The nurse is teaching a client about sucralfate. Which statement made by the patient requires additional teaching?

A. “Take a lower dose than normal when you have to drive.” Lowering the dose does not reliably prevent sedation, and even mild drowsiness can impair alertness needed for safe driving. Dose reduction still carries unpredictable effects on reaction time and concentration.

B. “Take the medication only when you are not driving.” This may prevent sedation during driving but does not offer a practical solution for someone who drives frequently for work. The patient may need allergy relief during driving hours, so this advice may not meet daily functional needs.

C. “You may be able to safely take a second-generation antihistamine.” Second-generation antihistamines such as loratadine and fexofenadine cause minimal sedation and are preferred for individuals who must remain alert. They provide symptom relief without the high risk of drowsiness seen in first-generation drugs.

D. “You are correct: you should not take antihistamines.” This overgeneralizes and may withhold effective treatment, since not all antihistamines impair alertness. Avoiding all antihistamines is unnecessary when safer second-generation options are available.

1. A. Ensure the patient eats their bedtime snack.: While a bedtime snack can help prevent overnight hypoglycemia, the immediate priority after administering regular insulin at 1600 is to cover the meal corresponding to the insulin dose. The snack alone does not match the timing of insulin action.

   B. Check the patient's serum blood glucose level.: Monitoring blood glucose is important, but the key intervention immediately after giving regular insulin is to ensure the patient consumes food to prevent hypoglycemia. Lab checks alone do not provide immediate protection against low blood sugar.

   C. Assess the patient for hypoglycemia around 1730.: Regular insulin peaks around 2–4 hours after administration, so assessment at 1730 may be early. While monitoring is necessary, the primary action is to provide a meal to match the insulin’s onset and prevent hypoglycemia.

   D. Serve the patient the supper tray.: Administering regular insulin requires concurrent carbohydrate intake to prevent hypoglycemia. Serving the supper tray ensures that the insulin’s action is matched with food, maintaining safe blood glucose levels and preventing immediate