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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale

If a patient is experiencing increasingly frequent oily stools and gas after taking orlistat for one week, the nurse should ask the patient to describe her dietary intake history for the last

several days. Orlistat works by inhibiting the absorption of dietary fats, which are then excreted in the stool. Consuming a diet high in fat can increase the side effects of orlistat, which include oily or fatty stools and gas.

Choice B rationale

Advising the patient to stop taking the drug and contact her healthcare provider is not the first step. The nurse should first assess the patient’s dietary habits as the side effects may be due to a high-fat diet.

Choice C rationale

Instructing the patient to increase her intake of saturated fats over the next week is not advisable. A high-fat diet can increase the side effects of orlistat.

Choice D rationale

Obtaining a stool specimen to evaluate for occult blood and fat content is not necessary in this case. The symptoms described by the patient are common side effects of orlistat and can often be managed by adjusting the diet.

A. Nausea and diarrhea can occur when using this supplement. B. Ginkgo biloba use should be limited and not taken during pregnancy. C. Aspirin and non-steroidal anti-inflammatory drugs interact with ginkgo. D. Anxiety and headaches increase with the use of ginkgo biloba.

Correct Answer is C

Explanation

Choice A rationale

While nausea and diarrhea can occur when using ginkgo biloba, these side effects are not the most important information for the nurse to include in the teaching plan for this client. These are common side effects that can occur with many medications and supplements, and while they should be mentioned, they are not the most critical concern with ginkgo biloba use.

Choice B rationale

The statement that ginkgo biloba use should be limited and not taken during pregnancy is important, but it is not the most critical information for this client. While ginkgo biloba should be used with caution during pregnancy, this information may not be relevant to this particular client unless she is pregnant or planning to become pregnant.

Choice C rationale

The interaction of ginkgo biloba with aspirin and non-steroidal anti-inflammatory drugs (NSAIDs) is the most important information for the nurse to include in the teaching plan for this client. Ginkgo biloba can increase the risk of bleeding, especially when taken with other medications that affect blood clotting, such as aspirin and NSAIDs. This could lead to serious health complications for the client.

Choice D rationale

While anxiety and headaches can increase with the use of ginkgo biloba, these side effects are not the most important information for the nurse to include in the teaching plan for this client.

These are common side effects that can occur with many medications and supplements, and while they should be mentioned, they are not the most critical concern with ginkgo biloba use.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After taking orlistat for one week, a female patient tells the home health nurse that she is experiencing increasingly frequent oily stools and gas.What action should the nurse take?

Correct Answer is A

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A female client with multiple sclerosis reports having less fatigue and improved memory since she began using the herbal supplement, ginkgo biloba.What is the most important information for the nurse to include in the teaching plan for this client?

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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?