The nurse is planning to administer sucralfate to a client with peptic ulcer disease. Which action should the nurse include in this client's plan of care?
Explanation & Rationale
A. Give sucralfate on an empty stomach: Sucralfate forms a protective barrier over ulcers by binding to damaged mucosa. Administering it on an empty stomach, typically 1 hour before meals and at bedtime, maximizes its effectiveness by allowing it to coat the ulcerated area without interference from food. B. Administer sucralfate once a day, preferably at bedtime: Sucralfate is usually given multiple times a day (often four times daily) to maintain continuous protection of the gastric lining. Once-daily dosing is insufficient to provide adequate ulcer coverage and healing. C. Assess for secondary Candida infection: Sucralfate itself does not commonly predispose to fungal infections. Routine assessment for Candida is not a priority in clients receiving sucralfate. D. Monitor for electrolyte imbalance: Sucralfate generally does not affect electrolyte balance directly. Electrolyte monitoring is more critical with other ulcer medications like proton pump inhibitors or diuretics, rather than sucralfate administration.