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

Correct Answer: A

Rationale: In this scenario, the correct instruction for the nurse to include for a client with a new prescription for Clonidine is option A) Expect to feel drowsy. Clonidine is a centrally acting alpha-2 adrenergic agonist that works by decreasing sympathetic nervous system activity, leading to vasodilation and reduced blood pressure. One common side effect of Clonidine is sedation or drowsiness, so preparing the client for this potential effect is important for their safety and understanding. Option B) Increase your intake of high-potassium foods is incorrect because there is no specific relationship between Clonidine and potassium intake. It is essential for the nurse to provide accurate and relevant information to the client to ensure their understanding and adherence to medication instructions. Option C) Take the medication with grapefruit juice is incorrect because grapefruit juice can interact with certain medications by inhibiting cytochrome P450 enzymes in the liver, affecting drug metabolism. However, this is not a concern specifically associated with Clonidine. Option D) Avoid foods high in fat is incorrect as there is no direct correlation between Clonidine and dietary fat intake. Providing accurate information to the client about potential side effects and necessary precautions is crucial to ensure safe medication administration and management. In an educational context, it is important for nurses to have a solid understanding of pharmacology to provide safe and effective care to their clients. Educating clients about their medications, including potential side effects and necessary precautions, is a fundamental aspect of nursing practice to promote medication adherence and positive health outcomes.

Correct Answer: A

Rationale: In this scenario, the correct statement that the nurse should include for a client with a new prescription for Ondansetron is option A) Take the medication 30 minutes before chemotherapy. Rationale: Ondansetron is a medication commonly used to prevent nausea and vomiting, especially related to chemotherapy treatments. Taking it 30 minutes before chemotherapy allows the medication to be most effective in preventing these side effects. This timing ensures that the drug reaches peak concentration in the body when the chemotherapy drugs are administered, providing optimal antiemetic effects. Option B) Expect your urine to turn orange is incorrect because Ondansetron does not typically cause changes in urine color. This statement may confuse the client and lead to unnecessary concern. Option C) Increase your intake of high-fiber foods is incorrect as it is unrelated to the administration or effects of Ondansetron. It is important for the nurse to provide relevant and accurate information to the client to ensure safe and effective medication use. Option D) Avoid drinking grapefruit juice is incorrect because Ondansetron does not have any known interactions with grapefruit juice. This statement may unnecessarily restrict the client's dietary choices without a valid reason. Educational Context: Understanding the appropriate timing and administration of medications is crucial for achieving the desired therapeutic effects and minimizing adverse reactions. Nurses play a key role in educating clients about their medications to promote safe and effective treatment outcomes. In the case of Ondansetron, timing its administration before chemotherapy can significantly improve its efficacy in preventing chemotherapy-induced nausea and vomiting. By providing accurate information, nurses empower clients to take an active role in their healthcare and adhere to prescribed treatment regimens.

Correct Answer: B

Rationale: Clients with conditions like pernicious anemia or other causes of vitamin B12 deficiency may require lifelong cyanocobalamin supplementation to prevent deficiency. This is because their bodies are unable to absorb B12 from dietary sources adequately, necessitating ongoing injections to maintain optimal B12 levels.

Correct Answer: D

Rationale: Tinnitus (ringing in the ears) is an early sign of aspirin toxicity. Aspirin poisoning can cause salicylate intoxication, which includes symptoms like tinnitus, nausea, vomiting, confusion, rapid breathing, and sweating. Other signs of aspirin toxicity may include respiratory alkalosis, metabolic acidosis, hyperthermia, and even seizures. Monitoring for tinnitus is important in clients who may have aspirin toxicity as it serves as an early warning sign to prevent further complications.

Correct Answer: D

Rationale: The nurse should identify that colestipol should be administered 1 hour before or 4 to 6 hours after any other oral medication. This is because colestipol can interfere with the absorption of other medications due to its binding properties in the gut. Administering it separately from other medications helps to avoid any potential interaction and ensures the effectiveness of both the colestipol and other medications. Additionally, colestipol is typically taken with meals to enhance its tolerability and effectiveness in lowering cholesterol levels.