128.

The physician orders sucralfate (Carafate) 1 g PO bid for a 56-year-old

woman taking digoxin (Lanoxin) 0.25 mg qd. The woman asks the nurse if
she can take both pills together with her breakfast so she doesnt forget to
take them. The nurse should advise the woman to
1.
2.
3.
4.

take
take
take
take

the
the
the
the

Carafate and Lanoxin before breakfast.

Lanoxin 1 hour before breakfast and the Carafate 1 hour after breakfast.
Carafate 1 hour before breakfast and the Lanoxin 1 hour after breakfast.
Carafate and the Lanoxin after breakfast.

Strategy: All answers are implementations. Determine the outcome of each

answer choice. Is it desired?
(1) Carafate forms a barrier on the GI mucosa, would decrease absorption of other
medications,
separate by 2 hours
(2) Carafate best results on empty stomach
(3) correctCarafate best results on empty stomach, medications should be
separated by 2 hours for maximum absorption
(4) Carafate best results on empty stomach, medications should be separated by 2
hours for maximum absorption
129. In preadmission planning with a client who is to have a renal
transplant, the client should be educated by the nurse regarding the need to
1. remind family and friends that there is restricted visiting for at least 72 hours
postoperatively.
2. arrange all live plants received postoperatively in one section of the room.
3. continue intermittent peritoneal dialysis for three months following surgery.
4. limit consumption of sodium-free liquids for one year postoperatively.
Strategy: Answers are implementations. Determine the outcome of each
answer choice. Is it desired?
(1)
(2)
(3)
(4)

correcttransplant clients require protective isolation following surgery

cant have live plants in their room at all
no need for dialysis following transplant
need to force fluids, not restrict them

130. When administering antipsychotic medications parenterally, the nurse

should take which of the following actions?
1. Monitor the clients blood pressure while sitting and standing before and after each
dose is given.
2. Caution the client not to drink or operate machinery that requires mental alertness
for safety.
3. Have an emergency cart available in case of an adverse reaction.
4. Reassure the client that side effects are only temporary.