A client with a gastric ulcer is prescribed sucralfate (Carafate) by mouth. The nurse would instruct the client to take the medication:
  1. One hour before meals and at bedtime
  2. One hour after meals and at bedtime
  3. With meals and at bedtime
  4. 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, 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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