A nurse is caring for a client receiving sucralfate (Carafate) for the treatment of a duodenal ulcer. Which of the following instructions should the nurse provide to the client?
"Take the medication on an empty stomach."
"Chew the medication thoroughly before swallowing."
"Avoid taking antacids within 30 minutes of this medication."
"Take the medication at bedtime."
The Correct Answer is C
C) Correct. Sucralfate (Carafate) forms a protective barrier over the ulcer, allowing it to heal. However, it can interact with antacids, reducing its effectiveness. Therefore, the client should avoid taking antacids within 30 minutes before or after sucralfate administration.
A) Incorrect. Sucralfate should be taken on an empty stomach, but this does not necessarily mean it needs to be taken in the morning before breakfast.
B) Incorrect. Sucralfate should be swallowed whole without chewing. Chewing the medication is not necessary and may interfere with its effectiveness.
D) Incorrect. Sucralfate can be taken multiple times a day, depending on the healthcare provider's instructions. It does not necessarily need to be taken at bedtime.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. Bulk-forming laxatives, such as psyllium, should be taken with a full glass of water. This helps prevent the medication from swelling and causing an obstruction in the esophagus or gastrointestinal tract. It also aids in the formation of a soft, bulky stool.
B) Incorrect. Bulk-forming laxatives do not provide immediate relief. They work by increasing the bulk and water content of the stool, which takes time to produce a laxative effect.
C) Incorrect. Bulk-forming laxatives should not be crushed. They are typically available as granules or powder that can be mixed with liquid.
D) Incorrect. Bulk-forming laxatives can be taken at any time of the day, depending on the client's preference or specific instructions from the healthcare provider.
Correct Answer is C
Explanation
C) Correct. Gastrointestinal bleeding is a potential adverse effect of NSAID use. NSAIDs can cause irritation and damage to the lining of the stomach and intestines, leading to bleeding and ulcers.
A) Incorrect. Constipation is not a common adverse effect of NSAIDs. Instead, NSAIDs can cause gastrointestinal disturbances such as diarrhea or abdominal pain.
B) Incorrect. Hypotension is not a typical adverse effect of NSAIDs. However, some individuals may experience fluid retention and edema, which can lead to elevated blood pressure.
D) Incorrect. Bronchospasm is not directly associated with NSAIDs. However, individuals with a history of aspirin sensitivity or asthma may experience bronchospasm as a hypersensitivity reaction to NSAIDs.
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