RN Pharmacology Online Practice 2019 A
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 actions of sucralfate should the nurse include in the teaching?
A nurse is providing teaching to a client who has...
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 actions of sucralfate should the nurse
include in the teaching?
Ans: 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.)
Ans: 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 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, depress
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 gastrointestinal 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
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, instruct the client that grapefruit and grapefruit juice can increase the level of
methylprednisolone 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-flavored lozenges on a stick. which of
the following information should the nurse include in the teaching?
Ans: Store the unused medication 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?
Ans: Presence of U-waves
The nurse should identify the presence of U-waves as a manifestation of hypokalemia, an
adverse effect of furosemide.
5). A nurse is caring for a client who has cancer and is taking oral morphine and decussate
sodium. the nurse should instruct the client that taking the decussate sodium daily can
minimize which of the following adverse effects of morphine?
Ans: 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 continuous iv infusion. the
nurse should monitor the client for which of the following adverse effects?
Ans: Bibasilar crackles
Mannitol, an osmotic diuretic, can precipitate heart failure and pulmonary edema.
Therefore, the nurse should recognize lung crackles as an indicator of a potential
complication and stop the infusion.
7). A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for
famotidine. which of the following instructions should the nurse include?
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