A nurse is talking with a client who has peptic ulcer disease and starting therapy with sucralfate. What must the nurse include in the client education?

"Take it with an antacid."

Take 30 to 60 minutes before meals.

"Take it whenever indigestion occurs."

"Take it immediately after meals."

Answer and Explanation

The Correct Answer is B

a) Taking sucralfate with an antacid is not recommended, as antacids can interfere with the effectiveness of sucralfate.

b) Sucralfate should be taken 30 to 60 minutes before meals to ensure optimal binding to the gastric mucosa and to form a protective barrier.

c) Taking sucralfate whenever indigestion occurs may not provide consistent protection, as its effectiveness is enhanced when taken before meals.

d) Taking sucralfate immediately after meals is not recommended, as it may interfere with its ability to form a protective coating on the gastric mucosa.

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Correct Answer is B

Explanation

A) Alcohol use, even before the client knew she was pregnant, may have some impact, but it is not the primary concern immediately after delivery.

B) Intravenous morphine administration during labor can lead to respiratory depression in the newborn, and monitoring is crucial. Naloxone may be needed to reverse opioid effects.

C) A high-pitched cry and irritability may be signs of opioid withdrawal, not related to the alcohol use.

D) Administering opioids to the infant is not appropriate and could worsen any respiratory depression.

A. Oral medications are contraindicated in infants. B. Breastfeeding infants are more likely to develop toxicity when given lipid-soluble drugs. C. Immaturity of renal function in infancy causes infants to excrete drugs less efficiently. D. Infants are more sensitive to medications that act on the central nervous system. E. Infants have immature livers, which slow drug metabolism.

Correct Answer is ["C","D","E"]

Explanation

a) This is false because oral medications can be given to infants if they are in liquid form, have a suitable dose, and are administered with a dropper or syringe. However, oral medications should be given with caution and only when prescribed by a doctor.

b) This is false because lipid-soluble drugs are not easily passed into breast milk and do not affect breastfeeding infants. However, some drugs can be harmful to breastfeeding infants and should be avoided or used with caution by nursing mothers.

c) Immaturity of renal function in infancy affects drug excretion, potentially leading to prolonged drug effects and increased risk of toxicity.

d) Infants are more sensitive to medications that act on the central nervous system, and dose adjustments may be needed to prevent adverse effects.

e) Immature liver function in infants can slow down drug metabolism and elimination, leading to a higher risk of drug accumulation and toxicity.

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A nurse is talking with a client who has peptic ulcer disease and starting therapy with sucralfate. What must the nurse include in the client education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

When administering medications to infants, it is essential to remember which of the following? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

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