The nurse is planning to administer an antacid to a patient diagnosed with PUD who will receive an H2 antagonist at 8:00 AM. When is the most appropriate time for the nurse to provide the antacid to this patient?

2 hours after the H2 antagonist

Within an hour after the H2 antagonist

With the H2 antagonist

30 minutes prior to the H2 antagonist

Answer and Explanation

The Correct Answer is A

A. 2 hours after the H2 antagonist: Antacids should be administered at least 1 to 2 hours after H2 antagonists to avoid reducing the effectiveness of the H2 antagonist. H2 antagonists work by reducing stomach acid, and antacids neutralize it, so taking them too close together may reduce the effectiveness of both.

B. Within an hour after the H2 antagonist: This is incorrect because taking an antacid too soon after an H2 antagonist can interfere with the drug's action.

C. With the H2 antagonist: This is incorrect because administering antacids with an H2 antagonist could reduce the effectiveness of both medications.

D. 30 minutes prior to the H2 antagonist: This is incorrect because antacids should not be given before the H2 antagonist, as it may decrease the medication's effectiveness.

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Correct Answer is A

Explanation

A. Perforation: A temperature of 102.4° F and abdominal rigidity are suggestive of peritonitis, which is a potential complication of diverticulosis. Perforation of a diverticulum can lead to leakage of intestinal contents into the abdominal cavity, causing infection and inflammation.

B. Obstruction: Although obstruction can occur in diverticulosis, it typically causes symptoms such as bloating, abdominal distention, and pain, not fever and rigidity.

C. Infection: While infection can occur with diverticulosis, fever and rigidity in this scenario are more likely due to perforation leading to peritonitis, which is a more severe condition.

D. Constipation: While constipation can exacerbate diverticulosis, it would not typically cause fever or abdominal rigidity.

A. Decrease the client's fluid intake. B. Increase the client's sodium intake. C. Decrease the client's carbohydrate intake. D. Increase the client's saturated fat intake.

Correct Answer is A

Explanation

A. Decrease the client's fluid intake: In cirrhosis with ascites, the liver's ability to regulate fluid balance is impaired. Decreasing fluid intake helps prevent further accumulation of fluid in the abdomen (ascites).

B. Increase the client's sodium intake: Sodium intake should be restricted in patients with cirrhosis and ascites to reduce fluid retention and prevent worsening edema and ascites.

C. Decrease the client's carbohydrate intake: Carbohydrate intake is generally not restricted in cirrhosis unless there are concerns about hyperglycemia. It's important to maintain an adequate diet for the patient.

D. Increase the client's saturated fat intake: Increasing saturated fats is not appropriate in cirrhosis, as it can worsen liver damage and contribute to further complications. A balanced, low-fat diet is recommended instead.

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The nurse is planning to administer an antacid to a patient diagnosed with PUD who will receive an H2 antagonist at 8:00 AM. When is the most appropriate time for the nurse to provide the antacid to this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient diagnosed with diverticulosis and assesses a temperature of 102.4° F and abdominal rigidity. What should the nurse be aware is the most likely cause of these signs and symptoms?

Correct Answer is A

Explanation

A nurse is contributing to the plan of care for a client who has cirrhosis and ascites. Which of the following interventions should the nurse recommend for inclusion in the plan of care?

Correct Answer is A

Explanation

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