A client has a prescription for ceftriaxone. Which of the following information should the nurse include in the teaching?

Correct Answer: B

Rationale: The correct answer is B) You should stop taking this medication if you develop a rash. This teaching point is crucial because ceftriaxone is a cephalosporin antibiotic known to cause severe hypersensitivity reactions, including rashes. It is important for the client to be aware that the development of a rash could indicate a serious allergic reaction that requires immediate medical attention. By instructing the client to discontinue the medication and seek medical help if a rash occurs, the nurse is promoting patient safety and preventing potentially life-threatening complications. Options A, C, and D are incorrect: A) You may develop a cough while taking this medication. While cough can be a side effect of some medications, it is not a common or significant side effect of ceftriaxone. This information is not a priority teaching point for this specific medication. C) This medication can be given orally. Ceftriaxone is not available for oral administration; it is typically administered intravenously or intramuscularly. Providing this information could lead to medication errors or confusion for the client. D) This medication may cause your urine to turn yellow. While ceftriaxone can cause a harmless side effect of yellow discoloration of urine due to the excretion of the drug, this is a minor concern compared to the potential serious allergic reactions associated with this medication. It is not a critical teaching point compared to the need to monitor for and respond to a rash. In an educational context, understanding the side effects, administration routes, and monitoring parameters of medications are crucial for nurses to ensure safe and effective patient care. Teaching clients about medication-specific information empowers them to take an active role in their treatment and promotes adherence to prescribed regimens.

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Warfarin. Ginkgo Biloba is an herbal supplement known for its antiplatelet and anticoagulant effects. When taken in combination with Warfarin, an anticoagulant medication, it can potentiate the effects of Warfarin, leading to an increased risk of bleeding. This interaction can be dangerous and potentially life-threatening for the client. Regarding the other options: A) Acetaminophen is not contraindicated with Ginkgo Biloba. Acetaminophen is a commonly used pain reliever and does not have significant interactions with Ginkgo Biloba. C) Digoxin is a medication used for heart conditions and does not have a direct contraindication with Ginkgo Biloba. D) Lisinopril is an ACE inhibitor used for hypertension and does not have a direct contraindication with Ginkgo Biloba. It is essential for nurses and healthcare providers to be aware of potential herb-drug interactions like the one between Ginkgo Biloba and Warfarin to ensure patient safety and prevent adverse effects. Patients should always inform their healthcare providers about any herbal supplements they are taking to avoid harmful interactions.

Correct Answer: C

Rationale: In the context of a client with Preeclampsia receiving Magnesium Sulfate IV, the nurse should report a urinary output of 24 mL/hr to the provider. This finding is concerning because magnesium sulfate is excreted by the kidneys, and a decrease in urinary output may indicate magnesium toxicity, which can lead to serious complications such as respiratory depression and cardiac arrest. Option A (2+ deep tendon reflexes) is an expected finding in a client receiving magnesium sulfate, as it is used to prevent seizures by acting as a CNS depressant. Option B (2+ pedal edema) is a common symptom of preeclampsia and is not directly related to magnesium sulfate administration. Option D (respirations 12/min) is within the normal range and not a concerning finding in this context. Educationally, this question highlights the importance of monitoring clients receiving magnesium sulfate closely, particularly their urinary output, to prevent complications associated with magnesium toxicity. It also emphasizes the nurse's role in recognizing and reporting abnormal findings promptly to ensure patient safety.

Correct Answer: D

Rationale: In the case of a client with a new diagnosis of Fibromyalgia, the nurse should anticipate the prescription of Duloxetine (Option D). Duloxetine is a serotonin-norepinephrine reuptake inhibitor (SNRI) that is commonly used in the management of fibromyalgia due to its ability to modulate both neurotransmitters. This medication helps alleviate pain, improve mood, and reduce fatigue associated with fibromyalgia. Regarding the other options: - Option A: Colchicine is primarily used to treat gout by reducing inflammation. It is not indicated for fibromyalgia. - Option B: Hydroxychloroquine is commonly used to treat autoimmune conditions like lupus and rheumatoid arthritis. It is not a first-line treatment for fibromyalgia. - Option C: Auranofin is a disease-modifying antirheumatic drug (DMARD) used in the treatment of rheumatoid arthritis. It is not a typical medication prescribed for fibromyalgia. Educationally, understanding the rationale behind the choice of Duloxetine for fibromyalgia not only reinforces pharmacological knowledge but also highlights the importance of selecting medications based on their mechanisms of action and indications. This knowledge is crucial for nurses to provide safe and effective care to clients with fibromyalgia and other similar conditions.

Correct Answer: A

Rationale: In the case of a toddler admitted to the hospital after an Acetaminophen overdose, the nurse should anticipate administering Acetylcysteine. Acetylcysteine is the antidote for Acetaminophen overdose as it helps to replenish glutathione, a key antioxidant in the liver that gets depleted during Acetaminophen metabolism, thus preventing liver damage. Option B, Pegfilgrastim, is a medication used to stimulate the production of white blood cells in patients undergoing chemotherapy to prevent infections. This medication is not indicated for Acetaminophen overdose. Option C, Misoprostol, is a medication used to prevent stomach ulcers in patients taking nonsteroidal anti-inflammatory drugs (NSAIDs). It is not the appropriate treatment for Acetaminophen overdose. Option D, Naltrexone, is a medication used to treat opioid and alcohol dependence by blocking the effects of opioids or alcohol in the brain. It is not indicated for Acetaminophen overdose. In an educational context, it is crucial for nurses and healthcare providers to be familiar with antidotes and appropriate treatments for medication overdoses to ensure prompt and effective patient care. Understanding the mechanisms of action and indications of medications is essential in providing safe and competent nursing care.