A client has a new prescription for erythromycin. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: C

Rationale: The correct answer is C. Erythromycin should be taken on an empty stomach with a full glass of water to increase absorption. Taking it with a full glass of milk (Choice A) is incorrect. Avoiding direct sunlight (Choice B) is not related to erythromycin use. Taking an antacid before the medication (Choice D) can interfere with its absorption.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Diphenhydramine. The client's presentation of facial spasms after receiving Prochlorperazine indicates a possible extrapyramidal side effect, specifically acute dystonia. Diphenhydramine, an antihistamine with anticholinergic properties, is commonly used to manage these types of extrapyramidal symptoms. Option A) Fomepizole is used in the treatment of ethylene glycol or methanol poisoning and is not relevant to the client's current symptoms. Option B) Naloxone is a medication used to reverse opioid overdose, which is unrelated to the client's facial spasms. Option C) Phytonadione is vitamin K, used to reverse the effects of excessive anticoagulation, which is not indicated in this case. Educationally, understanding the side effects of medications and appropriate interventions is crucial for safe and effective nursing practice. Recognizing and managing adverse drug reactions promptly can prevent complications and improve patient outcomes. This question highlights the importance of pharmacological knowledge and critical thinking skills in nursing care.

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Warfarin. Ginkgo Biloba is an herbal supplement known for its antiplatelet and anticoagulant effects. When taken in combination with Warfarin, an anticoagulant medication, it can potentiate the effects of Warfarin, leading to an increased risk of bleeding. This interaction can be dangerous and potentially life-threatening for the client. Regarding the other options: A) Acetaminophen is not contraindicated with Ginkgo Biloba. Acetaminophen is a commonly used pain reliever and does not have significant interactions with Ginkgo Biloba. C) Digoxin is a medication used for heart conditions and does not have a direct contraindication with Ginkgo Biloba. D) Lisinopril is an ACE inhibitor used for hypertension and does not have a direct contraindication with Ginkgo Biloba. It is essential for nurses and healthcare providers to be aware of potential herb-drug interactions like the one between Ginkgo Biloba and Warfarin to ensure patient safety and prevent adverse effects. Patients should always inform their healthcare providers about any herbal supplements they are taking to avoid harmful interactions.

Correct Answer: C

Rationale: In the context of a client with Preeclampsia receiving Magnesium Sulfate IV, the nurse should report a urinary output of 24 mL/hr to the provider. This finding is concerning because magnesium sulfate is excreted by the kidneys, and a decrease in urinary output may indicate magnesium toxicity, which can lead to serious complications such as respiratory depression and cardiac arrest. Option A (2+ deep tendon reflexes) is an expected finding in a client receiving magnesium sulfate, as it is used to prevent seizures by acting as a CNS depressant. Option B (2+ pedal edema) is a common symptom of preeclampsia and is not directly related to magnesium sulfate administration. Option D (respirations 12/min) is within the normal range and not a concerning finding in this context. Educationally, this question highlights the importance of monitoring clients receiving magnesium sulfate closely, particularly their urinary output, to prevent complications associated with magnesium toxicity. It also emphasizes the nurse's role in recognizing and reporting abnormal findings promptly to ensure patient safety.

Correct Answer: D

Rationale: In the case of a client with a new diagnosis of Fibromyalgia, the nurse should anticipate the prescription of Duloxetine (Option D). Duloxetine is a serotonin-norepinephrine reuptake inhibitor (SNRI) that is commonly used in the management of fibromyalgia due to its ability to modulate both neurotransmitters. This medication helps alleviate pain, improve mood, and reduce fatigue associated with fibromyalgia. Regarding the other options: - Option A: Colchicine is primarily used to treat gout by reducing inflammation. It is not indicated for fibromyalgia. - Option B: Hydroxychloroquine is commonly used to treat autoimmune conditions like lupus and rheumatoid arthritis. It is not a first-line treatment for fibromyalgia. - Option C: Auranofin is a disease-modifying antirheumatic drug (DMARD) used in the treatment of rheumatoid arthritis. It is not a typical medication prescribed for fibromyalgia. Educationally, understanding the rationale behind the choice of Duloxetine for fibromyalgia not only reinforces pharmacological knowledge but also highlights the importance of selecting medications based on their mechanisms of action and indications. This knowledge is crucial for nurses to provide safe and effective care to clients with fibromyalgia and other similar conditions.