A nurse is providing teaching to a client who has a duodenal ulcer and is starting to take sucralfate. Which of the following instructions should the nurse include in the teaching?
Take this medication with meals.
Reduce dietary fiber while taking the medication.
Administer an antacid with the medication.
Increase fluid intake while taking the medication.
The Correct Answer is D
Choice A rationale
Sucralfate should be taken on an empty stomach, not with meals, to ensure it coats the ulcer effectively.
Choice B rationale
There is no need to reduce dietary fiber while taking sucralfate. Fiber intake does not interfere with the medication’s effectiveness.
Choice C rationale
Antacids should not be taken within 30 minutes before or after taking sucralfate, as they can interfere with its action.
Choice D rationale
Increasing fluid intake is recommended while taking sucralfate to help prevent constipation, a common side effect of the medication.
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Correct Answer is D
Explanation
Choice A rationale
Folic acid is not primarily used to stimulate the immune system. Its main role is in the production of red blood cells and DNA synthesis.
Choice B rationale
Folic acid does not increase the absorption of other medications. It is used to prevent and treat folate deficiency.
Choice C rationale
Folic acid is not used to treat benign prostatic hyperplasia. It is important for cell growth and the production of red blood cells.
Choice D rationale
Folic acid is crucial for the building of blood cells and is especially important during periods of rapid cell division, such as pregnancy.
Correct Answer is ["A","F"]
Explanation
Choice A rationale
Thrombocytopenia, a low platelet count, increases the risk of bleeding and hemorrhage when receiving heparin.
Choice B rationale
Neutropenia, a low white blood cell count, does not directly increase the risk of hemorrhage. It is more related to infection risk.
Choice C rationale
Hypokalemia, low potassium levels, does not directly indicate a risk for hemorrhage. It can cause other complications but not specifically bleeding.
Choice D rationale
Fever is not a direct indicator of hemorrhage risk. It may indicate infection or other inflammatory processes.
Choice E rationale
Hyperglycemia, high blood sugar levels, does not indicate a risk for hemorrhage. It is more related to diabetes management.
Choice F rationale
Dark stools can indicate gastrointestinal bleeding, which is a sign of hemorrhage.