A client has a new prescription for Filgrastim to treat neutropenia. Which of the following statements should the nurse include?

Correct Answer: A

Rationale: Filgrastim is a medication used to stimulate the production of white blood cells, specifically neutrophils, to increase the white blood cell count. This increase in white blood cells helps reduce the risk of infections in clients with neutropenia, a condition characterized by low levels of neutrophils.

Correct Answer: A

Rationale: The correct action for the nurse to monitor for adverse effects of Morphine IV is to check the client's respiratory rate every 15 minutes. Respiratory depression is a potentially life-threatening adverse effect of Morphine, and frequent monitoring of the respiratory rate allows for early detection and intervention if needed.

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Avoid activities that may cause injury. This instruction is crucial for a client prescribed an anticoagulant for atrial fibrillation because anticoagulants work to prevent blood clot formation, making the individual more susceptible to bleeding. Engaging in activities that may cause injury can lead to serious bleeding complications due to the anticoagulant's effect on blood clotting. Option A) Take the medication with food to prevent nausea is incorrect because whether a medication should be taken with food or not is specific to each medication and not a general rule. In the case of anticoagulants, taking them with food may not impact nausea. Option C) Monitor your heart rate daily before taking the medication is incorrect because anticoagulants are not typically dosed based on heart rate. Instead, they are prescribed to prevent blood clot formation in conditions like atrial fibrillation. Option D) Avoid alcohol while taking this medication is incorrect because while alcohol can interact with certain medications, particularly those affecting the liver, it is not a primary concern with anticoagulants. The main focus with anticoagulants is to prevent bleeding complications by avoiding activities that may cause injury. In an educational context, understanding the specific instructions for clients taking anticoagulants is vital for nurses to ensure patient safety and prevent adverse events. Nurses play a key role in patient education, emphasizing the importance of following instructions to optimize treatment outcomes and minimize risks associated with anticoagulant therapy.

Correct Answer: B

Rationale: The correct answer is B) Report any muscle pain to your provider immediately. This instruction is crucial because Atorvastatin, a statin medication, can sometimes cause a rare but serious side effect called rhabdomyolysis, which presents as severe muscle pain and can lead to muscle breakdown and kidney damage. Prompt reporting of muscle pain can help prevent serious complications. Option A) Take this medication with a full glass of water is a general instruction for many medications but is not specifically relevant to Atorvastatin. Option C) Avoid drinking grapefruit juice while taking this medication is important for some medications but not specifically for Atorvastatin. Grapefruit juice can interfere with the metabolism of certain drugs, but Atorvastatin is not one of them. Option D) Take this medication at bedtime to prevent drowsiness is not a relevant instruction for Atorvastatin. Atorvastatin can be taken at any time of day, and drowsiness is not a common side effect associated with this medication. Educationally, it is essential for nurses and healthcare providers to be aware of the specific instructions and potential side effects of medications to ensure safe and effective patient care. Teaching patients about their medications empowers them to take an active role in their own health and promotes medication adherence and safety.

Correct Answer: A

Rationale: The correct action for the nurse is to monitor the client's respiratory rate every 15 minutes while on Morphine IV to promptly detect respiratory depression, a critical adverse effect associated with this medication. Regular monitoring allows for early intervention and prevents potential respiratory complications.