Correct Answer is D

A. "This medication may cause increased libido." This is incorrect. Cimetidine (Tagamet) can cause side effects such as decreased libido, especially in men. This occurs because the drug inhibits the action of certain hormones, leading to sexual dysfunction.

B. "You may take this medication with antacids to prevent stomach upset." This is incorrect. Cimetidine should not be taken with antacids because antacids can reduce its absorption and effectiveness. It is advised to space the administration of cimetidine and antacids by at least 1 hour.

C. "This medication will neutralize your stomach acid." This is incorrect. Cimetidine works by blocking histamine receptors (H2 receptors), which reduces the production of stomach acid but does not neutralize it.

D. "This medication may cause decreased libido." This is correct. One of the side effects of cimetidine is reduced libido, particularly in male clients, due to its anti-androgenic effects.

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Explanation

Lispro (Humalog): This is a rapid-acting insulin with an onset of action of 15 to 30 minutes, making it effective for controlling blood sugar spikes after meals.
Glargine: This is a long-acting insulin that provides a steady level of insulin over 24 hours, helping to maintain baseline blood glucose levels.

A. (Select All that Apply.) B. Glucagon (Glucagen) C. Metformin (Glucophage) D. Benztropine (Cogentin) E. Diphenhydramine (Benadryl)

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

Explanation

A. Glucagon (Glucagen): Glucagon is used to treat severe hypoglycemia and is not indicated for managing EPS or involuntary muscle spasms.

B. Metformin (Glucophage): Metformin is an oral hypoglycemic agent used to manage diabetes mellitus and is not relevant for treating EPS or involuntary muscle spasms.

C. Benztropine (Cogentin): Benztropine is an anticholinergic medication used to treat extrapyramidal symptoms (EPS), such as involuntary muscle spasms, caused by antipsychotic medications like prochlorperazine2.

D. Diphenhydramine (Benadryl): Diphenhydramine is an antihistamine with anticholinergic properties that can also be used to manage EPS, including dystonic reactions2.

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A nurse is teaching a 49-year-old male client who has been newly prescribed cimetidine (Tagamet HB) for the management of peptic ulcer disease. Which of the following statements should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is providing an in-service about insulin to a group of patients who are diagnosed with diabetes. Complete the sentence with the appropriate responses. The onset of lispro (Humalog) is dropdown An example of a long-acting insulin is dropdown

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Explanation

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

Explanation

Which of the following medications are not used to treat motion sickness? (Select All That Apply.)

A nurse is caring for a client who has been prescribed prochlorperazine (Compazine) for postoperative nausea. Which of the following reported signs can indicate a potential complication of this medication?

A client is prescribed cimetidine 400 mg PO twice daily. It is available as an oral liquid of 100 mg per teaspoon. How many teaspoons should the client take per dose?

A nurse is caring for a patient who has been newly prescribed ondansetron (Zofran) for post-operative nausea. What is the mechanism of action for ondansetron?

You are caring for a client with hypothyroidism that is taking levothyroxine (Synthroid). The client reports diarrhea, weight loss, palpitations, and heat intolerance. You suspect which of the following adverse effects of this drug?

A nurse is teaching a client with a new prescription for metformin (Glucophage). Which of the following findings should the nurse instruct the client to report as an adverse effect of metformin? (Select All That Apply.)

Three hours after self-administering regular insulin subcutaneously, the client contacts you at the provider's office by telephone to report that she is shaking, sweating, and has a rapid pulse. Which of the following actions should you NOT advise her to take? (Select All That Apply.)