A nurse is reinforcing teaching with a client who has a duodenal ulcer and a new prescription for cimetidine. Which of the following instructions should the nurse include?

"Drinking grapefruit juice while taking cimetidine can lead to toxicity."

"Avoid taking the medication at bedtime."

“Take an antacid 30 min prior to taking cimetidine to minimize stomach upset."

“You will need to continue taking this medication for up to 6 weeks."

Answer and Explanation

Correct Answer : B,D

When reinforcing teaching with a client who has a duodenal ulcer and a new prescription for cimetidine, the nurse should include the following instructions:

"Avoid taking the medication at bedtime.": Cimetidine is most effective when taken during waking hours to help control gastric acid secretion. Taking it at bedtime may not provide optimal therapeutic benefits.

"You will need to continue taking this medication for up to 6 weeks.": Cimetidine is often prescribed for the treatment of duodenal ulcers and may require several weeks of continuous use to promote healing. It is important for the client to understand the duration of treatment and the need for adherence to the prescribed regimen.

The following statements are incorrect or not applicable:

"Drinking grapefruit juice while taking cimetidine can lead to toxicity.": Cimetidine does not have a known interaction with grapefruit juice. However, it is always important to consult the healthcare provider or pharmacist about potential drug interactions, including those related to specific foods or beverages.

"Take an antacid 30 minutes prior to taking cimetidine to minimize stomach upset.": Cimetidine is an H2 receptor antagonist that works by reducing stomach acid production. It is not necessary to take an antacid prior to taking cimetidine to minimize stomach upset. However, if the client experiences stomach upset or discomfort, they should consult their healthcare provider for further guidance on managing these symptoms.

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Correct Answer is A

Explanation

Metoclopramide is a medication commonly used to treat gastrointestinal disorders such as gastroesophageal reflux disease (GERD). While it is generally well-tolerated, it can have some adverse effects. Sedation is one of the common side effects of metoclopramide. It can cause drowsiness, dizziness, and a feeling of tiredness in some individuals. Therefore, the nurse should monitor the client for any signs of sedation or excessive drowsiness, especially when the client starts taking the medication or when the dose is increased.

Hypertension: Metoclopramide is not known to cause hypertension (high blood pressure) as a common side effect. In fact, it may have a mild hypotensive (blood pressure-lowering) effect in some individuals.

Urinary retention: Metoclopramide does not typically cause urinary retention. Instead, it can enhance gastrointestinal motility and increase the frequency of bowel movements.

Blurred vision: While visual disturbances are rare adverse effects of metoclopramide, blurred vision is not a commonly reported side effect. However, other visual disturbances like oculogyric crisis (involuntary rolling back of the eyes) have been reported in rare cases. Nevertheless, monitoring for blurred vision specifically is not a priority when administering metoclopramide.

Correct Answer is ["25"]

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: 100 ml

Drop factor: 60 gtt/ml

Time: 4 hr

First, we need to convert the time from hours to minutes:

4 hr * 60 min/hr = 240 min

Now, we can calculate the infusion rate:

Infusion rate (gtt/min) = (100 ml * 60 gtt/ml) / 240 min

Simplifying the equation:

Infusion rate (gtt/min) = 6000 gtt / 240 min

Dividing both sides:

Infusion rate (gtt/min) ≈ 25 gtt/min

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A nurse is reinforcing teaching with a client who has a duodenal ulcer and a new prescription for cimetidine. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has gastroesophageal disease and a prescription for metoclopramide. For which of the following adverse effects should the monitor?

Correct Answer is A

Explanation

A nurse is preparing to administer 0.9% sodium chloride (NS) 100 mL IV to infuse over 4 hr. The drip factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number.)

Correct Answer is ["25"]

Explanation

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