The nurse is providing education to a client who has been prescribed both an antacid and ranitidine (Zantac). Which instruction should the nurse give the client about taking the medication? "Take the ranitidine before meals and take the antacid for heartburn if needed after meals." A spouse is requesting that an alternative for lactulose be given to a constipated client with elevated liver enzymes. How should the nurse respond? Explain that lactulose binds ammonia in the gut when the impaired liver can't. The nurse is preparing to give medications t o a client taking sucralfate (Carafate) and ciprofloxacin (Cipro). The drugs are ordered for 0900. In what manner should the nurse proceed to administer these drugs? The nurse should ask the prescriber to stagger the medication times. A client presents in the clinic with concerns of having taken dabigatran (Pradaxa) twice this morning. Realizing that this is a new oral anticoagulant ,what should the nurse do next? Seek advice from the physician, Ask the client to share how the OD happened, calm the client by explaining that the medication has a 12 hour half-life, assess for signs of active bleeding. A client is being d/c to his home on enoxaparin (Lovenox) injections for treatment of a DVT. Which of the following statements made by the client indicate a need for further d/c teaching by the nurse? "I will need to go to my doctor's office each day to have my enoxaparin blood level checked." A client with stable angina is starting treatment with Nifedipine, a calcium channel blocker. The client's spouse asks how Nifedipine alleviates chest pain. How should the nurse respond? The reduce the work of the heart by reducing aortic pressure (afterload). In preparing d/c education for a client who has just begun hydrochlorothiazide therapy, a nurse reviews the client's lab results. Which finding should the nurse be concerned about in relation to the d/c prescription? Potassium level of 3.1 mEq/L A client who has been taking Lisinopril, an ACE inhibitor, for 2 weeks complains of a dry cough. How should the nurse respond to this complaint?