A client has a new prescription for Clozapine. Which of the following statements should the nurse include in the teaching?

Correct Answer: D

Rationale: In this scenario, the correct answer is D) You should have your white blood cell count monitored every week. This is crucial because Clozapine, an atypical antipsychotic medication, is associated with a risk of agranulocytosis, a serious condition characterized by a dangerously low white blood cell count. Regular monitoring of white blood cell counts is essential to detect this potentially life-threatening side effect early on. Option A is incorrect because while maintaining a balanced diet is important, the specific instruction to have high-carbohydrate snacks is not directly related to Clozapine therapy. Option B is incorrect as hand tremors are not a common side effect of Clozapine. Option C is also incorrect as temporary numbness of the mouth is not typically associated with this medication. From an educational standpoint, this question highlights the importance of understanding the specific monitoring requirements and potential side effects of medications, especially those with serious risks like Clozapine. It emphasizes the critical role of nurses in providing accurate and relevant information to clients to ensure their safety and well-being during drug therapy.

Correct Answer: A

Rationale: Neostigmine is a cholinesterase inhibitor commonly used to reverse the effects of nondepolarizing neuromuscular blockers, such as the one the client received. It works by inhibiting the breakdown of acetylcholine, thereby enhancing neuromuscular transmission and reversing muscle weakness caused by the neuromuscular blocking agent.

Correct Answer: C

Rationale: Furosemide is a loop diuretic that acts on the kidneys to increase urine production. This increased urine output can lead to the excessive excretion of potassium, resulting in hypokalemia. Monitoring potassium levels and considering supplementation may be necessary when a patient is on furosemide to prevent or manage hypokalemia.

Correct Answer: C

Rationale: The correct instruction for a client taking Metoprolol, a medication used to treat hypertension, is to avoid sudden changes in position. Metoprolol can cause orthostatic hypotension, a sudden drop in blood pressure when moving from lying down to standing up, leading to dizziness and falls. By advising the client to change positions slowly, the nurse helps prevent these adverse effects and promotes safety.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Notify your provider if you develop a persistent cough. Captopril is an ACE inhibitor that can cause a common side effect of a persistent dry cough. This is a crucial side effect to monitor for because it may indicate the development of angioedema, a serious adverse reaction that requires immediate medical attention. Educating the client to report this symptom promptly ensures early intervention and prevents potential complications. Option A) Take the medication with food is incorrect because Captopril can be taken without regard to meals. Option B) Monitor your blood pressure weekly is not the most important instruction as the primary concern with Captopril is not blood pressure monitoring but rather the side effect of a persistent cough. Option D) Avoid using salt substitutes to prevent hyperkalemia is not directly related to Captopril. While ACE inhibitors can lead to hyperkalemia, this specific instruction is not a priority compared to monitoring for the common side effect of a cough. In an educational context, understanding the side effects and monitoring parameters of medications is crucial for safe administration and client well-being. Nurses must prioritize patient education on common side effects and when to seek medical attention to prevent complications and ensure optimal medication outcomes.