A 30-year-old male patient will begin a three-drug regimen to ...

[Pineappleeh]

A 30-year-old male patient will begin a three-drug regimen to treat peptic ulcer disease. The regimen will consist of bismuth subsalicylate, tetracycline, and cimetidine (Tagamet).
 
  The nurse will include which information when teaching this patient about this drug regimen?
  a. Black discoloration of the tongue and stools should be reported immediately.
  b. Central nervous system depression and confusion are likely to occur.
  c. Decreased libido, impotence, and gynecomastia are reversible side effects.
  d. Staining of the teeth may occur and is an indication for discontinuation of these drugs.

Question 2

When metronidazole (Flagyl) is a component of the H. pylori treatment regimen, the patient must be instructed to do what?
 
  a. Avoid any alcoholic beverages
  b. Avoid foods containing tyramine
  c. Take the drug on an empty stomach
  d. Take the drug with food

[jamesnevil303]

Answer to Question 1

ANS: C
Cimetidine has antiandrogenic effects and can cause decreased libido, impotence, and gynecomastia. These effects are reversible. Black stools and discoloration of the tongue are side effects associated with bismuth but are not harmful. Central nervous system (CNS) depression and confusion are not likely. Staining of the teeth associated with tetracycline use occurs only in developing teeth; it is a problem in children younger than 8 years and in pregnant woman because of this risk to the fetus.

Answer to Question 2

ANS: A
The patient should be instructed to avoid alcoholic beverages, because a disulfiram-like reaction can occur if metronidazole is taken with alcohol. Nothing indicates that the patient should avoid foods containing tyramine. Metronidazole may be taken with or without food.

[Pineappleeh]

Excellent

[samiel-sayed]

Gracias!