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 A
Explanation
A. anticholinergics act on the parasympathetic nervous system to produce pupillary dilatation for proper visualization
B. Tear production is a cholinergic effect
C. Intraocular fluid production is an adrenergic effect
D. Pupillary constriction is a cholinergic effect
Correct Answer is A
Explanation
An agonist means it binds to mimic the action of the endogenous neurotransmitter. Adrenergic receptors act to stimulate the sympathetic nervous system leading to the fight/flight response. Increase in heart rate leads to increased cardiac output.
B. reduced anxiety are features of adrenergic blockade
C and D Volume depletion, decreased urine output are features of cardiogenic shock itself
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