A client has a new prescription for Oxycodone/Acetaminophen, and the nurse is providing discharge instructions. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: The correct instruction for a client with a prescription for Oxycodone/Acetaminophen is to avoid taking additional Acetaminophen while on this medication. Combining medications containing Acetaminophen can lead to exceeding the maximum recommended dose and increase the risk of liver toxicity. Therefore, it is crucial for the nurse to emphasize the importance of not taking extra Acetaminophen while on this prescription to ensure the client's safety and well-being.

Correct Answer: C

Rationale: Bethanechol is a muscarinic agonist that stimulates muscarinic receptors. Activation of muscarinic receptors can lead to excessive perspiration (diaphoresis) due to increased cholinergic activity, affecting sweat glands. Dry mouth, hypertension, and fecal impaction are not typically associated with muscarinic stimulation.

Correct Answer: A

Rationale: In pharmacology, providing clear and accurate instructions to clients is crucial to ensure safe and effective medication administration. In the case of Beclomethasone, which is an inhaled corticosteroid commonly used to treat respiratory conditions such as asthma, option A, "Rinse your mouth after each use of this medication," is the correct instruction to include. Rinsing the mouth after using Beclomethasone helps to reduce the risk of developing oral thrush, a common side effect associated with inhaled corticosteroids. This step is important in preventing fungal infections in the mouth and throat. Options B, C, and D are incorrect: - Option B, "Limit fluid intake while taking this medication," is inaccurate and can be harmful advice. Adequate fluid intake is important to prevent dehydration, especially when using corticosteroids. - Option C, "Increase your intake of vitamin B12 while taking this medication," is not necessary for Beclomethasone use. There is no specific requirement to increase vitamin B12 intake with this medication. - Option D, "You can take the medication as needed," is incorrect because Beclomethasone is typically prescribed on a scheduled basis, not as needed, to maintain consistent therapeutic levels in the body. Educationally, understanding the rationale behind each instruction helps nurses provide comprehensive care to clients and ensures safe medication practices. By explaining the importance of rinsing the mouth after using Beclomethasone, nurses empower clients to take an active role in their treatment and minimize potential side effects associated with the medication.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Sedation. Dextromethorphan is a common cough suppressant that can cause sedation as an adverse effect. It acts on the central nervous system to suppress the cough reflex, which can lead to drowsiness and sedation in some individuals. Option A) Diarrhea is not a common adverse effect of dextromethorphan. It is more commonly associated with gastrointestinal medications or antibiotics. Option B) Anxiety is also not a typical adverse effect of dextromethorphan. It is more commonly associated with stimulant medications or drugs that affect the nervous system differently. Option D) Palpitations are not a usual adverse effect of dextromethorphan. Palpitations are more commonly associated with stimulant medications or medications that affect the cardiovascular system. In an educational context, it is important for nurses to understand the common adverse effects of medications in order to educate clients effectively. By knowing the potential side effects of dextromethorphan, nurses can provide accurate information to clients, monitor for adverse reactions, and intervene appropriately if necessary.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Dyspnea. Mannitol is a medication used to reduce intracranial pressure by drawing water out of brain tissue and into the bloodstream to be excreted by the kidneys. Dyspnea, or difficulty breathing, can indicate fluid overload as a side effect of Mannitol administration. This is crucial to report to the provider as it could lead to worsening intracranial pressure and compromise the client's respiratory status. Option A) Blood glucose of 150 mg/dL is within normal limits and not directly related to the administration of Mannitol in this context, so it is not the priority finding to report. Option B) Urine output of 40 mL/hr is an expected outcome of Mannitol therapy as it helps increase urine output to excrete excess fluid. While monitoring urine output is important, it is not the most critical finding in this situation. Option D) Bilateral equal pupil size is a normal neurological assessment and not a concerning finding in this case unless there are other neurological symptoms present. Educationally, this question highlights the importance of understanding the side effects and expected outcomes of pharmacological interventions, as well as the need for prompt recognition and reporting of any adverse effects to ensure patient safety and optimal outcomes. It emphasizes the nurse's role in monitoring and advocating for the client's well-being during pharmacological treatments.