A nurse is teaching a client who takes phenytoin and has a new prescription for sucralfate tablets. Which of the following instructions should the nurse include?
Chew the Sucralfate thoroughly before swallowing.
Take sucralfate with a full glass of milk.
Take an antacid with sucralfate.
Allow a 2-hour interval between these medications.
The Correct Answer is D
A. Chew the sucralfate thoroughly before swallowing. Sucralfate should be swallowed whole or dissolved in water, not chewed.
B. Take sucralfate with a full glass of milk. Milk can interfere with the medication’s effectiveness.
C. Take an antacid with sucralfate. Antacids should be taken separately to avoid interaction.
D. Allow a 2-hour interval between these medications. Sucralfate can interfere with phenytoin absorption, so they should be spaced apart.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Get three fecal smears from one bowel movement. FIT only requires one sample per bowel movement, but it is best to test multiple separate bowel movements for accuracy.
B. Collect one fecal smear from three separate bowel movements. FIT testing detects blood proteins using antibodies, and blood presence in stool can be intermittent. Collecting samples from different days increases accuracy.
C. Obtain one fecal smear from an early morning bowel movement. Time of day does not matter, but multiple samples from different bowel movements are preferred.
D. Get three fecal smears when you see blood in your bowel movement. FIT is meant to detect hidden (occult) blood that is not visible.
Correct Answer is D
Explanation
A. Sodium: Measures fluid balance, not protein status.
B. Potassium: Related to muscle function, heart rhythm, and renal function, not protein synthesis.
C. Calcium: Bone and nerve function, not a protein marker.
D. Albumin: Best indicator of protein status because it reflects protein intake and synthesis. Low levels can indicate malnutrition, liver disease, or chronic illness.
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