The nurse planning medication administration instruction for a ...

[Jkov05]

The nurse planning medication administration instruction for a client receiving antacids should consider including which information?
 
  1. Antacids can be safely administered with H2-receptor medications.
  2. Antacids can be safely administered with antibiotics.
  3. Administer antacids at least 2 hours before other oral medications.
  4. Lay down for 30 minutes after taking antacids.

Question 2

The client receives H2-receptor antagonists for treatment of peptic ulcer disease (PUD). Which assessment finding should be reported immediately to the physician?
 
  1. The client reports he is constipated.
  2. The client reports pain after 24 hours of treatment.
  3. The client reports episodes of melana.
  4. The client reports he took the antacid Tums with his H2-receptor antagonist.

[sokh]

Answer to Question 1

Correct Answer: 3
Rationale 1: Administering antacids with H2-receptor antagonists will decrease their absorption.
Rationale 2: Administering antacids with antibiotics will decrease their absorption.
Rationale 3: Administering antacids with other oral medications can affect the absorption of the other medications; they should be taken 2 hours before other oral medications.
Rationale 4: There is no need for the client to lay down after taking antacids.

Answer to Question 2

Correct Answer: 3
Rationale 1: Constipation is a common side effect that does not need to be immediately reported to the physician.
Rationale 2: The client may still experience pain for several days with this type of medication.
Rationale 3: Melana could indicate GI bleeding and should be reported to the physician immediately.
Rationale 4: Taking Tums with an H2-receptor antagonist will cause deceased absorption of the H2-receptor antagonist, but this does not need to be reported to the physician; the nurse should educate the client.

[Jkov05]

Gracias!

[dyrone]

TYSM