A client who has been taking cimetidine for hyperacidity calls the clinic to say that the medication has not been effective. The nurse reviews his history and notes that which factor may be influencing the effectiveness of this drug?
He takes the cimetidine with meals.
He takes an antacid 3 hours after the cimetidine dose.
He drinks a glass of water with each dose.
He smokes two packs of cigarettes a day.
The Correct Answer is D
D. smoking increases acid production counteracting the effects of cimetidine
A. Cimetidine should be taken with meals
B. Other medications including antacids can be taken 2hrs after cimetidine
C. Water has no effect on effectiveness of cimetidine
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. Heparin is an indirect thrombin inhibitor that prevents clot formation. It does not dissolve existing clots.
A. The onset of action of heparin is immediate
B. The oral anticoagulants also don’t dissolve the clot
D. The nurse should also understand the pharmacology of the drugs she or he is administering.
Correct Answer is C
Explanation
Aptt is sensitive to heparin and hence use to monitor the therapeutic effects. This helps to ensure that the drug exert if therapeutic effects with increasing the risk of bleeding due to overdose.
A. Bleeding times is a test used to screen for bleeding disorders
B and D are not used for monitoring
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