A client has a new prescription for Pancrelipase for chronic pancreatitis. Which of the following instructions should be included by the nurse?

Correct Answer: A

Rationale: In the context of pharmacology and the treatment of chronic pancreatitis, the correct instruction for a client prescribed Pancrelipase is to take the medication with meals and snacks (Option A). This is because Pancrelipase is an enzyme replacement therapy that helps in the digestion of fats, proteins, and carbohydrates. Taking Pancrelipase with meals and snacks ensures that the enzymes are available to aid in the digestion of food, thus improving nutrient absorption. Option B, chewing the tablet thoroughly before swallowing, is incorrect as Pancrelipase is usually available in capsule form and should not be chewed. Chewing the tablet can affect the enteric coating of the medication, which is designed to protect the enzymes from stomach acid. Option C, taking the medication 1 hour before meals, is also incorrect because Pancrelipase should be taken with meals to optimize its effectiveness in aiding digestion. Taking it before meals may not provide the necessary enzyme support during the digestive process. Option D, expecting the stool to be yellow, is not a crucial instruction for the client to know for proper medication administration. While it is true that Pancrelipase can sometimes cause a change in stool color, focusing on this aspect may not be as relevant as understanding the timing of medication administration. In an educational context, it is essential for nurses to understand the rationale behind medication instructions to ensure safe and effective patient care. By emphasizing the importance of taking Pancrelipase with meals and snacks, nurses can help patients maximize the benefits of the medication and manage their condition more effectively.

Correct Answer: C

Rationale: In pharmacology, it is crucial to provide accurate and detailed instructions to clients regarding their medications. In the case of iron supplements, option C, which states "Increase fiber intake to prevent constipation," is the correct instruction to include in the teaching. Iron supplements commonly cause constipation as a side effect, so increasing fiber intake can help alleviate this issue by promoting regular bowel movements. Option A, "Take the medication with a glass of milk," is incorrect because calcium in milk can interfere with iron absorption. Option B, "Avoid taking the medication with orange juice," is also incorrect because vitamin C in orange juice actually enhances iron absorption. Option D, "Expect stools to be bright red," is inaccurate as iron supplements typically cause stools to turn dark or black, not bright red. In an educational context, teaching clients about the proper administration of medications is essential to ensure therapeutic effectiveness and prevent adverse reactions. By explaining the rationale behind each instruction, clients can better understand and adhere to the medication regimen, leading to improved health outcomes.

Correct Answer: D

Rationale: Alteplase is a thrombolytic agent used to dissolve blood clots. Patients receiving Alteplase are at risk for bleeding complications, including intracranial bleeding. Monitoring for changes in the level of consciousness is crucial as it can indicate early signs of bleeding, such as increased intracranial pressure. This rapid assessment allows for timely intervention and prevention of further complications.

Correct Answer: A

Rationale: The correct instruction for a client prescribed Rifampin is to expect orange discoloration of urine. Rifampin is known to cause harmless discoloration of bodily fluids, including urine, which is a common side effect of this medication. It is important for the nurse to educate the client about this expected side effect to prevent unnecessary concern or discontinuation of the medication.

Correct Answer: D

Rationale: It is crucial for clients to complete the entire course of amoxicillin therapy to ensure the infection is fully treated and to prevent antibiotic resistance. Prematurely stopping the antibiotic can lead to incomplete eradication of the infection, potentially causing it to return and be more difficult to treat.