A nurse is caring for a client who is prescribed aluminum hydroxide (Amphojel) and cimetidine (Tagamet HB). Which of the following statements from the client requires additional teaching?
"I will take both aluminum hydroxide (Amphojel) and cimetidine (Tagamet HB) at the same time."
"I will take aluminum hydroxide (Amphojel) 1 hour before taking cimetidine (Tagamet HB)."
"I can take aluminum hydroxide (Amphojel) 2 hours before taking cimetidine (Tagamet HB)."
None of the above
The Correct Answer is A
A. "I will take both aluminum hydroxide (Amphojel) and cimetidine (Tagamet HB) at the same time." – This is correct. Taking aluminum hydroxide and cimetidine simultaneously reduces the effectiveness of cimetidine by impairing its absorption. This statement indicates a need for further teaching.
B. "I will take aluminum hydroxide (Amphojel) 1 hour before taking cimetidine (Tagamet HB)." – This is incorrect. Taking aluminum hydroxide 1 hour before cimetidine allows enough time for the antacid's effects on stomach acidity to stabilize, reducing interference.
C. "I can take aluminum hydroxide (Amphojel) 2 hours before taking cimetidine (Tagamet HB)." – This is incorrect. Taking the antacid 2 hours before cimetidine provides sufficient time for proper absorption of the medication.
D. None of the above – This is incorrect because statement A reflects improper administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. 4 teaspoons – This is incorrect because 4 teaspoons would provide 400 mg (100 mg x 4 = 400 mg), but the correct dose per administration is 400 mg. However, this is not the correct calculation, as only 2 teaspoons are needed.
B. 2 teaspoons – This is correct. The prescribed dose is 400 mg, and since the medication concentration is 100 mg per teaspoon, 2 teaspoons (100 mg x 2 = 200 mg) is the correct dose for each administration.
C. 1 teaspoon – This is incorrect because 1 teaspoon would only provide 100 mg, and the prescribed dose is 400 mg. This is not enough to meet the prescribed dose.
D. 3 teaspoons – This is incorrect because 3 teaspoons would provide 300 mg (100 mg x 3 = 300 mg), which is not enough to meet the prescribed 400 mg dose.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Explanation
- Lispro (Humalog): This is a rapid-acting insulin with an onset of action of 15 to 30 minutes, making it effective for controlling blood sugar spikes after meals.
- Glargine: This is a long-acting insulin that provides a steady level of insulin over 24 hours, helping to maintain baseline blood glucose levels.
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