Author Question: A nurse is instructing a client diagnosed with PUD about a new medication, sucralfate (Carafate). ... (Read 26 times)

vicky · **on:** Jul 23, 2018

A nurse is instructing a client diagnosed with PUD about a new medication, sucralfate (Carafate). Which statements are important to include in the teaching of the medication?(Select all that apply.)

1. The medication will need to be taken four times a day.
2. The medication works by reducing the acid secretion.
3. The medication will promote healing.
4. The medication will be absorbed by the GI tract.
5. The medication may cause constipation.

Question 2

Which is the preferred combination of antibiotics given to clients diagnosed with H. pylori infections?

1. Amoxicillin (Amoxil) and metoclopramide (Reglan)
2. Metronidazole (Flagyl) and ranitidine (Zantac)
3. Clarithromycin (Biaxin) and amoxicillin (Amoxil)
4. Tetracycline (Sumycin) and pantoprazole (Protonix)

Madisongo23 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

1, 3, 5

Rationale 1:Sucralfate (Carafate) needs to be taken four times a day.
Rationale 2:The medication works by producing a thick, gel-like substance that coats the ulcer.
Rationale 3:Sucralfate (Carafate) with the coating will protect the ulcer against further erosion and promote healing.
Rationale 4:The medication is not absorbed by the GI tract.
Rationale 5:The medication may cause constipation.

Global Rationale: Sucralfate (Carafate) consists of sucrose (a sugar) plus aluminum hydroxide (an antacid). The drug produces a thick, gel-like substance that coats the ulcer, protecting it against further erosion and promoting healing. Very little of the drug is absorbed from the GI tract. Other than constipation, adverse effects are minimal. A major disadvantage of sucralfate is that it must be taken four times a day.

Answer to Question 2

3

Rationale 1:Amoxicillin (Amoxil) is an antibiotic. Metoclopramide (Reglan) is a miscellaneous drug used for peptic ulcer disease.
Rationale 2:Metronidazole (Flagyl) is a preferred antibiotic. Ranitidine (Zantac) is an H2-receptor blocker.
Rationale 3:Clarithromycin (Biaxin) and amoxicillin (Amoxil) are the preferred antibiotic combination.
Rationale 4:Tetracycline (Sumycin) is a preferred antibiotic. Pantoprazole (Protonix) is a proton-pump inhibitor.

Global Rationale: Two or more antibiotics are given concurrently to increase the effectiveness of therapy and to lower the potential for bacterial resistance. Clarithromycin (Biaxin) and amoxicillin (Amoxil)are the preferred drug combination.