A patient with gastroesophageal reflux disease is prescribed ranitidine (Zantac). Which statement by the patient indicates to the nurse a need for additional teaching?
a. "If I need to use ranitidine for more than 2 weeks, I will notify my prescriber."
b. "I will look into a smoking cessation program when I go home."
c. "I will take the ranitidine first thing in the morning so that its effect will last all day and night."
d. "I will not drive until I know how the ranitidine affects me."
C
To prolong the effects of histamine H2 blockers like ranitidine, they should be taken with meals. If a patient takes this drug once a day, giving it at bedtime prolongs the effects when there is no food in the stomach and reflux may be worse.
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The nurse would recommend that a young woman planning to become pregnant use which supplement to prevent neural tube defects?
A) Calcium B) Folic acid C) Vitamin C D) Iron
The nurse is planning care for a patient admitted for surgery with the primary nursing diagnosis being Knowledge Deficit related to pre- and postoperative care. Which goal statement is the most appropriate for this diagnosis?
1. The nurse will administer the prescribed medications. 2. The patient will understand the prescribed medications. 3. The patient will be afebrile during the postoperative period. 4. The patient will verbalize the purpose of preoperative medications prior to surgery.
What cardiovascular defect results in obstruction to blood flow?
a. Aortic stenosis b. Tricuspid atresia c. Atrial septal defect d. Transposition of the great arteries
Calculate RK's caloric and protein requirements at discharge from the hospital. Compare this to the amount of calories and protein he is receiving from the 2 kcals/cc tube feeding at 240 cc qid