A client has a new prescription for Alteplase. Which of the following actions should the nurse plan to take?

Correct Answer: D

Rationale: Alteplase is a thrombolytic agent used to dissolve blood clots. Patients receiving Alteplase are at risk for bleeding complications, including intracranial bleeding. Monitoring for changes in the level of consciousness is crucial as it can indicate early signs of bleeding, such as increased intracranial pressure. This rapid assessment allows for timely intervention and prevention of further complications.

Correct Answer: D

Rationale: It is crucial for clients to complete the entire course of amoxicillin therapy to ensure the infection is fully treated and to prevent antibiotic resistance. Prematurely stopping the antibiotic can lead to incomplete eradication of the infection, potentially causing it to return and be more difficult to treat.

Correct Answer: B

Rationale: In educating a client with a new prescription for Hydrochlorothiazide, the nurse should include the statement "You may need to increase your intake of potassium" because Hydrochlorothiazide is a diuretic that can promote potassium loss through increased urine output. Potassium supplements or potassium-rich foods may be recommended to prevent hypokalemia, a potential side effect of this medication. Option A, "Take this medication in the morning," is not the most crucial information to include in this situation. While it is generally recommended to take diuretics in the morning to avoid disrupting sleep with nighttime urination, this is not as critical as ensuring the client understands the need for monitoring potassium levels. Option C, "This medication may cause drowsiness," is incorrect because Hydrochlorothiazide is not typically associated with sedation or drowsiness. Including this information may lead to unnecessary concern or confusion for the client. Option D, "Avoid consuming grapefruit," is irrelevant for Hydrochlorothiazide as grapefruit interactions are more commonly associated with other types of medications, such as statins. Including this information would not be pertinent to the client's understanding of how to take their new prescription effectively. In an educational context, it is essential for nurses to provide clear, relevant information to clients starting new medications to ensure their safety, adherence, and understanding of potential side effects. By prioritizing key points like potassium monitoring with Hydrochlorothiazide, nurses can empower clients to manage their health effectively.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Administer the medication into the abdomen. Enoxaparin is a low molecular weight heparin that is commonly administered subcutaneously. The abdomen is a preferred site for subcutaneous injections due to the higher number of subcutaneous tissue layers, which allows for better absorption and decreases the risk of hitting underlying muscle or blood vessels. This route also provides a larger surface area for medication absorption. Option A) Massage the injection site after administration is incorrect because massaging the site can cause bruising, irritation, or tissue damage, which is not recommended after administering anticoagulants like Enoxaparin. Option B) Aspirate before injecting the medication is not necessary for subcutaneous injections like Enoxaparin. Aspiration is typically done for intramuscular injections to ensure the needle is not in a blood vessel. Option D) Administer the medication via intramuscular injection is incorrect because Enoxaparin should not be given intramuscularly due to the risk of hematoma formation and inconsistent absorption. Educationally, understanding the rationale behind the route of administration for medications like Enoxaparin is crucial for safe and effective nursing practice. It ensures proper drug delivery, minimizes complications, and promotes patient comfort and compliance.

Correct Answer: A

Rationale: Clopidogrel is an antiplatelet medication that increases the risk of bleeding. The client should monitor for any signs of bleeding, such as easy bruising, prolonged bleeding from cuts, blood in urine or stool, and report them promptly to their healthcare provider for further evaluation and management.