A nurse is caring for a client who is taking cimetidine. Which of the following client statements indicates to the nurse that the cimetidine treatment has been effective? (Select all that apply.)
"I don't have as much heartburn after I eat anymore."
"I noticed that I have had less urge to smoke lately."
"I occasionally have stomach pain and dark stools.
"I can sleep while lying flat again.
"I have not been as dizzy as I was before."
Correct Answer : A,D
From the given statements, the nurse can identify the following statements as indicating the effectiveness of cimetidine treatment:
"I don't have as much heartburn after I eat anymore.": Cimetidine is a histamine-2 receptor antagonist commonly used to reduce stomach acid production. Decreased heartburn after eating suggests that the medication has been effective in reducing excessive acid production and relieving heartburn symptoms.
"I can sleep while lying flat again.": Cimetidine can help alleviate symptoms of gastroesophageal reflux disease (GERD) by reducing stomach acid. Improved ability to sleep while lying flat suggests that the medication has successfully reduced acid reflux and related symptoms.
The following statements do not directly indicate the effectiveness of cimetidine treatment: ● "I noticed that I have had less urge to smoke lately."
● "I occasionally have stomach pain and dark stools."
● "I have not been as dizzy as I was before."
These statements may be unrelated to the effects of cimetidine or may require further assessment to determine their significance. It's important for the nurse to address any concerns or symptoms mentioned by the client and evaluate their overall response to the medication
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The manifestation of gastrointestinal perforation includes severe upper abdominal pain. This can be a significant symptom indicating a potential perforation in the gastrointestinal tract. It is important to note that gastrointestinal perforation is a medical emergency that requires immediate attention and intervention.
Hyperactive bowel sounds: This finding is more commonly associated with conditions like bowel obstruction or gastroenteritis rather than gastrointestinal perforation.
Bradycardia: Bradycardia (slower than normal heart rate) is not a typical manifestation of gastrointestinal perforation. It may be associated with other conditions or factors.
Report of epigastric fullness: Epigastric fullness can be a symptom of various gastrointestinal conditions, including peptic ulcer disease itself. However, it is not a specific manifestation of gastrointestinal perforation.
Correct Answer is ["14"]
Explanation
To calculate the infusion rate in drops per minute (gtt/min), we can use the following formula: Infusion rate (gtt/min) = (Volume to be infused (ml) * Drop factor) / Time (min) Given:
Volume to be infused: 1000 ml
Drop factor: 10 gtt/ml
Time: 12 hr
First, we need to convert the time from hours to minutes:
12 hr * 60 min/hr = 720 min
Now, we can calculate the infusion rate:
Infusion rate (gtt/min) = (1000 ml * 10 gtt/ml) / 720 min
Simplifying the equation:
Infusion rate (gtt/min) = 10000 gtt / 720 min
Dividing both sides:
Infusion rate (gtt/min) ≈ 13.89 gtt/min
Rounding the answer to the nearest whole number, the nurse should set the manual IV infusion to deliver approximately 14 gtt/min.
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