The nurse should instruct a client to avoid which substance while taking a sulfonylurea medication?
1. Antacids
2. Calcium products
3. Alcohol
4. Antibiotics
Correct Answer: 3
Rationale 1: Antacids do not need to be avoided when taking a sulfonylurea medication.
Rationale 2: Calcium products do not need to be avoided when taking a sulfonylurea medication.
Rationale 3: When administered with alcohol, sulfonylureas can cause a disulfiram-like reaction with flushing, palpations, and nausea.
Rationale 4: Antibiotics do not need to be avoided when taking a sulfonylurea medication.
Global Rationale: When administered with alcohol, sulfonylureas can cause a disulfiram-like reaction with flushing, palpations, and nausea. Antacids, calcium products, and antibiotics do not have to be avoided when taking sulfonylurea medications.
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