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

Correct Answer: A

Rationale: The correct answer is A) I will need to get my blood drawn periodically while on this medication. Rationale: 1. Correct Answer: Regular blood tests are necessary when taking Etanercept to monitor for potential adverse effects like liver function abnormalities or decreased blood cell counts. This statement shows the client understands the importance of monitoring their health while on the medication. 2. Incorrect Answers: - B) I should stop taking this medication if I develop a rash: While skin reactions can occur with Etanercept, not all rashes indicate a need to discontinue the medication. This statement may lead to premature cessation of treatment. - C) I will need to limit my alcohol intake to no more than one drink per week: Alcohol restrictions are not typically associated with Etanercept use. This statement does not reflect specific requirements related to this medication. - D) I should self-administer this medication subcutaneously: This statement is correct as Etanercept is typically self-administered subcutaneously. However, it does not address the monitoring aspect highlighted in the question. Educational Context: Understanding the importance of monitoring parameters while on specific medications is crucial for patients to manage their conditions effectively. Regular blood tests can help healthcare providers assess the medication's efficacy and detect any potential complications early on. Patients should be educated on the specific monitoring requirements of medications to ensure optimal treatment outcomes.

Correct Answer: A

Rationale: The correct instruction for a client prescribed allopurinol is to drink 2 liters of water daily. This helps reduce the risk of kidney stones, a potential side effect of allopurinol use. Adequate hydration is essential to prevent kidney stone formation and maintain kidney function while taking this medication.

Correct Answer: A

Rationale: In pharmacology, understanding drug-food interactions is crucial to ensure optimal therapeutic outcomes. In the case of spironolactone, a potassium-sparing diuretic, choosing the right foods is important due to its potential to increase serum potassium levels. The correct answer is A) Salt substitutes. Salt substitutes often contain potassium chloride, which can further elevate potassium levels when consumed with spironolactone, leading to hyperkalemia, a serious condition. Option B) Apples and option D) Bananas are high-potassium foods. Consuming these foods in excess while taking spironolactone can also contribute to elevated potassium levels, increasing the risk of adverse effects. Option C) Chicken, on the other hand, does not pose a significant risk of increasing potassium levels when consumed with spironolactone. It is a low-potassium food choice that can be safely included in the client's diet. Educationally, this scenario emphasizes the importance of patient education regarding dietary restrictions when taking specific medications. Healthcare providers must inform patients about potential drug-food interactions to prevent complications and promote safe medication use.

Correct Answer: C

Rationale: In pharmacology, understanding the administration of medications is crucial for their efficacy. In the case of levothyroxine, the correct instruction for the client is to take the medication on an empty stomach in the morning (Option C). Levothyroxine is a synthetic form of the thyroid hormone T4, and it is best absorbed when taken on an empty stomach, at least 30 minutes to 1 hour before breakfast. This ensures optimal absorption and effectiveness of the medication. Option A (take this medication at bedtime) is incorrect because it contradicts the need for an empty stomach for optimal absorption. Taking levothyroxine at bedtime may result in decreased absorption due to food interference. Option B (take this medication with food) is incorrect because, as mentioned earlier, levothyroxine should be taken on an empty stomach to prevent interactions with food that may hinder its absorption. Option D (take this medication with an antacid) is also incorrect because antacids can interfere with the absorption of levothyroxine by binding to the medication and reducing its effectiveness. Educationally, understanding the specific administration instructions for different medications is essential for safe and effective patient care. It is important for nurses to educate clients on the proper administration of medications like levothyroxine to ensure optimal therapeutic outcomes.

Correct Answer: C

Rationale: In this scenario, the nurse should report the herbal supplement Kava to the provider. Kava has been associated with hepatotoxicity, which can further worsen the client's already increased liver enzymes. The other options, Glucosamine, Saw palmetto, and St. John's wort, do not typically have strong hepatotoxic effects. Glucosamine is commonly used for joint health and is not known to significantly impact liver enzymes. Saw palmetto is often used for benign prostatic hyperplasia and has not been linked to liver enzyme elevations. St. John's wort is used for depression but is more commonly associated with drug interactions rather than liver toxicity. Educationally, this question highlights the importance of understanding the potential hepatotoxic effects of herbal supplements, especially in clients with pre-existing liver issues. It emphasizes the need for nurses to be vigilant in monitoring and reporting any concerning signs or symptoms related to herbal supplement use to ensure patient safety and well-being.