A client has a prescription for Alendronate. Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: The correct instruction for a client prescribed Alendronate is to sit upright for at least 30 minutes after taking the medication. Alendronate can cause esophageal irritation, and maintaining an upright position helps prevent this adverse effect by reducing the risk of reflux of the medication into the esophagus.

Correct Answer: A

Rationale: In this scenario, option A is the correct answer: "I will need to take this medication for the rest of my life." This statement indicates an understanding of the teaching because Cyanocobalamin (Vitamin B12) is often prescribed for conditions like pernicious anemia or B12 deficiency that require lifelong supplementation. Option B is incorrect because stopping the medication when symptoms improve can lead to a relapse of the underlying condition. Option C is incorrect as Vitamin B12 injections are typically administered intramuscularly and not taken orally with food. Option D is also incorrect as there is no need to avoid green, leafy vegetables while taking Vitamin B12 injections. In an educational context, it is crucial for students to understand the importance of patient compliance with medication regimens, especially for chronic conditions. Teaching patients about the need for lifelong Vitamin B12 supplementation can help prevent complications associated with B12 deficiency. Students should also learn to differentiate between appropriate and inappropriate dietary restrictions related to specific medications.

Correct Answer: A

Rationale: The correct answer is A) Take the medication with food. This instruction is crucial because Dabigatran is an oral anticoagulant that can irritate the stomach lining, potentially leading to gastrointestinal upset. Taking the medication with food helps to minimize this side effect and enhances absorption. Option B) Store the capsules in a pill organizer is incorrect because while it is a good practice for medication organization, it is not directly related to the safe and effective use of Dabigatran. Option C) Crush the medication before swallowing is incorrect because Dabigatran should not be crushed as it is available in a specific formulation for controlled release. Crushing the medication can alter its pharmacokinetics and may lead to erratic drug levels in the body. Option D) Expect frequent headaches while taking this medication is incorrect because headaches are not a common side effect of Dabigatran. Providing this information without evidence may cause unnecessary anxiety in the client. In an educational context, it is important to emphasize the significance of following specific instructions for each medication to ensure optimal therapeutic outcomes and minimize potential risks. Understanding the rationale behind these instructions helps in promoting safe medication administration practices and patient compliance.

Correct Answer: A

Rationale: Amphotericin B is known to cause nephrotoxicity, a potential adverse effect that can be monitored by checking the client's serum creatinine levels. Regular monitoring of serum creatinine helps in early identification of kidney damage and allows for timely intervention to prevent further complications.

Correct Answer: B

Rationale: The correct answer is B: 'Expect a persistent, dry cough.' Lisinopril, an ACE inhibitor, commonly causes a persistent, dry cough as a side effect. This should be reported to the healthcare provider if it becomes bothersome. It is essential for the nurse to educate the client about this potential side effect so the client is aware and can seek appropriate guidance if needed.