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Question ⬇

Physiological Integrity

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19. A client with a duodenal ulcer has been taking sucralfate (Carafate). Which statement by the client would be a priority for a nurse to address?

Choices

Choices ⬆ ⬇

1. "I don't like the taste, so I mix it in pudding."

2. "I wish I could take Carafate at the same time as my other pills."

3. "I have found that stewed prunes help prevent constipation from the drug."

4. "Taking Carafate with H2O has helped my fluid intake."

Question  Hint

Hints ⬆ ⬇

Test-Taking Tip

Look for the option that would maximize the therapeutic coating effect of Carafate.

Content Area: Adult Health, Gastrointestinal; Integrated Process: Nursing Process, Evaluation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Medication Administration

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Rationale ⬆

Physiological Integrity

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1.  

Answer 1 is correct because Carafate should be given alone 30 to 60 minutes before mealtime. It is activated by stomach acid and coats a stomach ulcer. Answer 2 is incorrect because the drug may be taken with other drugs. Only digoxin and tetracycline should be taken at different times. Answer 3 is incorrect because constipation is not a side effect. Diarrhea would be more common. Answer 4 is incorrect because the drug should not be diluted to obtain maximum effect; water does not coat the stomach.

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