A nurse is teaching a client who has a new prescription for cimetidine to treat peptic ulcer disease. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply)
I will take this medication when I need it for pain.
I should expect my stools to turn black.
I can take this medication with or without food.
I will eat five small meals each day.
I will take this medication with an antacid.
Correct Answer : C,D
Choice A reason: Cimetidine, an H2 receptor antagonist, reduces gastric acid secretion and is taken regularly to prevent ulcer recurrence, not as needed for pain. PRN dosing is ineffective for maintaining consistent acid suppression, which is necessary for ulcer healing and preventing acid-related damage to the gastric mucosa.
Choice B reason: Black stools typically indicate gastrointestinal bleeding, often due to ulcer perforation, not a normal effect of cimetidine. Cimetidine reduces acid to promote ulcer healing, preventing bleeding. Black stools require urgent evaluation, as they suggest melena, potentially from hemoglobin oxidation in the digestive tract.
Choice C reason: Cimetidine’s absorption is minimally affected by food, allowing administration with or without meals. This flexibility ensures consistent acid suppression, as it blocks histamine receptors on parietal cells, reducing hydrochloric acid production, which promotes ulcer healing and symptom relief regardless of meal timing.
Choice D reason: Eating five small meals reduces gastric acid demand and prevents stomach distension, which can exacerbate ulcers. This dietary approach minimizes acid secretion spikes, allowing cimetidine to maintain a stable gastric pH, promoting mucosal healing and reducing irritation from excessive acid exposure.
Choice E reason: Taking cimetidine with antacids can reduce its absorption, as antacids alter gastric pH, potentially decreasing bioavailability. Cimetidine’s acid suppression is sufficient alone, and concurrent antacid use may interfere with its pharmacokinetics, reducing efficacy in treating peptic ulcer disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Blood pressure screening for a client with a family history of hypertension focuses on disease prevention by identifying elevated readings early to prevent cardiovascular complications. This primary prevention strategy targets at-risk individuals, enabling interventions like lifestyle changes or medication to mitigate the onset of hypertension, aligning with the goal of preventing disease progression.
Choice B reason: Health promotion involves broader lifestyle improvements, such as exercise or diet, to enhance overall well-being. While screening supports health promotion, its primary aim is to detect and prevent hypertension, not general wellness. This makes disease prevention the more specific concept addressed by targeted blood pressure screening.
Choice C reason: Health education involves teaching clients about health topics, such as hypertension management. While screening may include education, the act of measuring blood pressure is a preventive intervention, not an educational activity. The primary focus is early detection, making disease prevention the more accurate concept than education.
Choice D reason: Holistic health addresses physical, mental, and social well-being comprehensively. Blood pressure screening focuses specifically on cardiovascular risk, not the client’s overall holistic health. While holistic care may include screening, the targeted nature of this action aligns directly with disease prevention, making this an incorrect concept for this scenario.
Correct Answer is A
Explanation
Choice A reason: Placing dentures on a washcloth in a sink prevents damage from dropping, as the soft surface cushions impact. It also ensures hygiene by containing cleaning materials, reducing contamination risk. This practice supports safe handling, preserving denture integrity and maintaining oral health standards during cleaning.
Choice B reason: Hot water can warp or damage dentures, which are made of acrylic or porcelain, materials sensitive to high temperatures. Heat disrupts molecular structure, causing deformation or cracking, compromising fit and function. Cool or lukewarm water is recommended to safely clean dentures without altering their physical properties.
Choice C reason: Removing dentures with a moist glove increases the risk of dropping them due to reduced grip. Dry hands or a dry cloth provide better traction, ensuring safe removal. Moist surfaces reduce friction, potentially causing dentures to slip, leading to damage or contamination during handling.
Choice D reason: Regular toothpaste is abrasive, containing silica that can scratch denture surfaces, creating micro-abrasions that harbor bacteria and reduce longevity. Denture-specific cleaners with non-abrasive agents are recommended to maintain surface integrity, prevent microbial growth, and ensure safe, effective cleaning for oral health.
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