A client has a new prescription for Beclomethasone. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: In pharmacology, it is crucial for nurses to provide accurate instructions to clients to ensure safe and effective medication administration. In the case of Beclomethasone, the correct instruction for the nurse to include is option A) Rinse your mouth after each use of this medication. This is because Beclomethasone is an inhaled corticosteroid commonly used to treat respiratory conditions such as asthma. Rinsing the mouth after each use helps prevent the development of oral thrush, a common side effect of inhaled corticosteroids. Option B) Limit fluid intake while taking this medication is incorrect and potentially harmful advice. Adequate hydration is important for overall health and should not be limited unless specifically advised by a healthcare provider for a different medical reason. Option C) Increase your intake of vitamin B12 while taking this medication is also incorrect. Beclomethasone does not specifically interact with vitamin B12, so there is no need to increase its intake solely based on this medication. Option D) You can take the medication as needed is incorrect as Beclomethasone is typically prescribed on a scheduled basis to provide continuous control of respiratory symptoms. Taking it as needed may lead to inadequate symptom management and potential exacerbation of the condition. Educationally, this question highlights the importance of understanding medication-specific instructions and the rationale behind them to promote safe and effective patient care. Nurses need to be knowledgeable about common medications, their side effects, and administration instructions to provide comprehensive patient education and support optimal health outcomes.

Correct Answer: C

Rationale: Dyspnea is a concerning finding in a client receiving Mannitol as it can be a manifestation of heart failure, which is an adverse effect of the medication. The nurse should promptly notify the provider, discontinue the Mannitol, and initiate appropriate interventions to address the dyspnea and monitor the client's condition closely.

Correct Answer: C

Rationale: In the context of monitoring older adult clients taking digoxin, the correct answer is C) Potassium 3.4 mEq/L. Hypokalemia, indicated by a low potassium level, increases the risk of digoxin toxicity. Digoxin competes with potassium for binding sites on the sodium-potassium pump in cardiac cells. When potassium levels are low, digoxin can bind more strongly, leading to an increased risk of toxicity and adverse effects such as dysrhythmias. Option A) Calcium 9.2 mg/dL and Option B) Calcium 10.3 mg/dL are related to calcium levels, which do not directly impact digoxin toxicity. While calcium levels can affect cardiac function, they do not have the same interaction with digoxin as potassium does. Option D) Potassium 4.8 mEq/L is within the normal range and does not pose an increased risk of digoxin toxicity compared to hypokalemia. It is essential for healthcare professionals to understand the relationship between electrolyte levels and specific medications like digoxin to prevent adverse effects and ensure patient safety.

Correct Answer: A

Rationale: The correct answer is A) Remove the patch each evening. Rationale: Nitroglycerin transdermal patches are used to prevent angina episodes by providing continuous vasodilation. Removing the patch each evening helps prevent tolerance to the medication, as nitroglycerin has a short half-life and removing the patch allows for a nitrate-free period, reducing the risk of tolerance development. Tolerance can diminish the effectiveness of the medication over time, leading to decreased therapeutic benefits. Option B) Do not cut the patch in half even if angina attacks are under control is incorrect because cutting the patch can alter the drug release mechanism, leading to unpredictable dosing and potentially compromising the therapeutic effects of the medication. Option C) Remove the nitroglycerin patch for 30 minutes if a headache occurs is incorrect. Headache is a common side effect of nitroglycerin due to vasodilation, and removing the patch may worsen angina symptoms. Managing headaches with other interventions like over-the-counter pain medication or addressing underlying causes is more appropriate. Option D) Apply a new patch every 48 hours is incorrect as nitroglycerin patches are typically replaced every 24 hours to maintain a consistent therapeutic level of the medication for angina management. Educational Context: Understanding the proper administration and management of nitroglycerin patches is crucial for nursing practice to ensure optimal patient outcomes. Educating patients on the correct use of these patches, including when to remove and replace them, can enhance treatment effectiveness and prevent potential complications such as tolerance development or inadequate symptom control.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Report of anorexia. Digoxin toxicity can present with gastrointestinal symptoms like anorexia, nausea, vomiting, and abdominal pain. Anorexia is particularly common in cases of digoxin toxicity due to its impact on the gastrointestinal system. This symptom should prompt immediate assessment and potential adjustment of the digoxin dosage to prevent further complications. Option A) Bruising is not typically associated with digoxin toxicity. Bruising may be related to other factors such as blood clotting abnormalities or trauma. Option B) Report of metallic taste is not a common manifestation of digoxin toxicity. Metallic taste is more commonly associated with certain medications or oral health issues. Option C) Muscle pain is not a typical sign of digoxin toxicity. Muscle pain could be due to various reasons like strain, injury, or other medications but is not specifically linked to digoxin toxicity. Understanding the manifestations of digoxin toxicity is crucial for healthcare providers to ensure safe medication management for patients with heart failure. Regular monitoring, patient education, and prompt recognition of toxic symptoms are essential aspects of pharmacological care in such cases.