A client has a new prescription for Tetracycline. Which of the following instructions should be included?

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.

Correct Answer: A

Rationale: Amlodipine, a calcium channel blocker, can cause peripheral edema (swelling of the ankles) as a side effect. This occurs due to the dilation of blood vessels and increased fluid retention. It is important for the client to monitor for ankle swelling as it could indicate a potential adverse reaction to the medication. Reporting this side effect to the healthcare provider is crucial to ensure appropriate management and potential adjustment of the treatment plan.

Correct Answer: B

Rationale: Furosemide is a loop diuretic that can lead to hypokalemia (low potassium levels) due to increased excretion of potassium in the urine. To counteract this effect and maintain electrolyte balance, the client should be advised to increase their intake of potassium-rich foods. This instruction helps prevent potential complications associated with low potassium levels.

Correct Answer: C

Rationale: In this scenario, option C, "I should monitor my blood pressure weekly," is the correct answer. This statement indicates an understanding of the teaching because Losartan is an angiotensin receptor blocker commonly used to treat hypertension. Monitoring blood pressure regularly is crucial when taking antihypertensive medications to assess the drug's effectiveness and adjust the dosage if needed. By monitoring blood pressure weekly, the client can track changes and provide valuable information to their healthcare provider. Option A, "I will increase my intake of potassium-rich foods," is incorrect because Losartan can cause hyperkalemia (high potassium levels), so increasing potassium-rich foods can exacerbate this condition and lead to serious complications. Option B, "I will take the medication with a full glass of milk," is incorrect because Losartan should be taken with water and not with milk or other beverages. Milk may interfere with the absorption of the medication and reduce its effectiveness. Option D, "I will take the medication every other day," is incorrect because Losartan is typically prescribed for daily use to maintain a consistent therapeutic level in the body and effectively control blood pressure over time. In an educational context, understanding the importance of proper medication administration and monitoring is essential for clients to achieve optimal treatment outcomes. Teaching clients about their medications empowers them to take an active role in their health management and promotes medication adherence and safety. Regular monitoring, as indicated in the correct answer, is a key component of pharmacological therapy for conditions like hypertension.

Correct Answer: A

Rationale: In pharmacology, Verapamil is a calcium channel blocker used to treat hypertension, angina, and certain arrhythmias. The correct instruction to include for a client prescribed Verapamil is to increase intake of high-fiber foods. Verapamil can cause constipation as a common side effect, so increasing fiber intake can help prevent or alleviate this issue. Option B, taking the medication with grapefruit juice, is incorrect because grapefruit juice can interact with Verapamil, leading to increased drug levels in the blood and potentially causing adverse effects. Option C, expecting to feel drowsy or lightheaded, is incorrect as Verapamil is not known to cause significant sedation or drowsiness. Option D, avoiding dairy products while taking this medication, is also incorrect as there is no specific interaction between Verapamil and dairy products. It is crucial for nurses to understand the pharmacological properties of medications, their potential side effects, and any necessary instructions to provide safe and effective care to clients. Educating clients on proper medication administration and potential side effects is essential in promoting adherence and minimizing complications.