A client has a new prescription for Cyanocobalamin (Vitamin B12) injections. Which of the following client statements indicates an understanding of the teaching?

Correct Answer: A

Rationale: In this scenario, option A is the correct answer: "I will need to take this medication for the rest of my life." This statement indicates an understanding of the teaching because Cyanocobalamin (Vitamin B12) is often prescribed for conditions like pernicious anemia or B12 deficiency that require lifelong supplementation. Option B is incorrect because stopping the medication when symptoms improve can lead to a relapse of the underlying condition. Option C is incorrect as Vitamin B12 injections are typically administered intramuscularly and not taken orally with food. Option D is also incorrect as there is no need to avoid green, leafy vegetables while taking Vitamin B12 injections. In an educational context, it is crucial for students to understand the importance of patient compliance with medication regimens, especially for chronic conditions. Teaching patients about the need for lifelong Vitamin B12 supplementation can help prevent complications associated with B12 deficiency. Students should also learn to differentiate between appropriate and inappropriate dietary restrictions related to specific medications.

Correct Answer: A

Rationale: Amphotericin B is known to cause nephrotoxicity, a potential adverse effect that can be monitored by checking the client's serum creatinine levels. Regular monitoring of serum creatinine helps in early identification of kidney damage and allows for timely intervention to prevent further complications.

Correct Answer: B

Rationale: The correct answer is B: 'Expect a persistent, dry cough.' Lisinopril, an ACE inhibitor, commonly causes a persistent, dry cough as a side effect. This should be reported to the healthcare provider if it becomes bothersome. It is essential for the nurse to educate the client about this potential side effect so the client is aware and can seek appropriate guidance if needed.

Correct Answer: B

Rationale: The correct instruction when teaching a client about Clonidine is to expect to feel drowsy or lightheaded. Clonidine can cause these side effects, especially when starting the medication. The nurse should advise the client to avoid activities that require alertness until they understand how the medication affects them.

Correct Answer: B

Rationale: In teaching a client prescribed Lisinopril, it is crucial to include instructions on monitoring for a persistent cough. This is because Lisinopril, an ACE inhibitor, is known to cause a dry, persistent cough as a common side effect. Educating the client about this potential adverse effect empowers them to recognize it early and seek medical advice promptly. Option A, taking the medication at bedtime, is not directly related to Lisinopril administration. Lisinopril is typically taken once a day, so the timing of administration can be personalized based on the client's routine and preferences. Option C, expecting increased appetite, is not a common side effect of Lisinopril. In fact, ACE inhibitors like Lisinopril may cause a decrease in appetite as a side effect, although this is less common than other side effects. Option D, avoiding foods high in potassium, is not specifically required for clients taking Lisinopril. While some medications like potassium-sparing diuretics may necessitate potassium restriction, Lisinopril does not typically require avoiding potassium-rich foods. Educationally, understanding the rationale behind each instruction helps the nurse effectively communicate essential information to the client, promoting medication adherence and optimal health outcomes. By providing accurate and detailed instructions, nurses can empower clients to manage their medications safely and effectively.