A client has a new prescription for Iron supplements. Which of the following instructions should be included in the teaching?

Correct Answer: C

Rationale: In pharmacology, it is crucial to provide accurate and detailed instructions to clients regarding their medications. In the case of iron supplements, option C, which states "Increase fiber intake to prevent constipation," is the correct instruction to include in the teaching. Iron supplements commonly cause constipation as a side effect, so increasing fiber intake can help alleviate this issue by promoting regular bowel movements. Option A, "Take the medication with a glass of milk," is incorrect because calcium in milk can interfere with iron absorption. Option B, "Avoid taking the medication with orange juice," is also incorrect because vitamin C in orange juice actually enhances iron absorption. Option D, "Expect stools to be bright red," is inaccurate as iron supplements typically cause stools to turn dark or black, not bright red. In an educational context, teaching clients about the proper administration of medications is essential to ensure therapeutic effectiveness and prevent adverse reactions. By explaining the rationale behind each instruction, clients can better understand and adhere to the medication regimen, leading to improved health outcomes.

Correct Answer: A

Rationale: The correct instruction for a client prescribed Rifampin is to expect orange discoloration of urine. Rifampin is known to cause harmless discoloration of bodily fluids, including urine, which is a common side effect of this medication. It is important for the nurse to educate the client about this expected side effect to prevent unnecessary concern or discontinuation of the medication.

Correct Answer: D

Rationale: It is crucial for clients to complete the entire course of amoxicillin therapy to ensure the infection is fully treated and to prevent antibiotic resistance. Prematurely stopping the antibiotic can lead to incomplete eradication of the infection, potentially causing it to return and be more difficult to treat.

Correct Answer: B

Rationale: In educating a client with a new prescription for Hydrochlorothiazide, the nurse should include the statement "You may need to increase your intake of potassium" because Hydrochlorothiazide is a diuretic that can promote potassium loss through increased urine output. Potassium supplements or potassium-rich foods may be recommended to prevent hypokalemia, a potential side effect of this medication. Option A, "Take this medication in the morning," is not the most crucial information to include in this situation. While it is generally recommended to take diuretics in the morning to avoid disrupting sleep with nighttime urination, this is not as critical as ensuring the client understands the need for monitoring potassium levels. Option C, "This medication may cause drowsiness," is incorrect because Hydrochlorothiazide is not typically associated with sedation or drowsiness. Including this information may lead to unnecessary concern or confusion for the client. Option D, "Avoid consuming grapefruit," is irrelevant for Hydrochlorothiazide as grapefruit interactions are more commonly associated with other types of medications, such as statins. Including this information would not be pertinent to the client's understanding of how to take their new prescription effectively. In an educational context, it is essential for nurses to provide clear, relevant information to clients starting new medications to ensure their safety, adherence, and understanding of potential side effects. By prioritizing key points like potassium monitoring with Hydrochlorothiazide, nurses can empower clients to manage their health effectively.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Administer the medication into the abdomen. Enoxaparin is a low molecular weight heparin that is commonly administered subcutaneously. The abdomen is a preferred site for subcutaneous injections due to the higher number of subcutaneous tissue layers, which allows for better absorption and decreases the risk of hitting underlying muscle or blood vessels. This route also provides a larger surface area for medication absorption. Option A) Massage the injection site after administration is incorrect because massaging the site can cause bruising, irritation, or tissue damage, which is not recommended after administering anticoagulants like Enoxaparin. Option B) Aspirate before injecting the medication is not necessary for subcutaneous injections like Enoxaparin. Aspiration is typically done for intramuscular injections to ensure the needle is not in a blood vessel. Option D) Administer the medication via intramuscular injection is incorrect because Enoxaparin should not be given intramuscularly due to the risk of hematoma formation and inconsistent absorption. Educationally, understanding the rationale behind the route of administration for medications like Enoxaparin is crucial for safe and effective nursing practice. It ensures proper drug delivery, minimizes complications, and promotes patient comfort and compliance.