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

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.

Correct Answer: C

Rationale: The correct statement to include when teaching a client about Propranolol is to avoid sudden changes in position. Propranolol, a beta-blocker, can lead to dizziness and lightheadedness, particularly when changing positions. Therefore, clients should be advised to change positions slowly to prevent falls and related injuries.

Correct Answer: A

Rationale: The correct answer is to advise the client to avoid consuming foods high in vitamin K. Warfarin's effectiveness can be affected by vitamin K intake. Clients should maintain a consistent intake of vitamin K and avoid sudden increases in foods high in vitamin K to ensure the medication works properly and consistently.

Correct Answer: B

Rationale: The correct answer is B. Loperamide can cause drowsiness and dizziness, so clients should avoid activities that require alertness until they know how the medication affects them. Taking the medication with a full glass of water can help with absorption. Increasing high-fiber foods is not directly related to Loperamide, and black, tarry stools are not expected side effects of this medication.

Correct Answer: C

Rationale: In pharmacology, providing accurate and detailed instructions to patients is crucial to ensure therapeutic effectiveness and prevent potential adverse effects. In this scenario, the correct answer is option C) Increase fiber intake to prevent constipation. The rationale behind this correct answer lies in the common side effect of iron supplements, which is constipation. Iron supplements can lead to gastrointestinal issues, including constipation, due to their effect on the GI tract. By increasing fiber intake, the client can counteract the constipating effects of iron by promoting regular bowel movements and preventing constipation. Option A) Take the medication with a glass of milk is incorrect because calcium in milk can interfere with iron absorption, reducing the effectiveness of the iron supplement. It is generally recommended to take iron supplements on an empty stomach or with vitamin C to enhance absorption. Option B) Avoid taking the medication with orange juice is incorrect because vitamin C in orange juice actually helps enhance iron absorption. Therefore, it can be beneficial to take iron supplements with orange juice to maximize absorption. Option D) Expect stools to be bright red is incorrect because bright red stools are typically associated with gastrointestinal bleeding and not a common side effect of iron supplements. It is important to educate the client on potential side effects of iron supplements, but bright red stools are not an expected outcome. Educationally, understanding the interactions and side effects of medications is vital for healthcare professionals to provide accurate and safe care to patients. By explaining why certain instructions are correct or incorrect, students and practitioners can enhance their critical thinking skills and improve patient outcomes through effective medication management.