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

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Avoid alcohol while taking this medication. When educating a client about Nevirapine, an NNRTI, it is crucial to emphasize the importance of avoiding alcohol. This is because alcohol can interact with Nevirapine, leading to increased risk of liver toxicity and reducing the effectiveness of the medication. Option A) Take this medication with food to increase absorption is incorrect because Nevirapine can be taken with or without food, so taking it with food is not necessary to enhance absorption. Option C) Take this medication at the same time every day is not directly related to Nevirapine administration. While consistency in timing is generally good practice for medication adherence, it is not specific to Nevirapine. Option D) Take this medication on an empty stomach is also incorrect. Nevirapine can be taken with or without food, so there is no requirement to take it on an empty stomach. In an educational context, it is essential for nurses to provide accurate information to clients regarding their medications to ensure their safety and optimize therapeutic outcomes. Understanding drug interactions and specific administration instructions is vital in pharmacology to prevent adverse effects and promote medication effectiveness.

Correct Answer: C

Rationale: Warfarin interacts with vitamin K, so clients should be instructed to avoid foods high in vitamin K. This is because vitamin K can interfere with the anticoagulant effects of Warfarin. It is important to maintain a consistent intake of vitamin K-containing foods to keep the medication working effectively. Therefore, the correct statement for the nurse to include in the teaching is to advise the client to avoid foods high in vitamin K while taking Warfarin.

Correct Answer: C

Rationale: In this scenario, the correct instruction for the nurse to include for a client with a new prescription for Nitroglycerin to treat angina is to apply the patch to a different site each time (Option C). This instruction is crucial because nitroglycerin patches should be rotated to prevent skin irritation and tolerance development. By applying the patch to different sites, the client can ensure optimal absorption and effectiveness of the medication. Option A is incorrect because nitroglycerin is often prescribed as a preventive medication for angina, not just to be taken when chest pain occurs. It is important for the client to follow a prescribed dosing schedule to maintain consistent therapeutic levels. Option B is incorrect because nitroglycerin should be stored in its original container at room temperature, not necessarily in a cool, dry place. Storing it appropriately helps maintain its stability and effectiveness. Option D is incorrect because while alcohol consumption should generally be limited when taking medications, it is not specifically contraindicated with nitroglycerin. However, it is always important for clients to consult healthcare providers about potential interactions with specific medications. Educationally, understanding the proper administration, storage, and potential interactions of medications like nitroglycerin is essential for nursing practice. Providing accurate instructions to clients ensures their safety, adherence to treatment regimens, and optimal therapeutic outcomes.

Correct Answer: A

Rationale: In the context of pharmacology, it is crucial for nurses to understand the adverse effects of medications to ensure patient safety. In this scenario, the correct answer is A) Visual disturbances. Digoxin, a medication commonly used to treat heart failure, can lead to visual disturbances as an adverse effect. This is due to its potential to cause toxicity, which can manifest as changes in vision. Monitoring for visual disturbances is crucial as it can indicate digoxin toxicity, prompting the need for dosage adjustments or discontinuation of the medication. Option B) Dry cough is not typically associated with digoxin use. Dry cough is more commonly seen with medications like ACE inhibitors. Option C) Confusion is not a typical adverse effect of digoxin. Confusion may be seen in conditions like delirium or electrolyte imbalances but is not directly related to digoxin use. Option D) Urinary retention is also not a common adverse effect of digoxin. Urinary retention is more commonly associated with medications that affect the smooth muscle tone of the bladder. Educationally, understanding the adverse effects of medications like digoxin is essential for nurses to provide safe and effective care. Regular monitoring and assessment for these adverse effects can help prevent complications and improve patient outcomes.

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.