A client in the post-anesthesia recovery unit received a nondepolarizing neuromuscular blocking agent and is experiencing muscle weakness. The nurse should anticipate a prescription for which of the following medications?

Correct Answer: A

Rationale: Neostigmine is a cholinesterase inhibitor commonly used to reverse the effects of nondepolarizing neuromuscular blockers by increasing acetylcholine levels at the neuromuscular junction, thereby helping to restore muscle strength. Naloxone is an opioid antagonist used to reverse opioid effects, not neuromuscular blockade. Dantrolene is a skeletal muscle relaxant used to treat malignant hyperthermia or neuroleptic malignant syndrome, not to reverse neuromuscular blockade. Vecuronium is a nondepolarizing neuromuscular blocking agent, like the one the client received, and is not used to reverse its effects.

Correct Answer: C

Rationale: The correct instruction for a client starting Metoprolol is to avoid sudden changes in position. Metoprolol can cause orthostatic hypotension, leading to dizziness and falls if the client changes positions quickly. By advising the client to make position changes slowly, the nurse helps prevent these adverse effects and promotes safety.

Correct Answer: C

Rationale: The correct answer is to instruct the client to notify the provider if they develop a persistent cough. A persistent cough is a common adverse effect of Captopril and other ACE inhibitors. It is essential for the client to inform their healthcare provider promptly if this side effect occurs, as it may indicate a potentially serious issue that needs medical attention.

Correct Answer: C

Rationale: In pharmacology, understanding the appropriate administration and instructions for medications is crucial to ensure optimal therapeutic effects and patient safety. In this scenario, the correct answer is C) Take the medication at bedtime. Ranitidine is a histamine-2 blocker commonly prescribed to reduce stomach acid production and treat conditions like gastroesophageal reflux disease (GERD) and ulcers. Taking it at bedtime is essential because stomach acid secretion is highest during the night, so administering the medication before bedtime helps control acid levels when they are most likely to cause issues. Option A) Take the medication with an antacid is incorrect because antacids can actually decrease the effectiveness of ranitidine by altering the pH balance in the stomach. Option B) Avoid drinking coffee while taking this medication is incorrect as coffee consumption does not have a direct interaction with ranitidine. However, caffeine can potentially aggravate acid reflux symptoms in some individuals. Option D) Stop the medication if you develop a headache is incorrect because a headache is not a common or severe side effect of ranitidine. It is important for the nurse to educate the client on common side effects to monitor and report, such as gastrointestinal disturbances or allergic reactions. Educationally, this question highlights the importance of understanding medication administration schedules based on the pharmacokinetics and therapeutic effects of the drug. It also emphasizes the need for nurses to provide clear and accurate instructions to patients to promote medication adherence and safety.

Correct Answer: D

Rationale: To prevent Otitis Externa, it is important to remove water from the ears after showering or swimming. This helps reduce the risk of moisture buildup in the ear canal, which can lead to infection. Cleaning the ear with a cotton-tipped swab daily can actually increase the risk of injury or infection. Placing earplugs in the ears when sleeping at night may trap moisture and promote bacterial growth. Using a cool water irrigation solution to remove earwax is not recommended as it can disrupt the natural balance of the ear canal.