A client has a new prescription for Nevirapine, an NNRTI. Which of the following statements should the nurse include in teaching the client?

Correct Answer: B

Rationale: In teaching a client about Nevirapine, an NNRTI medication, it is essential to include the statement "Take this medication with food to increase absorption." This instruction is crucial because Nevirapine's absorption is significantly enhanced when taken with food. The presence of food helps prevent gastrointestinal side effects and improves the drug's bioavailability, ensuring the medication's optimal therapeutic effect. Option A, "Take this medication on an empty stomach," is incorrect because, as mentioned earlier, taking Nevirapine with food enhances its absorption and reduces adverse GI effects. Therefore, taking it on an empty stomach would not be ideal. Option C, "Avoid alcohol while taking this medication," is a standard precaution with many medications, but it is not directly related to Nevirapine's absorption or efficacy. While alcohol consumption should generally be limited while taking medications, this particular statement is not as critical for Nevirapine specifically. Option D, "Take this medication at the same time every day," is a good general practice for medication adherence but is not as crucial for Nevirapine's efficacy as taking it with food. Consistency in dosing is essential for maintaining therapeutic levels of the medication in the bloodstream but does not directly impact absorption like taking it with food does. In an educational context, understanding the rationale behind specific medication instructions is vital for promoting patient compliance and maximizing therapeutic benefits. By providing clear, evidence-based explanations for medication administration, nurses can empower clients to take an active role in their treatment and achieve better health outcomes.

Correct Answer: C

Rationale: In the context of pharmacology education, it is crucial for nurses to understand the potential adverse effects of medications to ensure safe administration and patient education. In this scenario, the correct answer is C) Eye damage. Hydroxychloroquine is known to potentially cause retinopathy, a serious eye condition that can lead to vision changes or even permanent vision loss. It is essential for nurses to educate patients about the importance of regular eye exams while taking this medication to monitor for any signs of eye damage. Regarding the incorrect options: A) Nausea is a common side effect of Hydroxychloroquine, but it is not as severe or significant as the potential eye damage associated with this medication. B) Hair loss is not a documented adverse effect of Hydroxychloroquine. D) Drowsiness is not a common side effect of Hydroxychloroquine and is not a major concern compared to the risk of eye damage. By understanding the specific adverse effects of Hydroxychloroquine, nurses can provide comprehensive patient education, monitor for potential complications, and collaborate effectively with healthcare providers to ensure patient safety and optimal outcomes in the treatment of Lupus Erythematosus.

Correct Answer: A

Rationale: Bradycardia is a common adverse effect of Beta Blockers due to their mechanism of action in slowing down the heart rate. Clients taking Beta Blockers should be monitored for signs of bradycardia, such as a slow heart rate, dizziness, or fainting. Monitoring for this adverse effect is crucial to prevent potential complications and ensure client safety.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Take this medication in the morning to reduce insomnia. Prednisone is a corticosteroid that can cause insomnia due to its stimulating effects. Instructing the client to take the medication in the morning helps minimize this side effect by aligning with the body's natural cortisol production cycle, which is highest in the morning and decreases throughout the day. Option A) Take this medication with food to prevent nausea is incorrect because Prednisone does not necessarily need to be taken with food to prevent nausea. Option B) Take this medication at bedtime to reduce drowsiness is incorrect because Prednisone is more likely to cause insomnia rather than drowsiness, so taking it at bedtime could exacerbate this side effect. Option D) Avoid sudden changes in position is incorrect because this instruction is more relevant for medications that can cause orthostatic hypotension, not specifically for Prednisone. In an educational context, understanding the timing of medication administration and its relationship to side effects is crucial for nurses to provide effective patient care. By explaining the rationale behind the timing of Prednisone administration, nurses can ensure optimal outcomes for their patients with asthma.

Correct Answer: C

Rationale: In this scenario, the correct action for the nurse to take is option C: administer the medication into the subcutaneous tissue. Enoxaparin is a low molecular weight heparin that is typically administered subcutaneously, as it is better absorbed and has a more predictable effect when given in this manner. Administering Enoxaparin intramuscularly (option B) can lead to increased risk of bleeding due to inadvertent puncture of blood vessels or injury to underlying structures. Administering it into the deltoid muscle (option D) is also not recommended as this route is typically reserved for vaccines or certain medications with specific requirements for administration. Massaging the injection site after administration (option A) is contraindicated with anticoagulants like Enoxaparin as it can increase the risk of bleeding and bruising at the injection site. Educationally, it is crucial for nurses to understand the appropriate routes of administration for medications to ensure their efficacy and safety for the patient. This knowledge helps prevent medication errors and adverse effects, ultimately promoting optimal patient outcomes.