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 B

Explanation

A. Dairy products are encouraged: Dairy products can exacerbate symptoms of IBD, particularly diarrhea, and are typically restricted in many patients with IBD.

B. Low roughage should be followed: A low-roughage (low-fiber) diet helps manage diarrhea and reduce irritation in the intestines for patients with IBD.

C. Protein foods are restricted: Protein is not typically restricted in IBD. In fact, patients may need higher protein intake to support healing and maintain nutrition.

D. No added salt is required: There is no specific indication that salt needs to be restricted unless the patient has other conditions (e.g., hypertension or edema). Generally, a balanced diet is encouraged unless otherwise specified by the provider.

A. Heartburn B. Nausea C. Anorexia D. Vomiting

Correct Answer is A

Explanation

A. Heartburn: This is the hallmark symptom of GERD, caused by the reflux of gastric contents into the esophagus.

B. Nausea: While nausea may occur, it is not the primary symptom of GERD.

C. Anorexia: Loss of appetite is not a characteristic symptom of GERD.

D. Vomiting: Although vomiting can occur, it is not a primary symptom of GERD.

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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

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