A client has a new prescription for Metronidazole to treat an infection. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: The correct instruction is to avoid alcohol while taking Metronidazole. This is crucial to prevent a disulfiram-like reaction, which can result in severe nausea and vomiting. Alcohol should be avoided for at least 48 hours after completing the medication course as well.

Correct Answer: C

Rationale: It is essential to instruct the client to apply the Nitroglycerin patch to a different site each time to prevent skin irritation and ensure consistent absorption of the medication. Rotating application sites helps maintain the effectiveness of the treatment and reduces the risk of skin reactions.

Correct Answer: B

Rationale: The correct answer is B. Visual disturbances, such as blurred vision or seeing halos, can be a sign of digoxin toxicity. It is crucial for the client to report any changes in vision to their healthcare provider promptly to prevent serious complications.

Correct Answer: B

Rationale: The correct answer is B: 'Expect a persistent, dry cough.' Lisinopril, an ACE inhibitor, commonly causes a persistent, dry cough as a side effect. This should be reported to the healthcare provider if it becomes bothersome. It is essential for the nurse to educate the client about this potential side effect so the client is aware and can seek appropriate guidance if needed.

Correct Answer: C

Rationale: Chronic kidney disease is a contraindication for the use of Epoetin Alfa because it can worsen hypertension, increase the risk of cardiovascular events, and lead to adverse outcomes. Epoetin Alfa is used to treat anemia by stimulating red blood cell production, but in the presence of chronic kidney disease, it can exacerbate hypertension and contribute to cardiovascular complications.

Correct Answer: B

Rationale: Bruising is an adverse effect to be monitored when a client is prescribed Aspirin for myocardial infarction prevention due to its association with increased bleeding risk. Aspirin's antiplatelet effect can lead to bruising and other signs of bleeding, necessitating close observation to prevent complications.

Correct Answer: C

Rationale: Relief of abdominal pain is a key indicator of omeprazole effectively treating peptic ulcer disease. Omeprazole works by reducing stomach acid production, which helps alleviate abdominal pain associated with peptic ulcers. While relief of other symptoms like headache, nausea, and heartburn may also occur, the primary therapeutic goal of omeprazole in peptic ulcer disease is to reduce abdominal pain caused by gastric irritation.

Correct Answer: B

Rationale: Pyridoxine is administered with Isoniazid to prevent peripheral neuropathy, a common adverse effect of the drug. It is essential to provide this supplement to the client to minimize the risk of developing this adverse effect.

Correct Answer: D

Rationale: Supplements are drugs that can be used to provide the body with essential nutrients that may be lacking. They are designed to complement the diet and help fulfill specific nutritional needs, such as vitamins, minerals, amino acids, or other substances. Unlike stimulants, depressants, or irritants that affect the central nervous system in various ways, supplements aim to provide a beneficial addition to the body's existing resources. Prophylactics, on the other hand, are preventive methods or medications used to protect against diseases or health issues, rather than addressing existing deficiencies like supplements.