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The nurse is preparing to administer the anti-ulcer gastrointestinal agent sucralfate to a patient with peptic ulcer disease.
What should be included in this patient’s care plan?

Administer sucralfate once daily, preferably at bedtime.

Give sucralfate on an empty stomach.

Monitor for a secondary Candida infection.

Monitor for electrolyte imbalances.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Sucralfate is not typically administered once daily, preferably at bedtime. It is usually given multiple times a day.

Choice B rationale

Sucralfate should be given on an empty stomach, at least one hour before meals and at bedtime. This is because the absorption of sucralfate can be affected by the presence of food in the stomach.

Choice C rationale

While it’s important to monitor for infections when administering any medication, there’s no specific association between sucralfate and secondary Candida infections.

Choice D rationale

Sucralfate does not typically cause electrolyte imbalances. Its main function is to form a protective barrier over the ulcer, preventing further damage from acid and pepsin.

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Correct Answer is B

Explanation

Choice A rationale

Administering glucagon prior to meals to prevent hyperglycemia is not a recommended use of a glucagon emergency kit. Glucagon is a hormone that raises blood glucose levels by causing the liver to release stored glucose into the bloodstream. It is typically used to treat severe hypoglycemia (low blood sugar), not to prevent hyperglycemia (high blood sugar).

Choice B rationale

The nurse should instruct the client and family to administer glucagon when symptoms of severe hypoglycemia are present. Severe hypoglycemia is a potentially life-threatening condition that can cause symptoms such as confusion, blurred vision, seizures, and loss of consciousness. In such cases, glucagon can be administered to quickly raise the blood glucose level.

Choice C rationale

Administering glucagon when the client is unable to eat during sick days is not a recommended use of a glucagon emergency kit. While it’s true that illness can affect blood glucose levels,

glucagon is specifically used to treat severe hypoglycemia. Other strategies, such as adjusting insulin doses or consuming liquid or soft carbohydrates, are typically recommended when a person with diabetes is sick and unable to eat their usual meals.

Choice D rationale

Administering glucagon at the onset of symptoms of diabetic ketoacidosis is not a recommended use of a glucagon emergency kit. Diabetic ketoacidosis is a serious complication of diabetes that occurs when the body starts breaking down fat at a rate that is much too fast. The liver processes the fat into a fuel called ketones, which causes the blood to become acidic. Glucagon would not be effective in treating this condition.

A. Monitor the client’s blood pressure. B. Assess the client’s urine output. C. Perform a bladder scan. D. Obtain the client’s daily weights.

Correct Answer is A

Explanation

Choice A rationale

Tamsulosin is an alpha-blocker that relaxes the smooth muscles of the prostate and bladder neck, improving urine flow. However, it can also cause hypotension, dizziness, and fainting as adverse effects. Therefore, monitoring blood pressure is essential for clients taking tamsulosin.

Choice B rationale

While assessing the client’s urine output is an important part of monitoring a client with benign prostatic hyperplasia, it is not specifically related to monitoring for adverse reactions to tamsulosin.

Choice C rationale

Performing a bladder scan can be useful in assessing the client’s urinary retention, a common symptom of benign prostatic hyperplasia. However, it is not specifically related to monitoring for adverse reactions to tamsulosin.

Choice D rationale

Obtaining the client’s daily weights can be useful in monitoring fluid balance, but it is not specifically related to monitoring for adverse reactions to tamsulosin.

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The nurse is preparing to administer the anti-ulcer gastrointestinal agent sucralfate to a patient with peptic ulcer disease.What should be included in this patient’s care plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with type I diabetes mellitus has been prescribed a glucagon emergency kit for home use. When should the nurse instruct the client and family to administer glucagon?

Correct Answer is B

Explanation

A client with benign prostatic hyperplasia has been prescribed tamsulosin. What should the nurse do to monitor for an adverse reaction?

Correct Answer is A

Explanation

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The nurse is preparing to administer the anti-ulcer gastrointestinal agent sucralfate to a patient with peptic ulcer disease.
What should be included in this patient’s care plan?