A client has been prescribed lisinopril. Which of the following medication interactions should the nurse instruct this client about?

Correct Answer: A

Rationale: The correct answer is A: Potassium supplements. Clients taking lisinopril should avoid potassium supplements and potassium-sparing diuretics due to the risk of hyperkalemia. This interaction can lead to dangerously high levels of potassium in the blood, which can be harmful. Choice B, Ciprofloxacin, is not typically associated with a significant interaction with lisinopril. Choice C, Escitalopram, is an antidepressant and does not have a known significant interaction with lisinopril regarding potassium levels. Choice D, Magnesium supplements, are generally safe to take with lisinopril and do not pose a significant risk of hyperkalemia.

Correct Answer: B

Rationale: The correct action when administering a bisacodyl suppository is to lubricate the index finger for easier insertion. Using a rectal applicator for insertion is not recommended for bisacodyl suppositories. Positioning the client supine with knees bent is not necessary for the administration of a bisacodyl suppository. While wearing gloves is important for infection control, sterile gloves are not required for this procedure.

Correct Answer: A

Rationale: In this scenario, the nurse would need to use caution when administering benzodiazepines to a client with glaucoma. Benzodiazepines can cause an increase in intraocular pressure, which can worsen the condition in individuals with glaucoma. Regarding the other options: - Clients with renal failure may require dose adjustments but do not have a contraindication to benzodiazepines. - Clients with hypertension may have their blood pressure lowered by benzodiazepines but this is usually not a significant concern unless it is severe or uncontrolled. - Clients with insomnia are often prescribed benzodiazepines to help with sleep, so this is not a reason for caution. In an educational context, it is vital for nurses to understand the specific considerations and contraindications related to medication classes like benzodiazepines to ensure safe and effective patient care. Recognizing when caution is warranted can prevent potential harm and adverse effects in vulnerable patient populations.

Correct Answer: A

Rationale: The nurse should administer 0.2 mL of morphine sulfate. To calculate this, divide the desired dose (2 mg) by the concentration of the available solution (10 mg/mL). 2 mg / 10 mg/mL = 0.2 mL. Therefore, the nurse should administer 0.2 mL of morphine sulfate. Choices B, C, and D are incorrect as they do not reflect the accurate calculation based on the provided concentration and desired dose.

Correct Answer: B

Rationale: The correct answer is B: Osteoporosis. Osteoporosis is a concern with levothyroxine as it can increase the risk for fractures, particularly in older adults. Levothyroxine treatment can exacerbate bone loss in individuals with osteoporosis. Choices A, C, and D are not directly contraindicated with levothyroxine therapy for hypothyroidism.