A patient with peptic ulcer disease has been prescribed cimetidine.
Which statement made by the patient indicates the need for further instruction by the nurse?
Decrease cigarette use to a pack per day.
Notify the healthcare provider of lethargy.
Take the medication an hour after antacids.
Monitor for any signs of sexual dysfunction.
The Correct Answer is C
Choice A rationale
Decreasing cigarette use to a pack per day is not enough. Smoking can increase stomach acid and reduce the ability of the stomach lining to resist acid, thus aggravating peptic ulcer disease. Therefore, the patient should be advised to quit smoking entirely.
Choice B rationale
Lethargy could be a side effect of cimetidine. It’s important for the patient to notify the healthcare provider if they experience this, as it could indicate a need to adjust the medication.
Choice C rationale
Cimetidine should be taken with or immediately following meals for best absorption. If antacids are used, they should be taken at least one hour apart from cimetidine. Therefore, taking the medication an hour after antacids is incorrect and indicates the need for further instruction.
Choice D rationale
Sexual dysfunction is a rare but possible side effect of cimetidine. Patients should be advised to monitor for this and report any issues to their healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Baclofen is a muscle relaxant used to treat muscle symptoms caused by multiple sclerosis (MS), including spasm, pain, and stiffness. It acts on the central nervous system to relieve spasticity, improving muscle movement and relieving pain from spasticity. One of the common side effects of Baclofen is drowsiness, dizziness, and weakness. Therefore, advising the patient to move slowly and cautiously when getting up and walking is an important nursing intervention to prevent falls and injuries.
Choice B rationale
While evaluating the patient’s muscle strength every 4 hours can provide valuable information about the patient’s response to treatment, it is not the most critical intervention in this context. Baclofen’s primary effect is to relieve spasticity, not necessarily to increase muscle strength.
Choice C rationale
Monitoring the patient’s intake and output every 8 hours is a standard nursing intervention for many patients, but it is not specifically related to the administration of baclofen.
Choice D rationale
While it’s important for patients to understand their medication regimen, including when to stop taking certain medications, baclofen should not be stopped abruptly. Abrupt discontinuation has resulted in serious adverse reactions including death. Therefore, ensuring the patient understands to stop taking baclofen before using other antispasmodics is not the correct intervention.
Correct Answer is ["200"]
Explanation
The correct answer is 200 mL/h.
Step 1: The client has been prescribed ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused over an hour.
Step 2: The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (D5W) 200 mL12. Step 3: To calculate the infusion rate, the nurse should use the formula: Infusion rate (mL/hr)
= Volume (mL) / Time (hr)3.
Step 4: In this case, the volume is 200 mL and the time is 1 hour. Step 5: Therefore, Infusion rate (mL/hr) = 200 mL ÷ 1 hr.
Step 6: Infusion rate (mL/hr) = 200 mL/hr.
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