A nurse is teaching a client who has a duodenal ulcer about his new prescription for cimetidine. The nurse should include which of the following instructions in the teaching?

“Take the medication on an empty stomach for better absorption”

"You should plan to take this medication for at least 6 months."

"Your doctor might need to reduce your theophylline dose While taking this medication."

"Take the medication with an antacid to minimize stomach upset."

Answer and Explanation

The Correct Answer is C

Cimetidine inhibits the cytochrome enzymes leading to increased blood concentration of other drugs like theophylline hence increased risk of toxicity. The dosage of the drugs should be lowered when one is on cimetidine.

A-Cimetidine should be taken with meals or at bedtime for more effective absorption and optimal therapeutic effect.

B. There is no specific duration mentioned for the treatment of duodenal ulcer with cimetidine.

D. Taking cimetidine with an antacid is not recommended as they decrease the absorption of cimetidine.

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Correct Answer is C

Explanation

- Administration of subcutaneous heparin follows the following steps

Wipe the chosen area with alcohol and avoid rubbing
Remove the cap from needle
Gently pinch a fold of skin
Insert the needle at 45 to 90 degrees
Push down the drug into the tissue
Draw the needle out slowly at the same angle
Apply a cotton ball light for 1-2 minutes
Monitor for bleeding

A. Supine B. Sim's position C. Lying on the right side D. Prone position

Correct Answer is B

Explanation

Sim’s position places the lower gastrointestinal tract in the anatomical position allowing for the client's comfort as well as retention of the suppository once inserted. is the most appropriate position for the insertion of a rectal suppository. The client lies on the left lateral side with the lower arm positioned behind the body, and the upper thigh flexed.

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A nurse is teaching a client who has a duodenal ulcer about his new prescription for cimetidine. The nurse should include which of the following instructions in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer heparin subcutaneously to a client who has a deep vein thrombosis. Which of the following techniques should the nurse use?

Correct Answer is C

Explanation

A nurse is preparing to administer a rectal suppository to a client. In which of the following positions should the nurse place the client for insertion of the suppository?

Correct Answer is B

Explanation

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