A client in the clinic is prescribed aluminum hydroxide by the provider. The nurse should include which of the following in the client's education?
You will need lab work to check your blood level of magnesium.
Stop taking this medication if constipation develops.
This medication will put you at risk for respiratory infections like pneumonia.
Take the medication 2 hours before or after other medications.
✓
Correct Answer
Take the medication 2 hours before or after other medications.
Aluminum hydroxide interferes with the absorption of many medications if taken at the same time.
Question 2
The nurse is administering IV cimetidine to a client admitted to the ICU with a GI bleed. Which of the following adverse effects is the client at increased risk for when receiving cimetidine parenterally?
Gynecomastia
Confusion
Hypotension
✓
Agranulocytosis
Correct Answer
Hypotension
Hypotension and cardiac arrhythmias are associated with the IV (parenteral) administration of cimetidine.
Question 3
The nurse is educating a client on a new prescription of omeprazole. What does the nurse include in teaching?
The medication decreases the production of gastric acids and pepsin.
✓
The medication is best administered at bedtime.
The medication is best taken 2 hours after a meal.
The medication may cause hyperkalemia.
Correct Answer
The medication decreases the production of gastric acids and pepsin.
Omeprazole decreases pepsin, bile, and gastric acids.
Question 4
The nurse is educating the client on their newly prescribed medication misoprostol. Which of the following statements by the client indicates a priority need for additional follow-up?
"I need to remember to take this medication with food."
"I recently stopped taking my birth-control pills."
✓
"I am taking a prescription-strength NSAID 3 times a day for my knee pain."
"I am worried taking this will cause gas and diarrhea."
Correct Answer
"I recently stopped taking my birth-control pills."
Misoprostol can cause spontaneous abortion, premature birth, or birth defects.
Question 5
A client being treated for GERD arrives at the clinic with complaints of constipation and flatulence. Which of the following medications is likely causing these symptoms?
Magnesium hydroxide
Calcium carbonate
✓
Simethicone
Docusate sodium
Correct Answer
Calcium carbonate
Calcium carbonate may cause constipation and flatulence.
Question 6
The nurse is discharging a client with instructions from the provider to take calcium carbonate to treat their indigestion. Which of the following statements by the client indicates the need for additional instruction?
"I need to take this every day for it to work."
✓
"I shouldn't take this when I take my other medications."
"I need to take this after meals and at bedtime."
"I should take this only when I have symptoms."
Correct Answer
"I need to take this every day for it to work."
Calcium carbonate should be taken as needed when symptoms occur, after meals and before bedtime; it does not need to be taken every day.
Question 7
The nurse is preparing to administer a dose of lansoprazole to a client with an ulcer. Which of the following statements by the client indicates the client needs additional instruction on this medication?
"I understand it can take about 6 months to experience the full benefit of this medication."
"I hate the thought of having to take this for the rest of my life."
"I know my pain will improve right after taking this."
✓
"I need to take this every day before a meal."
Correct Answer
"I know my pain will improve right after taking this."
Lansoprazole begins to reduce acid after approximately 2 hours, with ulcer symptom relief after about a week of use. The medication should be taken on an empty stomach and is typically used short-term (less than 6 months) for an ulcer.
Question 8
The nurse is providing discharge instructions to a client with a gastric ulcer who is taking sucralfate. What information regarding administration is important to stress to the client?
Limit dietary fiber and fluids.
Take this medication 4 times a day; do not miss a dose.
✓
Take with an antacid as needed.
It is safe to take before dialysis.
Correct Answer
Take this medication 4 times a day; do not miss a dose.
Sucralfate adheres to the stomach lining for about 6 hours and will need to be repeated to ensure protection of the mucosal lining.
Question 9
The nurse is reviewing lab values for a client who has been taking over-the-counter antacid medications. Which of the following findings could be attributed to antacid use?
Hyperphosphatemia
Hyponatremia
Hypocalcemia
Hypermagnesemia
✓
Correct Answer
Hypermagnesemia
Antacids containing magnesium, such as magnesium hydroxide, can cause elevated magnesium levels.
Question 10
The nurse is educating a client who is taking pantoprazole. What information should be included in the education?
Swallow the medication whole, do not chew.
✓
Plan to take this medication only with meals.
Stop taking this medication if you have a headache.
You will need this medication for the rest of your life.
Correct Answer
Swallow the medication whole, do not chew.
The medication cannot be chewed and capsules cannot be opened, as the gastric acids will destroy the medication before it reaches the duodenum, where it is most effective.