A client has been prescribed Prednisone for an inflammatory condition and is receiving discharge teaching from a nurse. Which of the following instructions should the nurse include?

Correct Answer: D

Rationale: The correct answer is to take Prednisone in the morning to prevent insomnia. Prednisone can cause insomnia as a side effect, so taking it in the morning can help minimize this issue. It is important to follow the healthcare provider's instructions regarding the timing of Prednisone administration to optimize its effectiveness and minimize adverse effects.

Correct Answer: C

Rationale: In this scenario, the correct instruction to provide to the client with a new prescription for Nitroglycerin to treat angina is option C: Apply the patch to a different site each time. This instruction is crucial because Nitroglycerin patches work best when applied to different areas to prevent skin irritation and tolerance development. By rotating the patch placement, the client can avoid skin reactions and ensure the medication's effectiveness over time. Option A is incorrect because Nitroglycerin is a preventive medication used to reduce the frequency and severity of angina attacks, not just to be taken when chest pain is already present. Option B is also incorrect as Nitroglycerin patches should be stored as per the manufacturer's instructions, usually at room temperature and away from light and moisture. Option D is incorrect because cutting the patch can alter the drug delivery rate and potentially lead to an incorrect dose being administered, which can be dangerous. It is essential to emphasize these specific instructions to the client to ensure they use the medication safely and effectively. Educationally, understanding the proper administration and storage of medications is crucial for healthcare providers to ensure patient safety and optimal therapeutic outcomes. Teaching clients accurate medication instructions empowers them to manage their health conditions effectively and avoid potential complications.

Correct Answer: B

Rationale: In administering eye drops to a client, asking the client to look up at the ceiling is the correct action to take. This position helps prevent the eye drops from rolling out of the eye and allows for better absorption of the medication. Having the client lie on their side (Option A) is incorrect as it may lead to improper administration and wastage of the medication. Asking the client to blink when the drops enter their eye (Option C) is incorrect as blinking can expel the medication before it is absorbed. Dropping the medication into the center of the client's conjunctival sac (Option D) is incorrect as this may cause irritation and discomfort to the client. In an educational context, it is important for healthcare professionals to understand the correct technique for administering eye drops to ensure the effectiveness of the medication and prevent complications. Proper patient education on eye drop administration is essential for optimal treatment outcomes and patient safety.

Correct Answer: A

Rationale: In this scenario, the correct statement to include in the teaching about Fluoxetine for PTSD is option A) "You may experience a decreased desire for intimacy while taking this medication." This is because Fluoxetine, a selective serotonin reuptake inhibitor (SSRI), can commonly cause sexual side effects, including decreased libido. It is crucial for the client to be informed about potential side effects to ensure they are prepared and can seek appropriate support or interventions if needed. Option B) is incorrect because Fluoxetine is usually taken in the morning to avoid potential sleep disturbances as it can have a stimulating effect. Taking it in the evening may lead to insomnia. Option C) is incorrect as urinary adverse effects are not commonly associated with Fluoxetine, and urination timing is unlikely to impact these side effects. Option D) is incorrect as light sensitivity is not a common side effect of Fluoxetine. It is important to focus on informing the client about the most common and relevant side effects to optimize their understanding and self-management of their medication regimen. Educationally, this question highlights the importance of medication education for clients, emphasizing the need for clear, accurate, and relevant information to promote medication adherence and minimize potential adverse effects. Understanding common side effects empowers clients to make informed decisions about their healthcare.

Correct Answer: A

Rationale: Valproic acid can lead to thrombocytopenia, making it essential to monitor the client's thrombocyte count periodically. Additionally, valproic acid can cause pancreatitis, necessitating the monitoring of amylase levels. Furthermore, valproic acid carries a risk of hepatotoxicity, requiring regular monitoring of liver function tests.