A nurse is providing teaching to a client who has peptic ulcer disease and a new prescription for sucralfate tablets. Which of the following information should the nurse provide?
"Store sucralfate in the refrigerator."
"Take sucralfate 1 hr before meals."
"Take the tablets whole."
"An antacid may be taken with the medication if indigestion occurs."
The Correct Answer is B
B. Taking sucralfate before meals allows it to form a protective coating on the ulcer, which can help to reduce irritation and promote healing.
A. Storing sucralfate in the refrigerator is unnecessary. Sucralfate tablets should be stored at room temperature away from moisture and heat.
C. It can be dissolved or broken
D. Antacids can interfere with the effectiveness of sucralfate by altering its pH-dependent mechanism of action. Therefore, they should be taken at least 30 minutes before or after sucralfate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Furosemide is a loop diuretic that blocks water reabsorption in the loop of Henle promoting diuresis. It also causes potassium loss in urine leading to hypokalemia. Checking potassium levels before administration of furosemide prevents worsening already existing hypokalemia.
Hypokalemia causes complications like cardiac dysrhythmias, muscle weakness, and fatigue. The nurse should monitor the client for signs and symptoms of hypokalemia and notify the provider appropriately
A. furosemide does not affect the blood glucose levels
B. furosemide is used to lower blood pressure by reducing venous return.
C. furosemide reduces fluid load by blocking water reabsorption in the kidney
Correct Answer is A
Explanation
potassium level of 5.2 mEq/L is above the normal range (3.5-5.0 mEq/L), indicating hyperkalemia. Giving potassium chloride (KCL) to a client with hyperkalemia can exacerbate the condition and lead to life- threatening cardiac arrhythmias. It is crucial to notify the physician promptly so that appropriate action can be taken, such as adjusting the dosage of potassium supplementation or discontinuing it altogether.
B. Omitting the KCL dose without consulting the physician is not appropriate as further instructions are needed.
C. Calling the lab to verify the client's results is unnecessary since the nurse already has the laboratory results. The focus should be on informing ensuring client safety.
D. Giving the ordered KCL as prescribed is not appropriate as administering potassium in the presence of hyperkalemia can be dangerous and should be avoided until further guidance is obtained from the physician.
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