A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (DW) 200 mL. The nurse should program the infusion pump to deliver how many mL/hr? (Enter numerical value only.)

The correct answer is A.

When planning to administer the antiulcer gastrointestinal (GI) agent sucralfate to a client with peptic ulcer disease, the nurse should include the following action in the client's plan of care:

A. Give sucralfate on an empty stomach.

Explanation: Sucralfate works by forming a protective coating over the ulcerated area in the stomach and duodenum, providing a physical barrier that helps protect the mucosa from further injury. To maximize its effectiveness, sucralfate should be given on an empty stomach, preferably 1 hour before meals and at bedtime. This allows the medication to adhere to the ulcerated areas without being diluted by food or other medications.

Why the other choices are not appropriate:

B. Monitor for electrolyte imbalance:

Sucralfate is not typically associated with causing electrolyte imbalances. Monitoring for electrolyte imbalances may be relevant for other medications or conditions, but it is not a primary consideration for sucralfate.

C. Administer sucralfate once a day, preferably at bedtime:

The typical dosing regimen for sucralfate involves multiple daily doses, not once a day. The timing of the doses is important, but once-daily dosing is not recommended.

D. Assess for secondary Candida infection:

Sucralfate is not associated with an increased risk of secondary Candida (fungal) infections. Candida infections are more commonly associated with the use of antibiotics or immunosuppressive medications.

A. Weight change in the last month:

While monitoring weight changes is important in clients with depression, it is not the most critical piece of information to obtain before initiating duloxetine. Weight changes are one of many possible side effects of the medication.

B. Recent use of other antidepressants:

Knowing about the client's previous antidepressant use is relevant, but it is not the most critical information to obtain before starting duloxetine. The choice of medication should be based on the client's current clinical condition and needs.

The most important information for the nurse to obtain when planning care for a client with major depression receiving a new prescription for duloxetine is:

C. Liver function laboratory results.

Explanation: Duloxetine is an antidepressant medication that can affect liver function. It is important to assess the client's liver function through laboratory results before starting the medication to ensure that the client's liver can metabolize the drug safely. Monitoring liver function during treatment is also essential to identify any potential adverse effects on the liver.

D. Family history of mental illness:

While family history can provide valuable information about a client's risk factors for mental illness, it is not the most crucial information to obtain before starting duloxetine. Assessing the client's current medical status and the potential impact of the medication on their liver function takes precedence.