A client has a new prescription for Nitroglycerin to treat angina. Which of the following instructions should be included?

Correct Answer: C

Rationale: In this scenario, the correct instruction to provide to the client with a new prescription for Nitroglycerin to treat angina is option C: Apply the patch to a different site each time. This instruction is crucial because Nitroglycerin patches work best when applied to different areas to prevent skin irritation and tolerance development. By rotating the patch placement, the client can avoid skin reactions and ensure the medication's effectiveness over time. Option A is incorrect because Nitroglycerin is a preventive medication used to reduce the frequency and severity of angina attacks, not just to be taken when chest pain is already present. Option B is also incorrect as Nitroglycerin patches should be stored as per the manufacturer's instructions, usually at room temperature and away from light and moisture. Option D is incorrect because cutting the patch can alter the drug delivery rate and potentially lead to an incorrect dose being administered, which can be dangerous. It is essential to emphasize these specific instructions to the client to ensure they use the medication safely and effectively. Educationally, understanding the proper administration and storage of medications is crucial for healthcare providers to ensure patient safety and optimal therapeutic outcomes. Teaching clients accurate medication instructions empowers them to manage their health conditions effectively and avoid potential complications.

Correct Answer: A

Rationale: In this scenario, the correct statement to include in the teaching about Fluoxetine for PTSD is option A) "You may experience a decreased desire for intimacy while taking this medication." This is because Fluoxetine, a selective serotonin reuptake inhibitor (SSRI), can commonly cause sexual side effects, including decreased libido. It is crucial for the client to be informed about potential side effects to ensure they are prepared and can seek appropriate support or interventions if needed. Option B) is incorrect because Fluoxetine is usually taken in the morning to avoid potential sleep disturbances as it can have a stimulating effect. Taking it in the evening may lead to insomnia. Option C) is incorrect as urinary adverse effects are not commonly associated with Fluoxetine, and urination timing is unlikely to impact these side effects. Option D) is incorrect as light sensitivity is not a common side effect of Fluoxetine. It is important to focus on informing the client about the most common and relevant side effects to optimize their understanding and self-management of their medication regimen. Educationally, this question highlights the importance of medication education for clients, emphasizing the need for clear, accurate, and relevant information to promote medication adherence and minimize potential adverse effects. Understanding common side effects empowers clients to make informed decisions about their healthcare.

Correct Answer: A

Rationale: Valproic acid can lead to thrombocytopenia, making it essential to monitor the client's thrombocyte count periodically. Additionally, valproic acid can cause pancreatitis, necessitating the monitoring of amylase levels. Furthermore, valproic acid carries a risk of hepatotoxicity, requiring regular monitoring of liver function tests.

Correct Answer: A

Rationale: When a client takes a conventional antipsychotic medication like chlorpromazine, the greatest improvement is typically seen in positive symptoms such as disorganized speech. These medications are more effective in managing positive symptoms like disorganized speech rather than negative symptoms like impaired social interactions or hallucinations. Therefore, the nurse should anticipate improvement in disorganized speech as a positive response to chlorpromazine treatment.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Hyperglycemia. Somatropin is a synthetic form of human growth hormone that can lead to increased blood sugar levels by decreasing insulin sensitivity. It is crucial for the client to monitor for signs of hyperglycemia such as increased thirst, urination, and fatigue. Option B) Bradycardia is incorrect because Somatropin is not known to cause a slowing of heart rate; in fact, it can sometimes lead to palpitations due to its effects on the cardiovascular system. Option C) Urinary frequency is also incorrect as somatropin typically does not directly impact urinary patterns. Option D) Edema is not a common adverse effect of somatropin. Edema is more commonly associated with conditions like heart failure or kidney disease. In an educational context, understanding the potential adverse effects of medications is crucial for healthcare professionals to provide safe and effective care to their patients. Monitoring for these adverse effects can help prevent complications and improve patient outcomes. Pharmacology knowledge empowers healthcare providers to make informed decisions regarding medication administration and patient monitoring.