A client with peptic ulcer disease receives a new prescription for cimetidine. Which statement provided by the client requires additional instruction by the nurse?
Take the medication an hour after antacids.
Decrease cigarette use to a pack per day.
Monitor for any signs of sexual dysfunction.
Notify the healthcare provider of lethargy.
The Correct Answer is B
Choice A reason:
Taking cimetidine an hour after antacids is appropriate because antacids can interfere with the absorption of cimetidine. It is recommended to separate the intake of these medications by at least one hour to ensure proper absorption and effectiveness of cimetidine.
Choice B reason:
Decreasing cigarette use to a pack per day is not sufficient for a client with peptic ulcer disease. Smoking has been shown to exacerbate peptic ulcers and hinder their healing process. Complete cessation of smoking is strongly recommended to improve the healing of peptic ulcers and reduce the risk of recurrence.
Choice C reason:
Monitoring for signs of sexual dysfunction is important because cimetidine can cause side effects such as decreased libido and erectile dysfunction. Patients should be aware of these potential side effects and report any issues to their healthcare provider.
Choice D reason:
Notifying the healthcare provider of lethargy is crucial because lethargy can be a sign of a more serious underlying condition or an adverse reaction to the medication. Prompt reporting allows for timely intervention and management.
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Related Questions
Correct Answer is D
Explanation
Choice A reason:
Applying warm compresses to the legs can help relieve muscle cramps, but it is not the most urgent intervention. Muscle cramps can be a sign of electrolyte imbalances, which are common side effects of furosemide. However, the presence of palpitations and tiredness suggests a more serious issue that needs immediate attention.
Choice B reason:
Monitoring intake and output is important for patients on furosemide to assess fluid balance and kidney function. However, this action does not address the immediate concern of potential cardiac issues indicated by palpitations and tiredness.
Choice C reason:
Raising the head of the bed can help alleviate respiratory symptoms such as a cough, but it does not address the potential cardiac complications. The presence of palpitations and tiredness suggests that cardiac monitoring is a higher priority.
Choice D reason:
Placing the client on cardiac monitoring is the most critical action. Furosemide can cause electrolyte imbalances, leading to arrhythmias and other cardiac issues. Given the symptoms of palpitations and tiredness, immediate cardiac monitoring is essential to detect and manage any potential life-threatening arrhythmias.
Correct Answer is B
Explanation
Choice A reason:
Performing a bladder scan is useful for assessing urinary retention, which can be a symptom of benign prostatic hyperplasia (BPH). However, it is not the primary method for monitoring adverse reactions to tamsulosin. Tamsulosin is an alpha-1 blocker that relaxes the muscles in the prostate and bladder neck, improving urine flow. While it can help reduce urinary retention, the primary concern with tamsulosin is its effect on blood pressure.
Choice B reason:
Monitoring blood pressure is crucial because tamsulosin can cause orthostatic hypotension, a condition where blood pressure drops significantly when a person stands up from a sitting or lying position. This can lead to dizziness, lightheadedness, and even fainting. Regular monitoring of blood pressure helps detect and manage this potential adverse reaction, ensuring the client’s safety.
Choice C reason:
Obtaining daily weights is important for monitoring fluid balance and detecting conditions like heart failure or kidney disease. However, it is not directly related to the adverse reactions of tamsulosin. The primary concern with tamsulosin is its impact on blood pressure, not fluid retention.
Choice D reason:
Assessing urine output is important for evaluating the effectiveness of tamsulosin in relieving urinary symptoms associated with BPH. However, it is not the primary method for monitoring adverse reactions. The main adverse reaction to be aware of with tamsulosin is its potential to cause orthostatic hypotension, making blood pressure monitoring the priority.
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