A client with peptic ulcer disease is scheduled to receive doses of pantoprazole IV and sucralfate PO before breakfast at 0730. The client reports experiencing heartburn when the nurse brings the scheduled medications. Which action should the nurse take?

Hold the dose of IV pantoprazole until the client has finished eating breakfast.

Provide a PRN dose of antacid along with the scheduled medications.

Instruct the client to take the dose of sucralfate PO while eating breakfast.

Administer both of the medications before breakfast as scheduled.

Answer and Explanation

The Correct Answer is D

A. Pantoprazole should be given before breakfast to inhibit gastric acid secretion; delaying it until after breakfast would reduce its effectiveness.
B. Administering an antacid alongside sucralfate may interfere with the absorption of sucralfate.
C. Sucralfate should be taken on an empty stomach before meals to form a protective barrier on the ulcer site, not while eating.
D. Both pantoprazole and sucralfate are scheduled to be administered before breakfast to maximize their effectiveness in reducing gastric acid and protecting the ulcer site.

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Correct Answer is D

Explanation

A. Assessing the client's strength in moving and turning is important for overall care but not specific to the need for a laxative.
B. Observing skin integrity is crucial for preventing pressure ulcers but does not directly relate to the need for a laxative.
C. Evaluating the ability to recognize the urge to defecate is important for understanding bowel habits but less relevant when preparing to administer a laxative.
D. Determining the frequency and consistency of bowel movements is essential to assess the need for a laxative and to monitor its effectiveness.

A. Breastfeeding is not recommended while taking this medication. B. Do not take multiple vitamins that contain vitamin A while taking this drug. C. Baseline liver function results must be obtained during therapy. D. Discontinue this medication one month before attempting to conceive.

Correct Answer is D

Explanation

A. While breastfeeding is not recommended during isotretinoin therapy, the most pressing concern for pregnancy is to discontinue the medication before conception.
B. Isotretinoin can be harmful if excessive vitamin A is taken, but the critical issue is to stop the medication before pregnancy.
C. Monitoring liver function is important during isotretinoin therapy but does not directly address the pregnancy-related risk.
D. Isotretinoin is highly teratogenic, so it is crucial to discontinue the medication at least one month before attempting to conceive to avoid potential birth defects.

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A client with peptic ulcer disease is scheduled to receive doses of pantoprazole IV and sucralfate PO before breakfast at 0730. The client reports experiencing heartburn when the nurse brings the scheduled medications. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Before administering a laxative to a bedfast client, it is most important for the nurse to perform which assessment?

Correct Answer is D

Explanation

A young adult female client who is planning to become pregnant asks the nurse if she can continue taking isotretinoin for cystic acne. Which information is most important for the nurse to provide this client?

Correct Answer is D

Explanation

Which instruction should the nurse include when teaching a client about self-administration of a bulk-forming laxative?

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