The nurse is planning to administer sucralfate to a client with peptic ulcer disease. Which action should the nurse indude in this patient's plan of care?

Administer sucralfate once a day, preferably at bedtime.

Monitor for electrolyte imbalance.

Assess for secondary Candida infection.

Give sucralfate on an empty stomach.

Answer and Explanation

The Correct Answer is D

A. Administer sucralfate once a day, preferably at bedtime: Sucralfate is typically administered multiple times a day, not just once. It is commonly given in divided doses, often four times a day, to ensure adequate coverage and effectiveness. Administering it at bedtime alone would not provide consistent therapeutic effects.
B. Monitor for electrolyte imbalance: Sucralfate is not known to cause significant electrolyte imbalances. It works locally in the gastrointestinal tract and does not usually affect electrolyte levels, so monitoring for electrolyte imbalances is not a primary concern with this medication.
C. Assess for secondary Candida infection: While sucralfate may affect the gastrointestinal flora, secondary Candida infections are not a common side effect. Sucralfate is not an antibiotic and does not typically lead to fungal infections.
D. Give sucralfate on an empty stomach: Sucralfate should be administered on an empty stomach, ideally 1 hour before meals or 2 hours after meals. This allows the medication to properly adhere to the ulcer site and form a protective barrier, enhancing its effectiveness in treating peptic ulcers.

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Correct Answer is A

Explanation

A. "I need to notify my healthcare provider if I lose my appetite or get nauseated." This statement shows understanding because loss of appetite and nausea can be symptoms of digoxin toxicity or side effects, and it is important to report these symptoms to a healthcare provider. Monitoring for such side effects is crucial when taking digoxin.
B. "I should take my furosemide only if I have shortness of breath or swelling in my feet." This statement is incorrect because furosemide, a diuretic, should be taken according to the prescribed schedule, not based on symptoms. It is used to manage fluid retention and symptoms of heart failure, and its use should not be dependent solely on the presence of symptoms.
C. "I need to check my blood pressure three times a day." While monitoring blood pressure is important, it is not specifically required for patients on digoxin and furosemide unless instructed by a healthcare provider. The focus should be more on monitoring for symptoms of drug side effects and electrolyte imbalances.
D. "If I lose more than one pound in a week, I should hold my next dose of furosemide." Weight loss can be a normal effect of furosemide due to fluid loss, and the decision to hold a dose should be based on specific medical advice and not solely on weight change.

A. Protect the skin from sunlight while taking the drug. B. Take with orange juice to enhance gastrointestinal (GI) absorption. C. Return to the clinic weekly to obtain serum drug levels. D. Take with milk or antacids to prevent gastrointestinal (GI) irritation.

Correct Answer is A

Explanation

A) Protect the skin from sunlight while taking the drug: Tetracycline is known to increase sensitivity to sunlight, leading to a higher risk of sunburn and skin reactions. Advising clients to protect their skin from sun exposure and to use sunscreen is essential to prevent these adverse effects. This precaution helps mitigate the risk of photosensitivity reactions that are commonly associated with tetracycline use.
B) Take with orange juice to enhance gastrointestinal (GI) absorption: Tetracycline should not be taken with dairy products or antacids, as they can bind with the medication and reduce its absorption. While orange juice can enhance absorption, this is not a standard recommendation for tetracycline. Instead, it is generally advised to take tetracycline with water and avoid substances that could interfere with its absorption.
C) Return to the clinic weekly to obtain serum drug levels: Tetracycline typically does not require regular monitoring of serum drug levels, as it does not have a narrow therapeutic index like some other drugs. Instead, patients are generally advised on how to manage side effects and adherence to the medication regimen, rather than frequent clinic visits for drug level monitoring.
D) Take with milk or antacids to prevent gastrointestinal (GI) irritation: Milk and antacids should be avoided when taking tetracycline because they can bind to the medication and significantly reduce its effectiveness. This instruction could lead to decreased therapeutic efficacy and should be avoided. Tetracycline should be taken on an empty stomach to ensure optimal absorption, avoiding interactions with these substances.

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The nurse is planning to administer sucralfate to a client with peptic ulcer disease. Which action should the nurse indude in this patient's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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