The client receives H2-receptor antagonists for treatment of peptic ulcer disease (PUD). Which assessment finding should be reported immediately to the physician?
1. The client reports he is constipated.
2. The client reports pain after 24 hours of treatment.
3. The client reports episodes of melena.
4. The client reports he took the antacid Tums with his H2-receptor antagonist.
3
Rationale 1: Constipation is a common side effect that does not need to be immediately reported to the physician.
Rationale 2: The client may still experience pain for several days with this type of medication.
Rationale 3: Melena could indicate GI bleeding and should be reported to the physician immediately.
Rationale 4: Taking Tums with an H2-receptor antagonist will cause decreased absorption of the H2-receptor antagonist, but this does not need to be reported to the physician; the nurse should educate the client.
Global Rationale: Melena could indicate GI bleeding and should be reported to the physician immediately. Constipation is a common side effect that does not need to be immediately reported to the physician. The client may still experience pain for several days with this type of medication. Taking Tums with an H2-receptor antagonist will cause decreased absorption of the H2-receptor antagonist, but this does not need to be reported to the physician; the nurse should educate the client.
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