The nurse is caring for a client receiving a prescription for sucralfate to treat a peptic ulcer. Which instruction should the nurse provide during discharge education?

Continue with normal dose schedule after missing a dose.

Administer an additional dose if a dose is missed.

Take on an empty stomach at least 1 hour before meals.

Schedule doses with each meal and at bedtime.

Answer and Explanation

The Correct Answer is C

A. Continue with normal dose schedule after missing a dose:
If a dose of sucralfate is missed, continuing with the normal dosing schedule without additional instructions is not appropriate. Sucralfate is best taken on an empty stomach to ensure optimal effectiveness, so missing a dose may require specific instructions to address this.
B. Administer an additional dose if a dose is missed:
Taking an additional dose of sucralfate if one is missed is not recommended. This could lead to an overdose or increased side effects. The proper approach is to follow specific instructions for missed doses provided by the healthcare provider or the medication guidelines.
C. Take on an empty stomach at least 1 hour before meals:
Sucralfate should be taken on an empty stomach, typically at least 1 hour before meals. This allows the medication to adhere to the ulcer site effectively and protect it from stomach acid. This timing maximizes its therapeutic benefit in treating peptic ulcers.
D. Schedule doses with each meal and at bedtime:
While sucralfate is often taken multiple times a day, scheduling doses specifically with meals and at bedtime may not be ideal. The medication should be taken on an empty stomach, and scheduling around meals could interfere with its efficacy. Following the specific instruction of taking it at least 1 hour before meals ensures better adherence to its treatment protocol.

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Correct Answer is ["200"]

Explanation

Infusion rate (mL/hr) = Total volume (mL) / Infusion time (hr)

Plugging in the values:

Infusion rate (mL/hr) = 200 mL / 1 hr

Infusion rate (mL/hr) = 200 mL/hr

A. Instruct the client to obtain a prescription for oral terbinafine. B. Advise the client to obtain a prescription-strength formulation of the ointment. C. Reassure the client that treatment of fungus infected toenails often takes several months. D. Suggest that the client use the ointment twice a day to be more effective.

Correct Answer is A

Explanation

A. Instruct the client to obtain a prescription for oral terbinafine: Since the client has been using an over-the-counter triple antibiotic ointment for two weeks without improvement, it indicates that the treatment is ineffective for fungal infections. Over-the-counter ointments are typically not effective for toenail fungal infections, which often require prescription-strength antifungal treatment. Oral terbinafine is a prescription antifungal medication that is more effective for treating such infections, so advising the client to obtain a prescription is the most appropriate action.
B. Advise the client to obtain a prescription-strength formulation of the ointment: Prescription-strength topical treatments are often used for fungal infections, but toenail fungal infections usually require oral antifungal medications to penetrate the nail effectively. Advising the client to obtain a prescription-strength ointment may not address the root cause, which often involves systemic treatment.
C. Reassure the client that treatment of fungus-infected toenails often takes several months: While it is true that toenail fungal infections can take several months to treat, the lack of improvement with the current treatment suggests that a more effective treatment is needed. Reassuring the client about the duration of treatment without addressing the ineffectiveness of the current treatment does not resolve the issue.
D. Suggest that the client use the ointment twice a day to be more effective: Increasing the frequency of application of the triple antibiotic ointment is unlikely to improve its effectiveness against a fungal infection. Fungal infections typically require specific antifungal agents, and simply using the current ointment more frequently will not address the underlying issue.

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The nurse is caring for a client receiving a prescription for sucralfate to treat a peptic ulcer. Which instruction should the nurse provide during discharge education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused over an hour. The IV bag contains ciprofloxacin 400 main dextrose 5% in water (DW) 200 mL. The nurse should program the infusion pump to deliver how many mL/hr? (Enter numerical value only.)

Correct Answer is ["200"]

Explanation

A client with a fungal infection of the toenail reports to the nurse that the client has been applying an over-the-counter (OTC) triple antibiotic ointment to the infection daily for two weeks without any improvement. Which action should the nurse take?

Correct Answer is A

Explanation

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