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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Poor appetite and therefore poor protein intake: While poor appetite can occur in hepatitis, it is not directly related to pruritus.
B. Altered urinary output of bile: Hepatitis affects liver function, but pruritus is not caused by changes in urinary output of bile.
C. Decreased fat intake: Decreased fat intake does not directly lead to pruritus in hepatitis.
D. Accumulation of bile salts under the skin: In hepatitis, liver dysfunction impairs the excretion of bile salts, leading to their accumulation in the skin, which causes pruritus (itching).
Correct Answer is B
Explanation
A. Fats: Restricting fats is not typically indicated in cirrhosis, unless the patient has specific issues like gallbladder disease or pancreatitis.
B. Protein: When ammonia levels rise in cirrhosis (leading to hepatic encephalopathy), restricting protein intake can help reduce the production of ammonia, as proteins are broken down into ammonia in the body.
C. Carbohydrates: Carbohydrates are generally not restricted in cirrhosis. They are important for energy, especially in patients with liver disease.
D. Water-soluble vitamins: There is no need to restrict water-soluble vitamins in cirrhosis unless there is a specific deficiency or malabsorption.
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