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
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Correct Answer is A
Explanation
Morphine is an opioid analgesic that can cause respiratory depression especially when given in higher doses or to opioid-naive individuals. It's crucial to assess the client's respiratory rate before administering morphine to ensure that the client's respiratory status is stable. Respiratory depression can manifest as a decreased respiratory rate, shallow breathing, or signs of respiratory distress.
B, C, D- They are important vital signs but respiration takes priority and specific to opioid administration
Correct Answer is C
Explanation
Rifampin causes harmless discoloration of bodily fluids, including urine, sweat, saliva, and tears, to an orange-red color. Other side effects include gastrointestinal side effects such as nausea, vomiting, and diarrhea.
A. Rifampin should be taken on an empty stomach, as food can interfere with its absorption.
B. Insomnia is not a common side effect of rifampin
D. Treatment for tuberculosis goes on for at least 6 to 9 months. Treatment duration varies depending on the specific regimen and the severity of the infection.
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