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 C

Explanation

Choice A rationale

While salt substitutes can be a good option for some patients with heart failure, they are often high in potassium. Because spironolactone is a potassium-sparing diuretic, using a salt substitute could lead to dangerously high levels of potassium.

Choice B rationale

Protecting your skin before going outside is generally good advice, but it’s not specifically related to the use of spironolactone.

Choice C rationale

Spironolactone is a potassium-sparing diuretic, which means it can cause the body to retain potassium. Therefore, patients taking spironolactone should limit their intake of high- potassium foods to prevent hyperkalemia.

Choice D rationale

While it’s always important to monitor for side effects when taking a new medication, excessive bruising is not a common side effect of spironolactone.

A. Instruct the patient to exhale rapidly into the mouthpiece when using the discus. B. Explain that the patient should not use the discus more than twice daily. C. Inform that patients using the discus may experience a decrease in blood pressure. D. Suggest offering the discus to the patient for use during an acute asthma attack.

Correct Answer is B

Explanation

Choice A rationale

Instructing the patient to exhale rapidly into the mouthpiece when using the discus is incorrect. The patient should breathe in through their mouth as deeply as they can until they have taken a full deep breath.

Choice B rationale

Fluticasone and salmeterol is a combination of two medicines that are used to help control the symptoms of asthma and improve breathing. It is used when a patient’s asthma has not been controlled sufficiently on other asthma medicines, or when a patient’s condition is so severe that more than one medicine is needed every day. Therefore, explaining that the patient should not use the discus more than twice daily is the correct instruction.

Choice C rationale

Informing that patients using the discus may experience a decrease in blood pressure is incorrect. The most common side effects of fluticasone and salmeterol include drowsiness, dizziness, and weakness.

Choice D rationale

Suggesting offering the discus to the patient for use during an acute asthma attack is incorrect. Fluticasone and salmeterol is not used to relieve an asthma attack that has already started.

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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

A patient with heart failure develops hyperaldosteronism and is prescribed spironolactone.What instructions should the nurse include in the patient’s care plan?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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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?