A patient taking misoprostol (Cytotec) to treat a gastric ulcer ...

[cookcarl]

A patient taking misoprostol (Cytotec) to treat a gastric ulcer reports recurrent diarrhea. The nurse should encourage this patient to
 
  a. immediately discontinue misoprostol (Cytotec).
  b. take with a magnesium-containing antacid.
  c. omit fresh fruits from diet.
  d. take medication with meals.

Question 2

The nurse is planning to administer an antacid to a patient diagnosed with PUD who will receive an H2 antagonist at 8:00 AM. When is the most appropriate time for the nurse to provide the antacid to this patient?
 
  a. With the H2 antagonist
  b. 30 minutes prior to the H2 antagonist
  c. 2 hours after the H2 antagonist
  d. Within an hour after the H2 antagonist

[karlss]

Answer to Question 1

ANS: D
Taking medication with meals may lessen diarrhea. Diarrhea associated with misoprostol therapy is dose related. The patient should not discontinue therapy without first consulting with the health care provider. Magnesium-containing antacids should be avoided. Fresh fruits are considered roughage and should be encouraged.

Answer to Question 2

ANS: C
Because antacid therapy is often continued during early therapy of PUD, administer 1 hour before or 2 hours after H2 antagonist dose.

[cookcarl]

Excellent

[yeungji]

TYSM