The nurse is teaching a client about sucralfate. Which statement made by the patient requires additional teaching?

A. “I need to take sucralfate 30 minutes after meals.”: Sucralfate is most effective when taken before meals, because it creates a protective barrier over ulcers to shield them during digestion. Taking it after meals reduces its protective action and shows the patient needs more teaching. B. “I need to report pain or vomiting of blood.”: Persistent abdominal pain or hematemesis may indicate worsening ulcers or gastrointestinal bleeding. Reporting these symptoms is appropriate and reflects correct understanding of when to seek medical attention. C. “I need to take my antacid 30 minutes before or 30 minutes after Sucralfate.”: Antacids can interfere with sucralfate’s ability to coat the stomach lining. Spacing these medications helps maintain effectiveness, showing appropriate understanding. D. “I need to increase my fluid intake.”: Sucralfate can cause constipation, and increased fluid intake helps reduce this risk. This statement reflects correct self-care instructions.