Correct Answer: B

Rationale: The correct instruction for a client with a prescription for Oxycodone/Acetaminophen is to avoid taking additional Acetaminophen while on this medication. Combining medications containing Acetaminophen can lead to exceeding the maximum recommended dose and increase the risk of liver toxicity.
Therefore, it is crucial for the nurse to emphasize the importance of not taking extra Acetaminophen while on this prescription to ensure the client's safety and well-being.

Correct Answer: A

Rationale: Nausea, along with vomiting, visual disturbances, and confusion, can be early signs of Digoxin toxicity. The healthcare provider should closely monitor the client for these symptoms to prevent serious complications.

Correct Answer: D

Rationale: Anorexia is a common manifestation of digoxin toxicity, along with symptoms such as blurred vision, stomach pain, and diarrhea. It is important for healthcare providers to recognize these signs to prevent serious complications.

Correct Answer: D

Rationale: Butorphanol is an opioid agonist/antagonist that can precipitate withdrawal symptoms in opioid-dependent individuals. Symptoms of abstinence syndrome can include abdominal pain, fever, and anxiety. This occurs because butorphanol competes with and displaces opioid agonists from receptors, leading to withdrawal symptoms in opioid-dependent clients.

Correct Answer: C

Rationale: The nurse should monitor the client for gynecomastia, as it is an adverse effect of leuprolide due to decreased testosterone levels. Leuprolide works by decreasing testosterone production, which can lead to gynecomastia, the development of male breast tissue. Monitoring for this side effect is essential for early detection and intervention.