A patient taking misoprostol (Cytotec) to treat a gastric ulcer reports recurrent diarrhea. The nurse should encourage this patient to
a. immediately discontinue misoprostol (Cytotec).
b. take with a magnesium-containing antacid.
c. omit fresh fruits from diet.
d. take medication with meals.
ANS: D
Taking medication with meals may lessen diarrhea. Diarrhea associated with misoprostol therapy is dose related. The patient should not discontinue therapy without first consulting with the health care provider. Magnesium-containing antacids should be avoided. Fresh fruits are considered roughage and should be encouraged.
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