A client with a duodenal ulcer is receiving sucralfate for short-term treatment.
What should the nurse advise the client to avoid?

Milk of Magnesia.

Calcium carbonate.

Aluminum salts.

Proton pump inhibitors.

Answer and Explanation

The Correct Answer is C

The nurse should advise the client to avoid aluminum salts because they can increase the risk of aluminum toxicity when taken with sucralfate. Sucralfate forms a protective coating over the ulcer and binds to aluminum in the stomach.

Choice A is wrong because Milk of Magnesia is a magnesium-based antacid that can cause diarrhea, but does not interact with sucralfate.

Choice B is wrong because Calcium carbonate is a calcium-based antacid that can cause constipation, but does not interact with sucralfate.

Choice D is wrong because Proton pump inhibitors are drugs that reduce the production of stomach acid and can help heal ulcers.

They do not interact with sucralfate.

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Correct Answer is B

Explanation

Levothyroxine is a synthetic thyroid hormone that is used to treat hypothyroidism. It should be taken on an empty stomach, preferably in the morning, with a full glass of water to facilitate absorption and prevent choking. Taking the medication with food or other substances may interfere with its effectiveness.

Choice A is wrong because levothyroxine does not need to be taken after breakfast.

In fact, taking it after breakfast may reduce its absorption and efficacy.

Choice C is wrong because levothyroxine does not require the patient to remain in the upright position for 30 minutes after administering.

This instruction is more applicable to bisphosphonates, which are drugs used to treat osteoporosis.

Choice D is wrong because levothyroxine should not be taken at night.

Taking it at night may cause insomnia, as well as reduced absorption and efficacy.

A. Rheumatoid arthritis. B. Viral gastroenteritis. C. Allergy to aspirin. D. Hypertension.

Correct Answer is C

Explanation

The nurse should question an order for bismuth salts for a client with an allergy to aspirin because bismuth salts contain salicylates, which are chemically related to aspirin and can cause allergic reactions.

Choice A is wrong because rheumatoid arthritis is not a contraindication for bismuth salts.

Bismuth salts may have anti-inflammatory effects that could benefit clients with rheumatoid arthritis.

Choice B is wrong because viral gastroenteritis is not a contraindication for bismuth salts.

Bismuth salts may help reduce diarrhea and inflammation caused by viral gastroenteritis.

Choice D is wrong because hypertension is not a contraindication for bismuth salts.

Bismuth salts do not affect blood pressure or interact with antihypertensive medications.

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A client with a duodenal ulcer is receiving sucralfate for short-term treatment. What should the nurse advise the client to avoid?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing client teaching regarding the administration of levothyroxine. What is the nurse’s priority teaching point?

Correct Answer is B

Explanation

The nurse should question an order for bismuth salts for a client with what condition?

Correct Answer is C

Explanation

The nurse is teaching the client with a new prescription for ibandronate how to take the medication. Which instruction provided by the nurse is correct?

With what client should the nurse question the administration of human insulin?

A client who has chronic bronchial asthma has had a mast cell stabilizer prescribed. What drug would the provider prescribe?

A client has a history of atrial fibrillation and is taking an oral anticoagulant. The client has been newly diagnosed with hypothyroidism and placed on levothyroxine. What assessment should the nurse prioritize?

After administering propylthiouracil (PTU), what effect would the nurse anticipate the drug will have in the client’s body?

What type of insulin would the nurse administer if the fastest therapeutic effects are needed?

The nurse is providing discharge teaching for a client prescribed prednisone to be taken on alternate days. The client asks why he cannot just take half a pill every day. What rationale should the nurse describe?

The nurse is reviewing medication prescriptions. Which is an appropriate dosage and frequency of cimetidine?

A client with a duodenal ulcer is receiving sucralfate for short-term treatment.
What should the nurse advise the client to avoid?