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

Correct Answer: C

Rationale: Iron supplements commonly cause constipation as a side effect. Increasing fiber intake can help alleviate this issue by promoting regular bowel movements and preventing constipation.

Correct Answer: C

Rationale: Monitoring the hematocrit (Hct) is essential to assess the therapeutic effect of epoetin alfa, as this medication stimulates red blood cell production in clients with chronic renal disease.

Correct Answer: B

Rationale: Using albuterol before cromolyn ensures the airways are open, allowing the maximum dose of medication to reach the lungs.

Correct Answer: C

Rationale: Taking ferrous sulfate with orange juice helps enhance the absorption of iron due to the ascorbic acid present in the orange juice, which aids in iron absorption. This combination can help improve the effectiveness of the medication.

Correct Answer: C

Rationale: ACE inhibitors are commonly used in the treatment of hypertension, heart failure, and diabetic nephropathy due to their ability to reduce blood pressure, improve heart function, and protect the kidneys. However, they are not indicated for hypotension as they can further lower blood pressure, worsening the condition.

Correct Answer: C

Rationale: Alprazolam (Xanax) is a medication commonly prescribed to treat anxiety disorders and panic attacks. It belongs to the class of medications known as benzodiazepines, which work by enhancing the effects of gamma-aminobutyric acid (GABA) in the brain to produce a calming effect. Phenytoin is an antiepileptic drug, not typically used for anxiety or panic attacks. Lithium is primarily used to treat bipolar disorder, not anxiety. Spironolactone is a diuretic primarily used to treat conditions like high blood pressure and heart failure, not anxiety or panic attacks.

Correct Answer: D

Rationale: The correct answer is D because Raltegravir works by blocking the integrase enzyme, preventing the virus from integrating its genetic material into the host cell's DNA. This action inhibits viral replication within the host cell, making it an essential mechanism of action for managing viral infections.

Correct Answer: C

Rationale: When a patient is being treated with Lithium, a life-threatening side effect to watch out for is seizures. Seizures are serious and necessitate prompt medical intervention to ensure the patient's safety and well-being.

Correct Answer: A

Rationale: A severe adverse effect of warfarin is bleeding. Warfarin is an anticoagulant medication that works by inhibiting blood clotting factors, which can lead to an increased risk of bleeding. Excessive bleeding can occur internally or externally, and it is crucial for individuals taking warfarin to be aware of this potential complication and seek medical attention if they experience any signs of bleeding.