Med Surg Test 4 Part 2

A nurse is teaching a client who has a new prescription for ranitidine to treat peptic ulcer disease. Which of the following statements by the client indicate an understanding of the teaching?

Select all that apply

• I will take the medication with or without food

• I will take this medication in the morning

• I will take this medication with and antacid

• I will eat 5 small meals a day

• I will take this medication when i need it for pain

A nurse is teaching a client who has a duodenal ulcer about his new prescription for cimetidine. The nurse should include which of the following instructions in the teaching?

• The the medication with an antacid to minimize stomach upset

• your doctor may need to reduce your theophylline dose while taking this medication

• take the medication on an empty stomach for better absorption

• you should plan to take this medication for 6 months

A nurse is teaching a client who has diabetes about which dietary source should provide the greatest percentage of calories. Which of the following indicates the client understands the teaching?

• Most of my calories each day should be from fats

• I should eat more calories from complex carbs than anything else

• simple sugars are needed more then other calorie sources

• protein should be my main source of calories

The nurse is teaching a client about strategies to manager GERD which of the following statement should the nurse include?

• Elevate the head of your bed by 18 inches

• avoid snacking between meals

• limit foods that are high in fiber

• lie on your right side when sleeping

A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following finding is a manifestation of levothyroxine overdose?

• Insomnia

• Constipation

• drowsiness

• hypoactive deep-tendon reflexes

A nurse is providing teaching to a client who has peptic ulcer disease and a new prescription for sucralfate tablets. Which of the following information should the nurse provide?

• an antacid may be taken with the medication if indigestion occurs

• take sucralfate 1hr before meals

• take the tablets whole

• store sucralfate in the refrigerator

A nurse is providing teaching to a client who has DM about carbohydrate intake needs when exercising. which of the following foods should the nurse include as contacting a 15g serving of carbohydrates.

• 2 slices of bread

• 1 cup of sugar-free yogurt

• 1 cup milk

• 1 cup regular ice cream

A nurse is teaching a client who has DM and a new RX for glimepiride. The nurse should teach the client to avoid which of the following drinks while taking this medication?

• Grapefruit juice

• milk

• Alcohol

• Coffee

A nurse is assessing a client who has thyrotoxicosis after taking too high of a dose of levothyroxine. Which of the following symptoms should the nurse expect?

• Drowsiness

• Bradycardia

• Dry Skin

• Heat Intolerance

A nurse is caring for a client who is diabetic and reports a headache, restlessness, fatigue and hunger. The nurse should identify that the client is likely experiencing which of the following conditions?

• Hypoglycemia

• Hyperglycemia

• Neuropathy

• Hypokalemia