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NCLEX-RN

Category - Pharmacological

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A client with a gastric ulcer is ordered sucralfate (Carafate) by mouth. The nurse should instruct the client to take the medication:

One hour before meals and at bedtime
One hour after meals and at bedtime
With meals and at bedtime
Once a day, before breakfast

Explanation

Answer: A - Sucralfate forms a protective covering over the ulcer. Food intake stimulates the secretion of gastric acid, which can cause gastric pain; therefore, sucralfate is best taken on an empty stomach, which is about 1 hour before meals or 2 hours after meals. This would allow the formation of a protective covering over the ulcerated areas. The other options are not correct.

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