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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "You may have pink-tinged urine after this procedure." Minor bleeding and pink-tinged urine are expected due to irritation of the urethra and bladder mucosa during the procedure.
B. "You should limit fluids for 12 hr following the procedure." Fluids should be encouraged to help flush the bladder and prevent infection or clot formation.
C. "You will be placed on your right side during the procedure." Cystoscopy is performed with the client in the lithotomy position (on the back with legs supported in stirrups).
D. "You can eat a full liquid meal up to 1 hour before the procedure."Cystoscopy may require sedation, and clients are typically instructed to be NPO (nothing by mouth) for several hours before the procedure.
Correct Answer is B
Explanation
A. Irrigating the urinary catheter with sterile water: Not routine; only done if there is obstruction or as prescribed. Frequent irrigation increases infection risk by introducing bacteria.
B. Hanging the urinary drainage bag below the level of the bladder: Prevents backflow of urine, reducing CAUTI risk. Never let the bag touch the floor.
C. Cleansing the urinary meatus 3 to 4 times daily with antiseptic solution: Unnecessary and can irritate the urethra. Routine perineal care with soap and water is enough.
D. Emptying the urinary drainage bag daily: Should be emptied at least every 8 hours or when half full, not just daily. Reduces bacterial growth and backflow.
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