The nurse is caring for a client receiving a prescription for sucralfate to treat a peptic ulcer. Which instruction should the nurse provide during discharge education?

Continue with normal dose schedule after missing a dose.

Administer an additional dose if a dose is missed.

Take on an empty stomach at least 1 hour before meals.

Schedule doses with each meal and at bedtime.

Answer and Explanation

The Correct Answer is C

A. Continue with normal dose schedule after missing a dose:
If a dose of sucralfate is missed, continuing with the normal dosing schedule without additional instructions is not appropriate. Sucralfate is best taken on an empty stomach to ensure optimal effectiveness, so missing a dose may require specific instructions to address this.
B. Administer an additional dose if a dose is missed:
Taking an additional dose of sucralfate if one is missed is not recommended. This could lead to an overdose or increased side effects. The proper approach is to follow specific instructions for missed doses provided by the healthcare provider or the medication guidelines.
C. Take on an empty stomach at least 1 hour before meals:
Sucralfate should be taken on an empty stomach, typically at least 1 hour before meals. This allows the medication to adhere to the ulcer site effectively and protect it from stomach acid. This timing maximizes its therapeutic benefit in treating peptic ulcers.
D. Schedule doses with each meal and at bedtime:
While sucralfate is often taken multiple times a day, scheduling doses specifically with meals and at bedtime may not be ideal. The medication should be taken on an empty stomach, and scheduling around meals could interfere with its efficacy. Following the specific instruction of taking it at least 1 hour before meals ensures better adherence to its treatment protocol.

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Correct Answer is A

Explanation

A. Body mass index (BMI):
Monitoring BMI is crucial for assessing the effectiveness of orlistat, as it is a medication specifically used to assist with weight management. Changes in BMI will provide a clear indication of how well the medication is working in helping the client lose or maintain weight.
B. Daily calorie count:
While tracking daily calorie intake can provide insight into the client’s adherence to dietary recommendations, it is not a direct measure of the effectiveness of orlistat. The medication's impact is better evaluated through changes in body weight and BMI rather than daily calorie consumption alone.
C. Depression screening:
Although managing weight can impact mental health, depression screening is not directly related to assessing the effectiveness of orlistat. The primary focus should be on evaluating weight changes and BMI, not mental health assessments.
D. Serum protein levels:
Orlistat can affect the absorption of fat-soluble vitamins, but monitoring serum protein levels is not a direct measure of the medication’s effectiveness. Instead, changes in body weight and BMI are more relevant for evaluating the impact of orlistat on weight management

A. Sodium level of 135 mEq/L (135 mmol/L). B. Creatinine level of 0.8 mg/dl. (70.77 μmol/L) C. Potassium level of 3.2 mEq/L (3.2 mmol/L) D. Digoxin level of 1.1 ng/mL (1.4 nmol/L)

Correct Answer is C

Explanation

A. Sodium level of 135 mEq/L (135 mmol/L): A sodium level of 135 mEq/L is slightly below the normal reference range of 136 to 145 mEq/L. While this is a mild hyponatremia, it is not immediately life-threatening and does not usually require urgent intervention unless there are other symptoms or complications.
B. Creatinine level of 0.8 mg/dL (70.77 μmol/L): A creatinine level of 0.8 mg/dL is within the normal reference range of 0.5 to 1.1 mg/dL. This value indicates normal kidney function and does not require immediate reporting.
C. Potassium level of 3.2 mEq/L (3.2 mmol/L): A potassium level of 3.2 mEq/L is below the normal reference range of 3.5 to 5.0 mEq/L, indicating hypokalemia. Hypokalemia is of significant concern when a client is taking digoxin, as low potassium levels can increase the risk of digoxin toxicity and potentially lead to serious cardiac arrhythmias.
D. Digoxin level of 1.1 ng/mL (1.4 nmol/L): A digoxin level of 1.1 ng/mL is within the therapeutic range of 0.6 to 2.0 ng/mL. This level does not indicate toxicity and does not need to be reported immediately.

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The nurse is caring for a client receiving a prescription for sucralfate to treat a peptic ulcer. Which instruction should the nurse provide during discharge education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is receiving orlistat as part of a weight management program. Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medication?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

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