A patient with peptic ulcer disease has been prescribed cimetidine.
Which statement made by the patient indicates the need for further instruction by the nurse?

Decrease cigarette use to a pack per day.

Notify the healthcare provider of lethargy.

Take the medication an hour after antacids.

Monitor for any signs of sexual dysfunction.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Decreasing cigarette use to a pack per day is not enough. Smoking can increase stomach acid and reduce the ability of the stomach lining to resist acid, thus aggravating peptic ulcer disease. Therefore, the patient should be advised to quit smoking entirely.

Choice B rationale

Lethargy could be a side effect of cimetidine. It’s important for the patient to notify the healthcare provider if they experience this, as it could indicate a need to adjust the medication.

Choice C rationale

Cimetidine should be taken with or immediately following meals for best absorption. If antacids are used, they should be taken at least one hour apart from cimetidine. Therefore, taking the medication an hour after antacids is incorrect and indicates the need for further instruction.

Choice D rationale

Sexual dysfunction is a rare but possible side effect of cimetidine. Patients should be advised to monitor for this and report any issues to their healthcare provider.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale

Iron supplements can interfere with the absorption of levothyroxine, reducing its effectiveness. However, this doesn’t mean that iron should be completely avoided. It’s generally recommended to take iron supplements and levothyroxine at different times of the day.

Choice B rationale

While iodine is a key component of thyroid hormones, consuming foods high in iodine doesn’t necessarily improve the effectiveness of levothyroxine. In fact, excessive iodine intake can sometimes cause or worsen hypothyroidism.

Choice C rationale

Levothyroxine should be taken on an empty stomach, typically 30 minutes to an hour before breakfast. This allows for optimal absorption of the medication.

Choice D rationale

Although it’s not harmful to take levothyroxine at bedtime, studies suggest that taking it on an empty stomach in the morning may allow for better absorption.

A. Family history of mental illness. B. Weight change in the last month. C. Liver function laboratory results. D. Recent use of other antidepressants.

Correct Answer is C

Explanation

Choice A rationale

While a family history of mental illness is important information to obtain when planning care for a client with major depression, it is not the most important information when the client is receiving a new prescription for duloxetine. Family history can provide insight into the client’s risk factors for depression, but it does not directly impact the safety or efficacy of duloxetine.

Choice B rationale

Weight change in the last month is not the most important information to obtain when planning care for a client with major depression who is receiving a new prescription for duloxetine. While significant weight changes can be a symptom of depression and should be monitored, they do not directly impact the safety or efficacy of duloxetine.

Choice C rationale

Liver function laboratory results are the most important information to obtain when planning care for a client with major depression who is receiving a new prescription for duloxetine.

Duloxetine is metabolized in the liver, and abnormal liver function can affect the metabolism and elimination of the drug, potentially leading to increased side effects or decreased effectiveness. Therefore, it is crucial to assess liver function before and during treatment with duloxetine.

Choice D rationale

While recent use of other antidepressants is important information to obtain when planning care for a client with major depression who is receiving a new prescription for duloxetine, it is not the most important information. This information can help prevent drug interactions and serotonin syndrome, a potentially life-threatening condition. However, liver function has a more direct impact on the safety and efficacy of duloxetine.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A patient with peptic ulcer disease has been prescribed cimetidine.Which statement made by the patient indicates the need for further instruction by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has received a new prescription for levothyroxine.Which statement made by the patient indicates that the education was effective?

Correct Answer is C

Explanation

The nurse is planning care for a client with major depression who is receiving a new prescription for duloxetine. What information is most important for the nurse to obtain?

Correct Answer is C

Explanation

The nurse is preparing a discharge teaching plan for a patient who is taking ciprofloxacin hydrochloride tablets due to suspected anthrax exposure. What instructions should be included in the teaching plan?

A client with benign prostatic hyperplasia has been prescribed tamsulosin. What should the nurse do to monitor for an adverse reaction?

The nurse is preparing to administer the anti-ulcer gastrointestinal agent sucralfate to a patient with peptic ulcer disease.What should be included in this patient’s care plan?

A client taking atorvastatin has an increased serum creatine phosphokinase (CK) level. What should the nurse assess the client for?

A female patient who follows a vegetarian diet has recently been prescribed warfarin. She mentions that she consumes leafy green vegetables daily.What should be the nurse’s response?

A client has a new prescription for zolpidem, a hypnotic.The client tells the home health nurse that he plans to take a dose of the medication during the day because he is exhausted and needs to take a short afternoon nap prior to an evening activity in his home.Which action should the nurse take?

A patient with open-angle glaucoma asks the nurse about the duration of use for the prescribed eye drops. What is the nurse’s accurate response?

A patient with peptic ulcer disease has been prescribed cimetidine.
Which statement made by the patient indicates the need for further instruction by the nurse?