Question

A patient with peptic ulcer disease is scheduled to receive doses of pantoprazole IV and sucralfate PO before breakfast at 0800.The patient reports experiencing heartburn. The nurse brings the scheduled medications. Which action should the nurse take?

Answer 1

Correct Answers:

Administer both of the medications before breakfast as scheduled

Rationale :

✅Pantoprazole (a PPI) and sucralfate are both administered before meals to maximize their therapeutic effect.

✅Pantoprazole suppresses gastric acid production, while sucralfate forms a protective barrier over ulcers.

✅ Administering them before food intake ensures optimal absorption and coating of the gastric lining, which helps reduce acid-related discomfort such as heartburn.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 2

Correct Answers:

Contact the healthcare provider.

Rationale :

📌Cephalexin, a cephalosporin, shares a beta-lactam ring structure with penicillin, posing a potential cross-sensitivity risk.

📌Since the client has a history of anaphylaxis to penicillin, the nurse must immediately notify the provider before administration.

📌This action prevents a potentially life-threatening allergic reaction.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 3

Correct Answers:

Use a straw to ingest.

Rationale :

♦Ferrous sulfate elixir can stain the teeth.

♦Using a straw directs the liquid toward the back of the mouth, minimizing tooth contact and preventing discoloration.

♦Additionally, iron should be taken on an empty stomach or with vitamin C to improve absorption, avoiding substances like milk or antacids that impair its effectiveness.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 4

Correct Answers:

I will take the tablet every evening to control my asthma.

Rationale :

📌Montelukast is a leukotriene receptor antagonist used for the long-term control of asthma.

📌It is not a rescue medication and should be taken once daily in the evening to reduce inflammation and prevent symptoms.

📌Client understanding of proper timing and purpose reflects successful education and promotes adherence.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 5

Correct Answers:

Observe bowel movement pattern and take a stool softener

Rationale :

♦Morphine, a strong opioid, commonly causes constipation by slowing gastrointestinal motility.

♦Clients on chronic opioid therapy should be taught to monitor their bowel habits and use prophylactic stool softeners to prevent discomfort or obstruction.

♦This guidance is part of comprehensive pain management and patient safety.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 6

Correct Answers:

Takes metformin hydrochloride for type 2 diabetes mellitus.

Rationale :

▶Metformin and IV contrast can interact, increasing the risk of lactic acidosis, a rare but serious complication.

▶The nurse must follow up before contrast administration to determine if metformin should be held.

▶This precaution is especially important in clients with impaired renal function or dehydration.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 7

Correct Answers:

Another form of contraception is not needed.

Rationale :

♦St. John's Wort may reduce the effectiveness of oral contraceptives by inducing liver enzymes that accelerate hormonal metabolism.

♦The client needs additional contraception to avoid unintended pregnancy.

♦Education about herb–drug interactions is vital for clients using complementary therapies.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 8

Correct Answers:

Notify the healthcare provider.

Rationale :

✔Tremors may be a neurological side effect of pregabalin, indicating potential toxicity or adverse drug reaction.

✔Prompt notification of the provider is necessary for evaluation and dose adjustment or discontinuation.

✔Delaying action could lead to worsening symptoms or harm.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 9

Correct Answers:

Be aware that difficulty sleeping and weight loss may occur.

Rationale :

📌Bupropion, used for smoking cessation, may cause insomnia and weight loss due to its stimulant properties.

📌Educating the client about these potential effects supports adherence and prepares them to manage expected changes during treatment.

📌Sleep hygiene strategies may also be advised.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 10

Correct Answers:

Provides an analgesic effect for irritated bladder mucosa.

Rationale :

💎Phenazopyridine is a urinary tract analgesic, not an antibiotic.

💎 It relieves discomfort from irritation of the bladder lining, such as burning or urgency from cystitis.

💎Client education should clarify that it does not treat the infection but only alleviates pain, and its use is typically short-term.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

QLexNursing

1 : A patient with peptic ulcer disease is scheduled to receive doses of pantoprazole IV and sucralfate PO before breakfast at 0800.The patient reports experiencing heartburn. The nurse brings the scheduled medications. Which action should the nurse take?

2 : A client with a history of anaphylactic reaction to penicillin receives a prescription for cephalexin 500 mg PO twice daily. Which action should the nurse take?

3 : Ferrous sulfate elixir is prescribed for a client with iron deficiency anemia. Which instruction should the nurse provide this client about taking the liquid medication?

4 : A client with chronic asthma receives a prescription for montelukast, a leukotriene modifier. Which statement by the client indicates to the nurse that medication teaching was effective?

5 : The nurse is providing discharge instructions for a client with metastatic cancer who is prescribed morphine for bone pain. Which information from the client indicates to the nurse an understanding of the medication?

6 : A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client's history requires follow-up by the nurse?

7 : A female client with mild depression reports to the nurse that she recently started taking St. John's wort. Which information provided by the client requires further instruction?

8 : A client who is receiving pregabalin for fibromyalgia complains of tremors in the hands. Which action should the nurse implement?

9 : A client with a history of smoking cigarettes for many years arrives at the clinic and expresses a desire to stop smoking. The client receives a prescription for bupropion to reduce nicotine cravings. Which information should the nurse include in the discharge teaching?

10 : A client with cystitis receives a prescription for phenazopyridine. Which information should the nurse explain to the client about its therapeutic effect?