A client has a new prescription for Amlodipine. Which of the following instructions should the nurse include during discharge teaching?

Correct Answer: B

Rationale: Grapefruit juice can inhibit the metabolism of amlodipine, a calcium channel blocker, leading to increased drug levels in the blood. This can result in potentiated side effects and potential toxicity. Therefore, it is important for the client to avoid grapefruit juice while taking amlodipine.

Correct Answer: C

Rationale: Bupropion overdose (10 pills) risks seizures , due to lowered seizure threshold, a known toxicity. Dry mouth , nervousness , and sexual dysfunction are side effects, not overdose-specific. Sweating (E) is minor. Seizures align with his smoking cessation attempt gone awry.

Correct Answer: C

Rationale: Muscle pain should be reported immediately as it can indicate rhabdomyolysis, a severe adverse effect of atorvastatin. Rhabdomyolysis is characterized by muscle pain, weakness, and can lead to serious complications such as kidney damage, making it crucial for the nurse to notify the provider promptly.

Correct Answer: A

Rationale: The correct answer is extremity paresthesias. Streptomycin, used to treat infections like Subacute Bacterial Endocarditis, can cause paresthesias in the hands and feet as an adverse effect. Monitoring for this symptom is vital to detect and manage it promptly.

Correct Answer: C

Rationale: Diarrhea is an adverse effect of cefotaxime and other cephalosporins that requires reporting to the provider. Severe diarrhea might indicate the client has developed antibiotic-associated pseudomembranous colitis, which could be life-threatening.

Correct Answer: C

Rationale: Ataxia is a sign of CNS toxicity, which can be a severe adverse effect of Metronidazole.

Correct Answer: C

Rationale: Rinsing the mouth after using inhaled beclomethasone is important to prevent fungal overgrowth in the mouth, a common side effect of corticosteroid inhalers.

Correct Answer: B

Rationale: Tetracycline can cause photosensitivity, making the client more sensitive to the sun's rays. To prevent adverse reactions like sunburn or skin rashes, it is essential for the client to avoid prolonged sun exposure and wear protective clothing when outdoors.

Correct Answer: D

Rationale: Leucovorin, a folic acid derivative and an antagonist to Methotrexate, is given within 12 hours of high doses of Methotrexate to protect healthy cells from the toxic effects of Methotrexate. It helps to reduce the bone marrow suppression and gastrointestinal side effects caused by Methotrexate, supporting the client's overall well-being during chemotherapy treatment.