The nurse is preparing to administer medications and notes that a patient has sucralfate ordered QID. When is the best time to administer this medication?

1 hour after meals

1 hour before meals

With meals

With a bedtime snack

Answer and Explanation

The Correct Answer is B

A. 1 hour after meals: Sucralfate works by forming a protective barrier over ulcers. It is best absorbed when the stomach is empty, so taking it after meals reduces its effectiveness.

B. 1 hour before meals: Sucralfate should be administered 1 hour before meals to allow it to form a protective barrier in the stomach lining without interference from food.

C. With meals: Taking sucralfate with meals can interfere with its ability to coat the stomach effectively.

D. With a bedtime snack: Sucralfate should be taken on an empty stomach for optimal effectiveness, not with food.

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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. Constipation B. Diarrhea C. Heartburn D. Rebound indigestion

Correct Answer is B

Explanation

A. Constipation: This is a common side effect of calcium-based or aluminum-based antacids, not magnesium-based.

B. Diarrhea: Magnesium-based antacid preparations, such as magnesium hydroxide, commonly cause diarrhea because magnesium has an osmotic effect in the intestines, drawing water into the bowel and increasing motility.

C. Heartburn: Magnesium-based antacids are used to treat heartburn, not cause it.

D. Rebound indigestion: This is more commonly associated with calcium-based antacids, such as calcium carbonate.

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The nurse is preparing to administer medications and notes that a patient has sucralfate ordered QID. When is the best time to administer this medication?

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

Which is a common adverse effect of magnesium-based antacid preparations?

Correct Answer is B

Explanation

What is necessary to restrict when the ammonia level of a patient diagnosed with cirrhosis continues to rise?

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