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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. Bowel sounds are not directly related to the effectiveness of medications for HF, CAD, or HTN.
B. Daily weight is important for monitoring fluid retention and effectiveness of furosemide in managing heart failure.
C. Heart sounds should be assessed to evaluate the effectiveness of atenolol and enalapril in controlling heart failure symptoms.
D. Blood pressure is crucial to assess the effectiveness of atenolol and enalapril in managing hypertension.
E. Range of motion is not related to the effectiveness of these cardiovascular medications.
Correct Answer is B
Explanation
A. Denying coughing spells could indicate effectiveness, but the key indicator is improved sleep, which directly reflects reduced nighttime coughing.
B. Being able to sleep through the night indicates the medication has effectively suppressed the cough, improving rest and reducing discomfort.
C. Expectorating bronchial secretions is associated with expectorants, not antitussives like benzonatate, which are meant to suppress coughing.
D. Reduced nasal discharge is more indicative of an antihistamine's effect rather than an antitussive like benzonatate.
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