The nurse is administering sucralfate to a client with stomatitis secondary to chemotherapy. The client wants to take the medication after breakfast. How should the nurse respond?
Document the client’s refusal of the medication at this time.
Explain the need to take the medication at least 1 hour before meals.
Allow the client to take the medication up to 1 hour after breakfast.
Instruct the client to take it when the meal tray is delivered.
The Correct Answer is B
Choice A reason:
Documenting the client’s refusal of the medication at this time is not the best response. While it is important to document any refusal of medication, the nurse should first educate the client on the proper administration of sucralfate. Sucralfate works by forming a protective barrier over ulcers, and it is most effective when taken on an empty stomach, at least 1 hour before meals.
Choice B reason:
Explaining the need to take the medication at least 1 hour before meals is the correct response. Sucralfate should be taken on an empty stomach to ensure it can effectively coat the stomach lining and protect it from acid. Taking it before meals maximizes its efficacy in treating and preventing ulcers.
Choice C reason:
Allowing the client to take the medication up to 1 hour after breakfast is not appropriate. Sucralfate needs to be taken on an empty stomach to form a protective barrier over the ulcer. Taking it after a meal would reduce its effectiveness, as the presence of food can interfere with its action.
Choice D reason:
Instructing the client to take it when the meal tray is delivered is incorrect. Sucralfate should be taken on an empty stomach, at least 1 hour before meals, to ensure it can properly coat the stomach lining and provide the necessary protection against stomach acid
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Rinsing the mouth after each use of an inhaler is a recommended practice, especially for inhalers containing corticosteroids, to prevent oral thrush and other side effects. Although ipratropium is not a corticosteroid, rinsing the mouth can still help reduce any potential irritation or unpleasant taste.
Choice B reason:
Storing the medication at room temperature is appropriate for most inhalers, including ipratropium2. This ensures the medication remains effective and safe to use. It is important to keep the inhaler away from extreme temperatures and direct sunlight.
Choice C reason:
Attaching a spacer device to the inhaler can be beneficial, especially for patients who have difficulty coordinating the timing of inhalation with the activation of the inhaler. A spacer helps ensure that more medication reaches the lungs rather than being deposited in the mouth or throat.
Choice D reason:
Priming the inhaler with 7 pumps is excessive. Typically, ipratropium inhalers require priming with only 2 to 4 sprays before the first use or if the inhaler has not been used for a few days. Over-priming can waste medication and may indicate that the client needs additional instruction on proper inhaler use.
Correct Answer is ["0.8"]
Explanation
Calculation Steps
Step 1: Identify the concentration of the medication in the syringe.
The syringe is labeled “Enoxaparin sodium injection, USP 60 mg/0.6 mL.”
Step 2: Calculate the amount of medication per mL.
60 mg ÷ 0.6 mL = 100 mg/mL
Result = 100 mg/mL
Step 3: Determine the prescribed dose.
The prescribed dose is 80 mg.
Step 4: Calculate the volume to administer.
80 mg ÷ 100 mg/mL = 0.8 mL
Result = 0.8 mL
Therefore, the nurse should administer 0.8 mL.
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