Question

The nurse removes a patient’s transdermal nitroglycerin disc at bedtime as ordered to minimize nitrate tolerance. The patient awakens during the night and complains of anginal symptoms. The nurse’s first action is to:

Select one:

A.Notify the health care provider.

B.Apply a new transdermal disc.

C.Obtain further history of complaints.

D.Administer a short-acting nitrate as ordered.

The nurse explains to the patient being discharged who is taking sucralfate that the medication should be administered:

Select one:

A.with meals

B.at the same time as an antacid

C.after meals

D.2 hours before other drugs

Clear my choice

Cefuroxime (Ceftin) is a first generation antibiotic.

Select one:

True

False

Important points to include when teaching measures to promote healthy bowel function include all of the following except:

Select one:

A.Establish regular bowel habits.

B.Increase fluid intake.

C.Increase activity.

D.Eat a low-residue diet.

A patient asks the nurse how sucralfate (Carafate) works. The nurse replies that sucralfate:

Select one:

A.binds to normal and ulcerated mucosa, creating a protective barrier

B.enhances prostaglandin synthesis

C.increases mucus and bicarbonate secretion

D.inhibits gastric acid secretion

Answer 1

Answer 1.

The nurse should administer short acting angina immediately ( option d)

And then inform the health care provider accordingly,  

Explanation:

Nitroglycerin transdermal patches are used to prevent episodes of angina (chest pain) in people who have coronary artery disease (narrowing of the blood vessels that supply blood to the heart). Nitroglycerin transdermal patches can only be used to prevent attacks of angina; they cannot be used to treat an attack of angina once it has begun. Nitroglycerin is in a class of medications called vasodilators. It works by relaxing the blood vessels so that the heart does not need to work as hard and therefore does not need as much oxygen, incase of acute attack, nitrates through sublingual routes should be given immediately.

Answer 2:

Option (d) will be correct option,

As we know,

Sucralfate is a complex of aluminium hydroxide and sucrose octasulfate. It dissociates in the acid environment of the stomach to its anionic form, which binds to the ulcer base. This creates a protective barrier to pepsin and bile and inhibits the diffusion of gastric acid.So if it is taken with other food or even drugs it will inhibit their absorption through gastric mucosa.

Answer 3.

The above statement is false,

As cefuroxime is a 2nd generation cephalosporin.

Examples of first generation cephalosporin are cephalexin (Keflex) cefadroxil (Duricef) cephradine (Velosef)

Answer 4.

Option(a) is the correct answer.

Explanation:

Sucralfate is a complex of aluminium hydroxide and sucrose octasulfate. It dissociates in the acid environment of the stomach to its anionic form, which binds to the ulcer base. This creates a protective barrier to pepsin and bile and inhibits the diffusion of gastric acid.