Question

A nurse is teaching a 49-year-old male client who has been newly prescribed cimetidine (Tagamet HB) for the management of peptic ulcer disease. Which of the following statements should the nurse include in the teaching?

Answer 1

Correct Answers:

"This medication may cause increased libido."

Rationale :

♦️Cimetidine is an H2 receptor antagonist used to reduce stomach acid. ♦️A known adverse effect is gynecomastia and decreased libido, especially in male clients due to its antiandrogenic effects. ♦️Other statements (e.g., neutralizing acid or taking with antacids) are incorrect — H2 blockers do not neutralize acid, and concurrent antacids may decrease absorption if taken at the same time.

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Answer 2

Correct Answers:

Acute renal failure

Rationale :

♦️Metformin combined with iodinated contrast can cause acute renal failure, increasing the risk of lactic acidosis. ♦️Metformin should be held before and after the procedure to avoid this serious interaction.

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Answer 3

Correct Answers:

"Complications of this medication include tardive dyskinesia and prolonged QT interval."
"The IV form of this medication is used for control of postoperative and chemotherapy-induced nausea and vomiting, as well as facilitation of small bowel intubation and examination of the GI tract."
complications of this medication include tardive dyskinesia and sedation."
"The oral form is used for diabetic gastroparesis (delayed stomach emptying with gas and bloating) and management of GERD through its ability to increase gastric motility."

Rationale :

♦️Tardive dyskinesia and QT prolongation are serious side effects. ♦️IV metoclopramide is used for nausea, chemo/post-op vomiting, and GI procedures. ♦️Oral form is used in diabetic gastroparesis and GERD. ♦️Sedation is also a noted side effect.

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Answer 4

Correct Answers:

Thyrotoxicosis

Rationale :

♦️The client is likely overmedicated with levothyroxine, leading to hyperthyroid-like symptoms (diarrhea, weight loss, palpitations, heat intolerance). ♦️This is referred to as thyrotoxicosis.

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Answer 5

Correct Answers:

hypoglacemia

Rationale :

♦️Glipizide is a sulfonylurea that stimulates insulin secretion and carries a high risk for hypoglycemia, especially in older adults or if meals are skipped.

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Answer 6

Correct Answers:

"l should apply this patch behind my ear."
"l should not use a second patch if the initial patch is ineffective:

Rationale :

♦️Scopolamine patches are applied behind the ear and replaced every 72 hours, not 7 days. ♦️ Alcohol is not recommended for skin prep, and using two patches can increase anticholinergic toxicity.

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Answer 7

Correct Answers:

Benztropine (Cogentin)
Diphenhydramine (Benadryl)

Rationale :

♦️The client is experiencing extrapyramidal symptoms (EPS) — a complication of prochlorperazine. ♦️Treatment involves anticholinergics (benztropine) or antihistamines with anticholinergic effects (diphenhydramine).

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Answer 8

Correct Answers:

4 teaspoons

Rationale :

Each dose is 400 mg. ♦️100 mg per teaspoon →400÷100=4 teaspoons

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Answer 9

Correct Answers:

"This medication is contraindicated for female clients expecting a child or are currently pregnant."

Rationale :

♦️Misoprostol is used for NSAID-induced ulcer prevention but is abortifacient, meaning it is contraindicated in pregnancy due to risk of uterine contractions.

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Answer 10

Correct Answers:

Lip hypertrophy

Rationale :

♦️Repeated injections at the same site can lead to lipohypertrophy, which affects absorption. ♦️Rotating sites prevents this.

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QLexNursing

1 : A nurse is teaching a 49-year-old male client who has been newly prescribed cimetidine (Tagamet HB) for the management of peptic ulcer disease. Which of the following statements should the nurse include in the teaching?

3 : A nurse is caring for a 62-year-old client with diabetes who has a new prescription for metoclopramide (Reglan). Which of the following statements is true regarding metoclopramide (Reglan)? (Select All That Apply.)

4 : You are caring for a client with hypothyroidism that is taking levothyroxine (Synthroid). The client reports diarrhea, weight loss, palpitations, and heat intolerance. You suspect which of the following adverse effects of this drug?

6 : A nurse is educating a client who is newly prescribed scopolamine (Scopace) patches for treating motion sickness. Which of the following client statements indicate to the nurse that the teaching has been effective? (Select All That Apply.).

8 : A client is prescribed cimetidine 400 mg PO twice daily. It is available as an oral liquid of 100 mg per teaspoon. How many teaspoons should the client take per dose?

9 : A nurse is preparing to provide an in-service to the community about misoprostol (Cytotec). Which of the following statements should the nurse include in her teaching to the community?

10 : A nurse is educating a client about self-administering regular insulin. The nurse should instruct the client to rotate injection sites to prevent which of the following?