Which precaution is most important for the nurse to teach an older patient who is starting histamine H2 blockers for gastroesophageal reflux disease (GERD)?
a. "Do not drink caffeine while taking this drug."
b. "Elevate the head of your bed by 6 to 10 inches."
c. "Take this drug with meals and before going to bed."
d. "Avoid driving until you know how this drug affects you."
D
Older adults are more likely to experience drowsiness and acute confusion when taking these drugs. They should avoid driving or operating dangerous equipment until they know how the drug affects them. Although the drug should be taken with a meal or before bedtime, the safety issue with the confusion and drowsiness has the highest priority. Avoiding caffeine and elevating the head of the bed are helpful for GERD but are not related to drug therapy.
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1. 20% 2. 5% 3. 0.2% 4. 0.5%
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