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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Free Nursing Study Resources

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. Measure bladder with had of bed raised to 60 degrees. B. Measure bladder with head of bed raised to 90 degrees. C. Measure bladder within 15 minutes after the patient voids D. Measure bladder before the patient voids.

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.

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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

The nurse is preparing to test a patient for postvoid residual with a bladder scan. Which action will the nurse take?

Correct Answer is C

Explanation

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