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.

Answer and Explanation

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.

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Correct Answer is ["A","B","D","E"]

Explanation

A. How to open and close the pouch: The patient must be able to manage their pouch independently. This skill helps them maintain hygiene and prevent leakage.

B. How to determine whether the ostomy is healing appropriately: Patients should be educated on signs of infection, irritation, or necrosis around the stoma.

C. How to irrigate the colostomy: Not taught initially because irrigation is only necessary for some patients and is usually introduced later. It’s mainly for descending or sigmoid colostomies, not all types.

D. How to change the pouch: A crucial skill to prevent leakage and skin irritation.

E. How to empty the pouch: Patients should know when and how to empty it to maintain cleanliness and avoid leaks.

A. The patient is lonely and calling then nurse in under false pretenses is a way to get attention. B. The patient does not recognize the physiological signals that indicate a need to void. C. The patient is not drinking enough fluids to produce adequate urine output. D. The patient can be anxious, making it difficult for abdominal and perineal muscles to relax enough to void.

Correct Answer is D

Explanation

A. The patient is lonely and calling the nurse under false pretenses. This is an inappropriate assumption. The patient may be experiencing urinary hesitancy due to anxiety, not seeking attention.

B. The patient does not recognize the physiological signals that indicate a need to void. The patient recognized the need to void but is having difficulty due to psychological factors (e.g., anxiety, privacy concerns).

C. The patient is not drinking enough fluids to produce adequate urine output. The patient felt the urge to void, meaning they do have urine in the bladder. The issue is likely related to difficulty initiating urination rather than fluid intake.

D. The patient can be anxious, making it difficult for abdominal and perineal muscles to relax enough to void. Paruresis ("shy bladder syndrome") can make it difficult to void in the presence of others due to anxiety or embarrassment.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which skill does the nurse teach a patient with a new colostomy before discharge from the health care facility? (Select all that Apply)

Correct Answer is ["A","B","D","E"]

Explanation

A patient requests the nurse's help to the bedside commode and becomes frustrated when unable to void in front of the nurse. How should the nurse interpret the patient's inability to void?

Correct Answer is D

Explanation

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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?