1. A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription for sucralfate. Which of the following
... [Show More] actions of sucralfate should the nurse include in the teaching?
Decreases stomach acid secretion Neutralizes acids in the stomach Forms a protective barrier over ulcers
Treat ulcers by eradication H. pylori: Forms a protective barrier over ulcers
Secretions by the parietal and chief cells, hydrochloric acid and pepsin, can further irritate the ulcerated areas. Sucralfate, a mucosal protectant, forms a gel-like substance that coats the ulcer, creating a barrier to hydrochloric acid and pepsin.
2. A nurse is providing teaching to a client who has multiple sclerosis and a new prescription for methylprednisolone. Which of the following instructions should the nurse include? (Select all that apply.)
Blood glucose levels will be monitored during therapy. Avoid contact with people who have known infections. Take the medication 1 hr before breakfast.
Decrease dietary intake of foods containing potassium.
Grapefruit juice can increase the effects of the medication.: Blood glucose levels will be monitored during therapy.
Avoid contact with people who have known infections. Grapefruit juice can increase the effects of the medication
Blood glucose levels will be monitored during therapy is correct. The nurse should monitor the client for hyperglycemia while providing methylprednisolone to the client. Glucocorticoids, such as methylprednisolone, increase serum glucose levels and can require management with insulin or antihyperglycemics.Avoid contact with people who have known infections is correct. The nurse should instruct the client to avoid exposure to infectious agents, such as contact with those who have active infections or illnesses. Glucocorticoids, such as methylprednisolone, de-
press the immune system, placing the client at an increased risk for developing an infection.Take the medication 1 hr before breakfast is incorrect. The nurse should instruct the client to take the medication with food or milk to decrease gastroin- testinal upset.Decrease dietary intake of foods containing potassium is incorrect. The nurse should instruct the client to increase dietary intake of potassium-rich foods while taking this medication. Glucocorticoids, such as methylprednisolone, deplete potassium in the body, which manifests as hypokalemia.Grapefruit juice can increase the effects of the medication is correct. The nurse should instruct the client that grapefruit and grapefruit juice can increase the level of methylpred- nisolone in the body.
3. A nurse is providing discharge teaching about handling medication to a client who is to continue taking oral transmucosal fentanyl raspberry-fla- vored lozenges on a stick. Which of the following information should the nurse include in the teaching?
Chew on the medication stick to release the medication.
Leave the medication stick in one location of the mouth until melted. Allow the medication 1 hr for analgesia effects to begin.
Store unused medication sticks in a storage container.: Store unused medica- tion sticks in a storage container.
The nurse should instruct the client to store unused, used, or partially used medication sticks in the safe storage container that comes in the kit when the medication is initially prescribed.
4. A nurse is reviewing the ECG of a client who is receiving IV furosemide for heart failure. The nurse should identify which of the following findings as an indication of hypokalemia?
Tall, tented T-waves Presence of U-waves Widened QRS complex
ST elevation: Presence of U-waves
The nurse should identify the presence of U-waves as a manifestation of hy- pokalemia, an adverse effect of furosemide.
5. A nurse is caring for a client who has cancer and is taking oral morphine and docusate sodium. The nurse should instruct the client that taking the docusate sodium daily can minimize which of the following adverse effects of morphine?
Constipation Drowsiness Facial flushing
Itching: Constipation
Constipation is a common adverse effect of morphine that can be minimized by taking docusate sodium, a stool softener that promotes easier evacuation of stool by increasing water and fat in the intestine.
6. A nurse is planning care for a client who is receiving mannitol via continu- ous IV infusion. The nurse should monitor the client for which of the following adverse effects?
Weight loss
Increased intrao [Show Less]