A nurse is planning to teach a client who has peptic ulcer disease about medications.
Drag words from the choices below to fill in each blank in the following sentence.
The nurse should plan to instruct the client to
The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}
Rationales for Correct Choices
- Not take the antacid within 30 min of the sucralfate: Antacids can interfere with the absorption and adherence of sucralfate to the gastric mucosa. Spacing administration by at least 30 minutes ensures optimal therapeutic action of both medications.
- Shake the suspension thoroughly before administration: Sucralfate is a suspension, meaning its medication particles are dispersed in a liquid. To ensure the client receives the correct, full dose and therapeutic effect, the medication must be shaken well immediately before measuring and administering.
Rationale for Incorrect Choices:
- Discontinue the sucralfate as soon as ulcer manifestations subside: Stopping sucralfate too early can prevent complete healing of the ulcer. Full courses should be completed as prescribed.
- Take the sucralfate with meals: Sucralfate should be taken on an empty stomach (at least 1 hour before meals and at bedtime) to allow it to form the protective barrier on the ulcer before food and acid production increase.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["60"]
Explanation
Calculation:
- Determine the concentration of the available solution in mg/mL.
Total drug amount: 2g
Total volume: 500mL
- Convert grams (g) to milligrams (mg): 2g × 1000mg/g
= 2000mg
Available concentration (mg/mL) = 2000mg/500mL
= 4mg/mL.
- Calculate the infusion rate in milliliters per minute (mL/min).
Desired rate: 4mg/min
Available concentration: 4mg/mL
Rate (mL/min) = Desired rate (mg/min) / Available concentration (mg/mL)
= 4mg/min/4mg/mL
= 1mL/min.
- Convert the rate from milliliters per minute (mL/min) to milliliters per hour (mL/hr).
Rate (mL/hr) = Rate (mL/min) ×60min/hr
= 1mL/min×60min/hr
= 60mL/hr.
Correct Answer is C
Explanation
A. Temperature: Nifedipine does not directly affect body temperature, so assessing temperature is not critical prior to administration.
B. Respiratory rate: While monitoring respiratory status is important in general, nifedipine primarily affects the cardiovascular system, so respiratory rate is not the primary assessment focus.
C. Blood pressure: Nifedipine is a calcium channel blocker that lowers blood pressure by relaxing vascular smooth muscle. Assessing blood pressure before administration ensures the client is not hypotensive and helps prevent adverse cardiovascular effects.
D. Oxygen saturation: Oxygen saturation is not directly impacted by nifedipine, so it is not essential to assess this parameter prior to giving the medication.
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