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 D

Explanation

Aluminum compounds have a constipating effect due to reduced bowel movements and potential discomfort.

A. Flatulence is less common with aluminum hydroxide compared to magnesium-containing antacids.
B. Headache is not a common side effect of aluminum hydroxide.
C. Palpitations are not a known adverse reaction to aluminum hydroxide.

A. Vomiting B. Peripheral edema C. Headache D. Dry mouth

Correct Answer is A

Explanation

Lactulose is used to treat hepatic encephalopathy in clients with cirrhosis. It works by promoting the excretion of ammonia in the stool, thus reducing its absorption in the intestines and helping to manage hepatic encephalopathy. However, if lactulose is administered too quickly or in excessive amounts, it can cause gastrointestinal side effects such as vomiting.

Lactulose does not cause peripheral edema, headache, dry mouth

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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 teaching a client Who has a new prescription for aluminum hydroxide to treat heartburn. The nurse should instruct the client to monitor for and report Which of the following adverse reactions?

Correct Answer is D

Explanation

A nurse is caring for a client who has cirrhosis and a new prescription for lactulose. Which of the following manifestations indicates an adverse effect of the medication?

Correct Answer is A

Explanation

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