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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Diphenhydramine is an oral antihistamine used in pruritus. Its main side effect is sedation and hence its recommended for use at bedtime to prevent daytime somnolence.
A. Taking the medication with meals does not reduce daytime sedation.
B. Gradually decreasing the dose once tolerance to the effect is reached may be appropriate in some cases, but it does not address immediate concerns about daytime sedation.
D. Distributing the doses evenly throughout the day may not effectively minimize daytime sedation.
Correct Answer is C
Explanation
Administering the blood as ordered is the right action to take. This is because type O negative blood group is a universal donor and can be safely given to all blood groups.
Completing an incident report is not necessary. This is because type O negative blood group is safe when given to recipients of all blood groups.
Contacting the provider is unnecessary at this point. The type O negative blood group is safe and hence no need for further clarification.
Type O negative blood is a universal donor and is safe in this client. It is therefore, unnecessary to notify the blood bank.
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