A client has a new prescription for Brimonidine ophthalmic drops and wears soft contact lenses. Which of the following instructions should the nurse include in the teaching?

Correct Answer: C

Rationale: The correct instruction the nurse should include is that Brimonidine can absorb into soft contact lenses. To prevent this, the client should remove the contacts, instill the medication, and wait at least 15 minutes before putting the contacts back in to avoid any potential absorption of the medication into the lenses.

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: The correct answer is C: Sedation. Dextromethorphan can lead to sedation as an adverse effect. The nurse should advise the client to avoid activities that require alertness when taking this medication to prevent any potential harm. Monitoring for sedation is crucial to ensure the client's safety and well-being.

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.