A client with a history of peptic ulcer disease is prescribed sucralfate as part of the preventive treatment plan. Which of the following instructions should the nurse provide to the client about taking sucralfate?

"Take sucralfate with meals to maximize its protective effects."

"Crush the sucralfate tablets before swallowing for better absorption."

"Avoid taking any antacids while on sucralfate to prevent interactions."

"Sucralfate can cause drowsiness, so take it before bedtime."

Answer and Explanation

The Correct Answer is C

Choice A reason:

Taking sucralfate with meals is not recommended, as it can reduce its effectiveness. Sucralfate should be taken on an empty stomach, at least 1 hour before meals, to allow it to form a protective barrier over the ulcerated areas.

Choice B reason:

Crushing sucralfate tablets is not advised, as it can interfere with the medication's ability to adhere to the ulcer site and provide protection.

Choice C reason:

This statement is correct. Taking antacids with sucralfate can reduce its effectiveness, as antacids can interfere with its therapeutic actions. Clients should avoid taking antacids together with sucralfate.

Choice D reason:

Sucralfate does not typically cause drowsiness, so taking it before bedtime is not necessary for this medication. It should be taken at regular intervals during the day as prescribed.

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Correct Answer is B

Explanation

Choice A reason:

Visualizing blood flow in the liver is not the purpose of a HIDA scan. This type of scan is primarily used to assess the biliary system.

Choice B reason:

This statement is correct. A HIDA scan is used to assess the function and patency of the bile ducts. It involves injecting a radioactive tracer that is taken up by the liver and excreted into the bile. The scan can visualize the flow of bile and detect any obstruction or abnormality in the biliary system.

Choice C reason:

Evaluating the motility of the small intestine is not the purpose of a HIDA scan. It is used specifically for assessing the biliary system.

Choice D reason:

Providing detailed images of the pancreas is not the primary purpose of a HIDA scan, although it can sometimes provide some information about the pancreas if the tracer reaches the duodenum and enters the common bile duct.

A. Serum potassium levels B. Blood glucose levels C. Serum creatinine levels D. Complete blood count (CBC)

Correct Answer is A

Explanation

Choice A reason:

This statement is correct. H2 receptor blockers can sometimes cause an increase in serum potassium levels. The nurse should monitor the client's potassium levels closely to detect any abnormalities.

Choice B reason:

H2 receptor blockers do not typically affect blood glucose levels, so monitoring blood glucose is not the priority in this scenario.

Choice C reason:

H2 receptor blockers are not known to have a significant impact on serum creatinine levels, so monitoring creatinine is not the priority in this case.

Choice D reason:

H2 receptor blockers are not known to affect the CBC, so monitoring the complete blood count is not the priority for this client.

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A client with a history of peptic ulcer disease is prescribed sucralfate as part of the preventive treatment plan. Which of the following instructions should the nurse provide to the client about taking sucralfate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with suspected cholecystitis is scheduled for a hepatobiliary iminodiacetic acid (HIDA) scan. The client asks the nurse about the purpose of this test. Which of the following responses should the nurse provide?

Correct Answer is B

Explanation

A nurse is caring for a client with a peptic ulcer who is prescribed histamine-2 (H2) receptor blockers. Which of the following laboratory values should the nurse monitor closely while the client is taking H2 receptor blockers?

Correct Answer is A

Explanation

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A client with a history of peptic ulcer disease is prescribed sucralfate as part of the preventive treatment plan. Which of the following instructions should the nurse provide to the client about taking sucralfate?

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