A nurse is teaching a client who has a duodenal ulcer about his new prescription for cimetidine. The nurse should include which of the following instructions in the teaching?
“Take the medication on an empty stomach for better absorption”
"You should plan to take this medication for at least 6 months."
"Your doctor might need to reduce your theophylline dose While taking this medication."
"Take the medication with an antacid to minimize stomach upset."
The Correct Answer is C
Cimetidine inhibits the cytochrome enzymes leading to increased blood concentration of other drugs like theophylline hence increased risk of toxicity. The dosage of the drugs should be lowered when one is on cimetidine.
A-Cimetidine should be taken with meals or at bedtime for more effective absorption and optimal therapeutic effect.
B. There is no specific duration mentioned for the treatment of duodenal ulcer with cimetidine.
D. Taking cimetidine with an antacid is not recommended as they decrease the absorption of cimetidine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Phenytoin is a lifelong medication for clients presenting with unprovoked seizures. The statement shows that the client has not understood their current management plan or is in denial and requires further counselling to promote adherence.
B.Notifying the doctor before taking any other medication is important as certain drug interactions can lead to toxicity of inadequate blood levels of phenytoin.
C.This is correct as it shows understanding that phenytoin can cause oral adverse effects such as gingival hyperplasia
D.Shows understanding that some drug preparations could have incipient that may cause adverse effects that the originally tolerated agent
Correct Answer is A
Explanation
Rationale- Sucralfate is used for coating the lining of gastric ulcers to prevent exposure to acid allowing for healing. It binds to protein containing exudate to form a paste-like substance that coats the ulcers.
B-Sucralfate has no effect of quality of vision
C-Sucralfate has no role in prophylaxis in infections
D-Sucralfate relieves pain in H. Pylori induced gastric ulcers but no effect of infection control
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