The nurse is planning to administer sucralfate to a client with peptic ulcer disease. Which action should the nurse indude in this patient's plan of care?

Administer sucralfate once a day, preferably at bedtime.

Monitor for electrolyte imbalance.

Assess for secondary Candida infection.

Give sucralfate on an empty stomach.

Answer and Explanation

The Correct Answer is D

A. Administer sucralfate once a day, preferably at bedtime: Sucralfate is typically administered multiple times a day, not just once. It is commonly given in divided doses, often four times a day, to ensure adequate coverage and effectiveness. Administering it at bedtime alone would not provide consistent therapeutic effects.
B. Monitor for electrolyte imbalance: Sucralfate is not known to cause significant electrolyte imbalances. It works locally in the gastrointestinal tract and does not usually affect electrolyte levels, so monitoring for electrolyte imbalances is not a primary concern with this medication.
C. Assess for secondary Candida infection: While sucralfate may affect the gastrointestinal flora, secondary Candida infections are not a common side effect. Sucralfate is not an antibiotic and does not typically lead to fungal infections.
D. Give sucralfate on an empty stomach: Sucralfate should be administered on an empty stomach, ideally 1 hour before meals or 2 hours after meals. This allows the medication to properly adhere to the ulcer site and form a protective barrier, enhancing its effectiveness in treating peptic ulcers.

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

A. Taking an antiemetic medication: This information is not directly relevant before administering misoprostol. Misoprostol does not typically interact with antiemetic medications in a way that would change the administration plan.
B. Allergy to aspirin: While important to know for general medication safety, misoprostol's primary concern is its potential effects on pregnancy rather than an allergy to aspirin.
C. Currently pregnant: Misoprostol is contraindicated in pregnancy due to its potential to induce uterine contractions and cause miscarriage. It is crucial to confirm that the patient is not pregnant before administering this medication.
D. History of glaucoma: While important for other medications, a history of glaucoma is not a primary concern when administering misoprostol.

A. Low-density lipoprotein (LDL) B. Prothrombin time (PT). C. Creatine phosphokinase (CK) D. High-density lipoprotein (HDL).

Correct Answer is D

Explanation

A. Low-density lipoprotein (LDL): Atorvastatin's primary effect is to decrease LDL cholesterol levels. A decrease in LDL levels would indicate the medication is working as intended, not an increase.
B. Prothrombin time (PT): PT is a measure of blood clotting, which is not directly affected by atorvastatin. This value is more relevant for monitoring anticoagulant therapy.

C. Creatine phosphokinase (CK): CK levels can be used to monitor for muscle damage or side effects related to statin use. An increase in CK levels would suggest muscle damage, not the effectiveness of the statin.
D. High-density lipoprotein (HDL): Atorvastatin is a statin medication used to lower cholesterol levels, particularly low-density lipoprotein (LDL) cholesterol, which is a key target in reducing the risk of coronary artery disease (CAD). While the primary goal of atorvastatin is to lower LDL cholesterol, an increase in HDL cholesterol (often termed "good" cholesterol) is also desirable as it can help reduce the risk of CAD. Therefore, an increase in HDL is a positive indicator that the medication is having a beneficial effect.

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

The nurse is planning to administer sucralfate to a client with peptic ulcer disease. Which action should the nurse indude in this patient's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Prior to administration of the initial dose of the gastrointestinal (GI) agent misoprostol, which information should the nurse obtain from the patient?

Correct Answer is C

Explanation

An increase in which serum lab value indicates to the nurse that a prescription for atorvastatin is having the desired effect for a client at risk for coronary artery disease?

Correct Answer is D

Explanation

The nurse is preparing to administer warfarin sodium 10 mg PO to a client whose international normalized ratio (INR) is 5.0. Which intervention should the nurse implement? Reference Range: International 1 normalized ratio (INR) [INR: 0.8 to 1.1]

A male client tells the home health nurse that he has started taking magnesium hydroxide and aluminum hydroxide to treat occasional heartburn. It is most important for the nurse to review the client's medical history regarding the presence of which disorder?

A client diagnosed with chronic obstructive pulmonary disease (COPD) is given a new prescription for tiotropium via an inhalation device. Which statement indicates that the client understands the Instructions for using this medication?

To detect common untoward effects of phenytoin, the nurse should assess a client with a seizure disorder for which sign or symptom?

A client who is a vegetarian has a new prescription for warfarin. The client reports eating leafy green vegetables every day. How should the nurse respond?

The healthcare provider prescribes the anticoagulant heparin for a client with a pulmonary embolism. Before initiating the medication, the nurse should ensure that which drug is readily available in case of heparin overdose?