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 C
Explanation
A. Measure bladder with the head of the bed raised to 60 degrees. The patient should be in the supine position for the most accurate measurement.
B. Measure bladder with the head of the bed raised to 90 degrees. The patient should be in a flat or slightly reclined position for bladder scanning.
C. Measure bladder within 15 minutes after the patient voids. Postvoid residual (PVR) is the amount of urine left in the bladder after urination. It should be measured within 15 minutes of voiding for accuracy.
D. Measure bladder before the patient voids. Measuring before voiding does not assess residual urine, which is the purpose of the test.
Correct Answer is A
Explanation
A. Stoma is purple. A purple, dusky, or black stoma indicates poor blood circulation, possibly due to ischemia or necrosis. This is a surgical emergency requiring immediate attention.
B. Stoma is moist. Normal finding, indicating adequate perfusion.
C. Stoma is flush with the skin. Possible but not necessarily abnormal. However, a retracted stoma (sunken below skin level) could lead to leakage and skin irritation.
D. Stoma is protruding from the abdomen. Normal in the early postoperative period. A slight protrusion (bud-like shape) is expected. However, significant prolapse (excessive protrusion) may need evaluation.
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