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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

Mydriatic eye drops are used in ophthalmology to dilate the pupil for visualization of the retina and the vitreous humor. Absorption into the system an lead to systemic anticholinergic effect such a s constipation due to reduce gastrointestinal motility.

A. Bradycardia is a cholinergic effect

B and D are not typical anticholinergic effects

A. The client waits 10 min between inhalations. B. The client exhales as the medication is released from the inhaler. C. The client holds his breath for 10 seconds after inhaling the medication. D. The client takes a quick inhalation while releasing the medication from the inhaler.

Correct Answer is C

Explanation

The client should hold breath for 5- 10 seconds after inhalation. This duration allows for optimal exposure of the drug to the airway epithelium. This allows for adequate response to the bronchodilator.
A- The client should wait 2 mins between inhalations to allow for optimal absorption of the medication

B- The client should inhale during release of medication to allow entry into the lungs.

D- The client should inhale the medication slowly and deeply over about 3-4 seconds. This ensures that the medication reaches deep into your lungs where it is needed.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving mydriatic eye drops. Which of the following manifestations indicates to the nurse that the client has developed a systemic anticholinergic effect?

Correct Answer is C

Explanation

A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

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