A client has a new prescription for Ranitidine to treat peptic ulcer disease. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Avoid smoking while taking this medication. Ranitidine is a medication that works by decreasing stomach acid production, making it effective in treating peptic ulcer disease. Smoking can worsen peptic ulcers by increasing stomach acid production and delaying healing. Therefore, instructing the client to avoid smoking while taking Ranitidine is crucial for the medication to work effectively and for the client to experience relief from their symptoms. Option A) Take the medication on an empty stomach is incorrect because Ranitidine can be taken with or without food, so there is no specific requirement to take it on an empty stomach. Option C) Increase intake of dairy products is incorrect because dairy products do not have a direct impact on the effectiveness of Ranitidine in treating peptic ulcer disease. Option D) Expect a yellow tinge to the skin is incorrect because this is not a common or expected side effect of Ranitidine. It is important for nurses to provide accurate and relevant instructions to clients regarding their medications to ensure optimal treatment outcomes. This question highlights the importance of understanding the rationale behind medication instructions to provide safe and effective care to clients.

Correct Answer: B

Rationale: In pharmacology, understanding the appropriate instructions for medication administration is crucial for ensuring patient safety and efficacy. For the question regarding a new prescription for Hydrochlorothiazide, the correct instruction to include is to "Increase your intake of potassium-rich foods" (Option B). The rationale behind this is that Hydrochlorothiazide is a diuretic that can cause potassium loss through increased urination. Therefore, advising the client to consume more potassium-rich foods helps prevent hypokalemia, a potential side effect of the medication. Option A, "Take the medication in the morning," is not specifically related to Hydrochlorothiazide administration. Diuretics, in general, are often recommended to be taken in the morning to prevent nocturia, but this instruction is not specific to this medication. Option C, "Expect decreased urination within the first few days," is incorrect because Hydrochlorothiazide is a diuretic that actually increases urine output, not decreases it. This option provides inaccurate information regarding the medication's expected effect. Option D, "Avoid foods high in potassium," is also incorrect as it contradicts the correct instruction. While some medications, like potassium-sparing diuretics, require patients to limit potassium intake, Hydrochlorothiazide necessitates an increase in potassium-rich foods to counteract potential electrolyte imbalances. In an educational context, it is essential for nurses to understand the pharmacological implications of medication instructions to provide safe and effective care to their patients. By comprehensively explaining the rationale behind each instruction, nurses can ensure optimal patient outcomes and medication adherence.

Correct Answer: B

Rationale: In teaching a client with a new prescription for Lithium, the nurse should include the instruction to maintain a consistent sodium intake (Option B). This is because Lithium can cause sodium depletion leading to Lithium toxicity. By maintaining a consistent sodium intake, the client can help regulate their Lithium levels effectively. Option A is incorrect because restricting fluid intake to 1,000 mL per day is not a recommended instruction for a client taking Lithium. Lithium can affect the body's water balance, but strict fluid restriction is not necessary unless advised by a healthcare provider. Option C, taking the medication at bedtime, is not a crucial instruction for Lithium. The timing of administration can vary based on the client's individual needs and tolerability. Option D, expecting to have frequent headaches, is incorrect as well. While headaches can be a side effect of Lithium, they are not necessarily a common or expected occurrence for everyone taking the medication. Educationally, understanding the rationale behind specific instructions for medications like Lithium is crucial for safe and effective client care. Nurses need to be able to explain the importance of sodium intake in relation to Lithium therapy to ensure optimal outcomes for their clients.

Correct Answer: C

Rationale: Rationale: The correct answer is C) Report bone pain to your healthcare provider. Filgrastim is a medication that stimulates the production of white blood cells and is commonly used to prevent infection in patients receiving chemotherapy. Bone pain is a common side effect of Filgrastim and can be indicative of a serious condition known as splenic rupture. Therefore, it is crucial for the client to report any bone pain to their healthcare provider promptly to prevent complications. Option A) Take this medication with food is incorrect because Filgrastim is typically administered via injection and is not affected by food intake. Option B) Avoid taking this medication with orange juice is incorrect as there is no known interaction between Filgrastim and orange juice. Option D) Expect a persistent cough while taking this medication is incorrect as cough is not a common side effect of Filgrastim. In an educational context, understanding the side effects and proper administration of medications is crucial for safe and effective patient care. By emphasizing the importance of reporting bone pain while taking Filgrastim, healthcare providers can ensure that patients receive timely intervention and appropriate management of any potential complications.

Correct Answer: B

Rationale: In pharmacology, it is crucial to provide comprehensive patient education to ensure safe and effective medication use. In the case of Tetracycline, the correct instruction is to "Avoid prolonged sun exposure." Tetracycline is known to cause photosensitivity, making the skin more sensitive to sunlight and increasing the risk of sunburn and skin damage. This precaution is essential to prevent adverse reactions and ensure the client's safety. Option A, "Take the medication with milk," is incorrect because Tetracycline should not be taken with dairy products or antacids containing calcium, magnesium, or aluminum as they can bind to the medication and reduce its absorption in the body. Option C, "Take the medication at bedtime," is incorrect as Tetracycline is typically recommended to be taken on an empty stomach, either 1 hour before or 2 hours after meals, to optimize absorption. Option D, "Expect urine to turn dark yellow," is incorrect as Tetracycline does not typically cause changes in urine color. Providing accurate information to clients about their medications is crucial for promoting adherence and preventing potential drug interactions or adverse effects. This educational context emphasizes the importance of understanding medication instructions to ensure optimal therapeutic outcomes.