A client has a new prescription for Filgrastim. Which of the following instructions should be included by the healthcare provider?

Correct Answer: C

Rationale: Rationale: The correct answer is C) Report bone pain to your healthcare provider. Filgrastim is a medication that stimulates the production of white blood cells and is commonly used to prevent infection in patients receiving chemotherapy. Bone pain is a common side effect of Filgrastim and can be indicative of a serious condition known as splenic rupture. Therefore, it is crucial for the client to report any bone pain to their healthcare provider promptly to prevent complications. Option A) Take this medication with food is incorrect because Filgrastim is typically administered via injection and is not affected by food intake. Option B) Avoid taking this medication with orange juice is incorrect as there is no known interaction between Filgrastim and orange juice. Option D) Expect a persistent cough while taking this medication is incorrect as cough is not a common side effect of Filgrastim. In an educational context, understanding the side effects and proper administration of medications is crucial for safe and effective patient care. By emphasizing the importance of reporting bone pain while taking Filgrastim, healthcare providers can ensure that patients receive timely intervention and appropriate management of any potential complications.

Correct Answer: B

Rationale: In pharmacology, understanding the rationale behind medication instructions is crucial for safe and effective patient care. In this scenario, the correct instruction for a client prescribed Acyclovir is to increase fluid intake during therapy (Option B). Acyclovir is an antiviral medication commonly used to treat infections like herpes. Increasing fluid intake helps prevent kidney damage by ensuring the medication is adequately diluted and excreted. Option A is incorrect because Acyclovir is typically prescribed for short-term use to treat acute viral infections, not long-term. Option C is incorrect as Acyclovir does not require abstaining from sexual contact. Option D is incorrect because nausea is not a common or severe side effect of Acyclovir warranting immediate consultation. Educationally, this question highlights the importance of understanding medication-specific instructions to promote patient safety and optimal outcomes. Nurses need to be knowledgeable about medication administration, including appropriate patient education regarding dosage, side effects, and necessary precautions. Through this rationale, students can grasp the significance of tailored medication instructions based on the drug's pharmacological properties.

Correct Answer: A

Rationale: Amlodipine, a calcium channel blocker, can cause peripheral edema (swelling of the ankles) as a side effect. This occurs due to the dilation of blood vessels and increased fluid retention. It is important for the client to monitor for ankle swelling as it could indicate a potential adverse reaction to the medication. Reporting this side effect to the healthcare provider is crucial to ensure appropriate management and potential adjustment of the treatment plan.

Correct Answer: B

Rationale: Furosemide is a loop diuretic that can lead to hypokalemia (low potassium levels) due to increased excretion of potassium in the urine. To counteract this effect and maintain electrolyte balance, the client should be advised to increase their intake of potassium-rich foods. This instruction helps prevent potential complications associated with low potassium levels.

Correct Answer: C

Rationale: In this scenario, option C, "I should monitor my blood pressure weekly," is the correct answer. This statement indicates an understanding of the teaching because Losartan is an angiotensin receptor blocker commonly used to treat hypertension. Monitoring blood pressure regularly is crucial when taking antihypertensive medications to assess the drug's effectiveness and adjust the dosage if needed. By monitoring blood pressure weekly, the client can track changes and provide valuable information to their healthcare provider. Option A, "I will increase my intake of potassium-rich foods," is incorrect because Losartan can cause hyperkalemia (high potassium levels), so increasing potassium-rich foods can exacerbate this condition and lead to serious complications. Option B, "I will take the medication with a full glass of milk," is incorrect because Losartan should be taken with water and not with milk or other beverages. Milk may interfere with the absorption of the medication and reduce its effectiveness. Option D, "I will take the medication every other day," is incorrect because Losartan is typically prescribed for daily use to maintain a consistent therapeutic level in the body and effectively control blood pressure over time. In an educational context, understanding the importance of proper medication administration and monitoring is essential for clients to achieve optimal treatment outcomes. Teaching clients about their medications empowers them to take an active role in their health management and promotes medication adherence and safety. Regular monitoring, as indicated in the correct answer, is a key component of pharmacological therapy for conditions like hypertension.