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.
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Related Questions
Correct Answer is D
Explanation
Ciprofloxacin is a fluoroquinolone antibiotic that is associated with tendon rupture and tendonitis especially involving the Achilles tendon. Informing the client to report any tendon pain ensure that any complication is addressed and the medications stopped if need be.
A. ciprofloxacin causes diplopia and blurred vision but does not cause photophobia hence no need for sunglasses
B. The client should increase hydration as organism in UTI can predispose to urolithiasis
C. Antacids containing aluminum, magnesium, or calcium can interfere with the absorption of ciprofloxacin, reducing its effectiveness. They should be taken at least 2 hours before or 6 hours after taking the medication.
Correct Answer is C
Explanation
Prednisone is a corticosteroid used in the management of inflammatory disorders like gouty arthritis, rheumatoid arthritis and connective tissue disorders. Prednisone, like other corticosteroids have a counter regulatory effect in glucose metabolism and increases insulin resistance in the peripheral tissues leading to hyperglycemia
A- Cimetidine is a histamine receptor antagonist used in management of gastric ulcers. It has no effect of glucose tolerance.
B. Dextromethorphan is a cough suppressant use in upper respiratory infections and has no effect on glucose tolerance.
D. Atorvastatin is a lipid lowering agent used to reduce the risk of cardiovascular event such as myocardial infarction and stroke. It has no effect on glucose
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