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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?

A.

Take this medication with meals.

B.

Reduce dietary fiber while taking the medication.

C.

Administer an antacid with the medication.

D.

Increase fluid intake while taking the medication.

Answer and Explanation

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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View Related questions

Correct Answer is A

Explanation

Choice A rationale

Naloxone is an opioid antagonist that rapidly reverses the effects of opioid overdose, including respiratory depression. It binds to opioid receptors and displaces the opioid molecules, reversing their effects.

Choice B rationale

Bisacodyl is a stimulant laxative used to treat constipation. It does not have any effect on opioid-induced respiratory depression.

Choice C rationale

Flumazenil is a benzodiazepine antagonist used to reverse the effects of benzodiazepines, not opioids. It is not effective in treating opioid-induced respiratory depression.

Choice D rationale

Pentazocine is an opioid agonist-antagonist used for pain relief. It does not reverse opioid-induced respiratory depression and can potentially worsen the condition.

Correct Answer is D

Explanation

Choice A rationale

Asthma is not a contraindication for sumatriptan. Sumatriptan is a selective serotonin receptor agonist used to treat migraines by constricting blood vessels in the brain. It does not have a significant impact on respiratory conditions like asthma.

Choice B rationale

Kidney disease is not a contraindication for sumatriptan. However, caution is advised when using sumatriptan in patients with severe renal impairment due to potential accumulation of the drug and its metabolites.

Choice C rationale

Rheumatoid arthritis is not a contraindication for sumatriptan. Sumatriptan’s mechanism of action does not interfere with the inflammatory processes involved in rheumatoid arthritis.

Choice D rationale

Coronary artery disease (CAD) is a contraindication for sumatriptan. Sumatriptan can cause vasoconstriction of coronary arteries, which can exacerbate CAD and increase the risk of myocardial infarction or other cardiac events.

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