A nurse is teaching a client who takes phenytoin and has a new prescription for sucralfate tablets. Which of the following instructions should the nurse include?

Chew the Sucralfate thoroughly before swallowing.

Take sucralfate with a full glass of milk.

Take an antacid with sucralfate.

Allow a 2-hour interval between these medications.

Answer and Explanation

The Correct Answer is D

A. Chew the sucralfate thoroughly before swallowing. Sucralfate should be swallowed whole or dissolved in water, not chewed.

B. Take sucralfate with a full glass of milk. Milk can interfere with the medication’s effectiveness.

C. Take an antacid with sucralfate. Antacids should be taken separately to avoid interaction.

D. Allow a 2-hour interval between these medications. Sucralfate can interfere with phenytoin absorption, so they should be spaced apart.

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Free Nursing Study Resources

Correct Answer is ["A","B","D","E"]

Explanation

A. How to open and close the pouch: The patient must be able to manage their pouch independently. This skill helps them maintain hygiene and prevent leakage.

B. How to determine whether the ostomy is healing appropriately: Patients should be educated on signs of infection, irritation, or necrosis around the stoma.

C. How to irrigate the colostomy: Not taught initially because irrigation is only necessary for some patients and is usually introduced later. It’s mainly for descending or sigmoid colostomies, not all types.

D. How to change the pouch: A crucial skill to prevent leakage and skin irritation.

E. How to empty the pouch: Patients should know when and how to empty it to maintain cleanliness and avoid leaks.

A. Urine output of 175 mL in the past 8 hr B. Urine is cloudy after sitting in the urinal for 6 hr C. First-voided urine in the morning has a strong odor D. Urine output of 2,200 mL in the past 24 hr

Correct Answer is A

Explanation

A. Urine output of 175 mL in the past 8 hours. Urine output <30 mL/hr (less than 240 mL in 8 hours) indicates oliguria, a sign of worsening renal function or acute kidney injury (AKI).

B. Urine is cloudy after sitting in the urinal for 6 hours. Urine naturally becomes cloudy when it sits due to precipitation of solutes.

C. First-voided urine in the morning has a strong odor. Morning urine is more concentrated, causing a strong odor.

D. Urine output of 2,200 mL in the past 24 hours. Not necessarily concerning unless the client has polyuria (>3L/day), which can indicate diabetes or diuretic effects, but 2,200 mL is still within the normal range.

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A nurse is teaching a client who takes phenytoin and has a new prescription for sucralfate tablets. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which skill does the nurse teach a patient with a new colostomy before discharge from the health care facility? (Select all that Apply)

Correct Answer is ["A","B","D","E"]

Explanation

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Correct Answer is A

Explanation

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