Practice Question
A 47yr old female patient is prescribed cimetidine PO for peptic ulcer disease. The nurse would include which of the following when providing education about this medication? Select the three correct answers.
Answer Choices:
Correct Answer:
Take this medication 30 minutes before or after meals.
Rationale:
🔹 Cimetidine should be taken 30 minutes before or after meals because food can reduce the drug’s absorption and delay its onset of action.
🔹 Avoiding antacids is essential because antacids decrease the absorption of cimetidine by altering gastric pH.
🔹 Cimetidine can cause dysrhythmias and pneumonia, especially in older adults or critically ill patients due to altered gastric flora and CNS effects.
🔹 This medication suppresses gastric acid, so teaching must emphasize monitoring for respiratory infections that can develop due to decreased acid-mediated bacterial defense.
🔹 Cimetidine crosses the blood–brain barrier, so cardiac and pulmonary adverse effects are well documented and must be included in patient education.
Check sodium levels before administration
🔹 Cimetidine does not affect sodium levels or fluid–electrolyte balance.
🔹 Sodium monitoring is not part of the safety requirements for this drug.
Take this medication with meals
🔹 Taking with meals decreases absorption and effectiveness.
🔹 Timing with meals may delay symptom control for peptic ulcer disease.
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This question is from Exam NUR 4338 complex Human Needs SN FA25 which contains 85 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Health Assessment
- Answer Choices: 5