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. 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.

A. Bisacodyl B. Mineral oil C. Methylnaltrexone D. Docusate

Correct Answer is C

Explanation

A. Bisacodyl: A stimulant laxative that promotes bowel movements but may not be effective in refractory opioid-induced constipation.

B. Mineral oil: A lubricant that softens stools but does not address the opioid-specific cause of constipation.

C. Methylnaltrexone: A peripherally acting opioid antagonist that specifically targets opioid-induced constipation without affecting pain relief, making it the best option for refractory cases.

D. Docusate: A stool softener that is typically ineffective alone for severe opioid-induced constipation.

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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 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

The nurse is caring for a patient receiving palliative care with opioid-induced constipation. Laxative therapy has been unsuccessful in treating this patient. Which PRN medication should the nurse provide to best alleviate this type of constipation?

Correct Answer is C

Explanation

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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?

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