A client has a new prescription for metronidazole. The client should avoid which of the following?

Correct Answer: B

Rationale: The correct answer is B: Alcohol. Clients should avoid alcohol while taking metronidazole to prevent a disulfiram-like reaction, which can cause symptoms such as nausea, vomiting, headache, and flushing. It is important to educate clients on the potential interactions between metronidazole and alcohol to ensure the effectiveness of the medication and prevent adverse reactions.

Correct Answer: C

Rationale: In the context of pharmacology and the treatment of Benign Prostatic Hyperplasia (BPH) with Alfuzosin, the correct adverse effect is C) Hypotension. Alfuzosin is an alpha-1 adrenergic blocker that relaxes smooth muscle in the prostate, bladder neck, and urethra. By blocking alpha-1 receptors, it causes vasodilation and can lead to a decrease in blood pressure. Option A) Bradycardia is not typically associated with Alfuzosin use. While alpha-1 blockers can cause some reflex tachycardia due to the drop in blood pressure, bradycardia is not a common adverse effect. Option B) Edema is also not a common adverse effect of Alfuzosin. Edema is more commonly associated with calcium channel blockers or some other classes of antihypertensive medications. Option D) Tremor is not a typical adverse effect of Alfuzosin. Tremor is more commonly seen with medications that affect the central nervous system or have direct effects on neurotransmitters. Understanding the potential adverse effects of medications is crucial for nurses to educate clients on what to expect and when to seek medical attention. In the case of Alfuzosin, educating the client on the possibility of hypotension can help prevent complications and improve compliance with the prescribed treatment regimen.

Correct Answer: C

Rationale: The correct answer is C. The client should report increasing intensity, frequency, or duration of contractions to the provider because these are manifestations of preterm labor. This response demonstrates the client's understanding of the importance of monitoring contractions and seeking appropriate medical attention.

Correct Answer: A

Rationale: Before starting Calcitonin-salmon, it is important to assess for any potential allergies as anaphylaxis can occur. A skin test is usually conducted to determine if the client is allergic to the medication. The nurse should also inquire about any previous allergies to fish, as Calcitonin-salmon is derived from salmon.

Correct Answer: C

Rationale: The correct answer is C) Warfarin. Warfarin is contraindicated with aspirin because both drugs have anticoagulant effects, and when taken together, they can increase the risk of bleeding significantly. Aspirin inhibits platelet aggregation, while warfarin interferes with the clotting factors in the liver, leading to an additive anticoagulant effect that can be dangerous. Option A) Digoxin is not contraindicated with aspirin. Digoxin is a cardiac glycoside used to treat heart failure and atrial fibrillation. There is no significant interaction between digoxin and aspirin. Option B) Metformin is not contraindicated with aspirin. Metformin is an oral antidiabetic medication used to manage blood sugar levels in patients with diabetes. There is no significant interaction between metformin and aspirin. Option D) Nitroglycerin is not contraindicated with aspirin. Nitroglycerin is a vasodilator used to treat angina and heart failure. There is no significant interaction between nitroglycerin and aspirin. In an educational context, understanding drug interactions is crucial in pharmacology to ensure safe and effective medication management. It is essential for healthcare providers to be aware of potential interactions between medications to prevent adverse effects and optimize patient outcomes. This question highlights the importance of considering drug interactions when prescribing multiple medications to a patient.