Author Question: The client has a prescription for sucralfate (Carafate) four times daily. The nurse writes in the ... (Read 29 times)

laurencescou · **on:** Jul 22, 2018

The client has a prescription for sucralfate (Carafate) four times daily. The nurse writes in the medication record to administer the medication at which of the following times?

1. With meals and at bedtime
2. Every 6 hours around the clock
3. One hour after meals and at bedtime
4. One hour before meals and at bedtime

Question 2

A client with a history of coronary artery disease has developed diabetes insipidus as a result of cranial surgery. The client's medication therapy will include vasopressin (Pitressin).

The nurse monitors this client most carefully for which of the following sign/ symptom that indicates an adverse effect of this medication? 1. Depression
2. Chest pain
3. Nagging cough
4. Joint stiffness

Jsherida · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4

Rationale: Sucralfate is a gastric protectant. The medication should be scheduled for administration 1 hour before meals and at bedtime. The medication is scheduled so that it has time to bind to the base of ulcers and erosions and form a protective coating before food intake stimulates chemical and mechanical irritation in the stomach. Therefore with meals and at bedtime, every 6 hours around the clock, and one hour after meals and at bedtime are incorrect.

Answer to Question 2

2

Rationale: Because of its powerful vasoconstrictor actions, vasopressin can cause adverse cardiovascular effects. By constricting arteries of the heart, vasopressin can cause angina pectoris and even myocardial infarction (MI), especially if administered to clients with coronary artery disease. In addition, vasopressin may cause gangrene by decreasing blood flow in the periphery. The other options are incorrect are nit signs/symptoms of adverse effects of the medication.