A client is being educated by a healthcare provider about a new prescription for Digoxin. Which of the following client statements indicates an understanding of the teaching?

Correct Answer: B

Rationale: The correct answer is B) I should report any vision changes to my healthcare provider. This statement demonstrates an understanding of a crucial side effect of Digoxin, which is visual disturbances. Digoxin can cause visual changes such as yellow-green halos around objects, blurry vision, or seeing spots. Reporting these changes promptly is essential to prevent serious complications such as Digoxin toxicity, which can be life-threatening. Option A is incorrect because Digoxin should be taken on an empty stomach to ensure proper absorption, not with a high-fiber meal. Option C is incorrect because Digoxin is typically prescribed to control heart rate in conditions like atrial fibrillation, and taking it only when the heart rate is below 60 bpm may lead to suboptimal management. Option D is incorrect as there is no specific contraindication to consuming dairy products while on Digoxin. In an educational context, it is vital for healthcare providers to emphasize the importance of monitoring and reporting side effects like visual changes when educating clients about medications like Digoxin. Understanding these key points can help ensure the safe and effective use of the medication to improve patient outcomes.

Correct Answer: A

Rationale: In pharmacology, understanding medication administration instructions is crucial for ensuring optimal patient outcomes. In the case of Labetalol, which is a beta-blocker used to treat hypertension, instructing the client to take the medication with food is essential. The correct answer (A) is to take the medication with food because beta-blockers like Labetalol can cause gastric irritation and are better absorbed with food, which can help minimize gastrointestinal side effects. Option B, monitoring blood glucose levels, is incorrect as Labetalol does not directly impact blood glucose levels. Option C, expecting a rapid heart rate, is also incorrect because beta-blockers like Labetalol actually work to lower heart rate and blood pressure. Option D, increasing intake of high-sodium foods, is incorrect as beta-blockers often require a low-sodium diet to manage hypertension effectively. Educationally, understanding the rationale behind medication instructions helps students grasp the pharmacokinetics and pharmacodynamics of drugs. It reinforces the importance of patient education and adherence to medication regimens to achieve therapeutic goals. Understanding these principles is essential for safe medication administration and patient care.

Correct Answer: A

Rationale: In this scenario, the correct statement that the nurse should include for a client with a new prescription for Ondansetron is option A) Take the medication 30 minutes before chemotherapy. Rationale: Ondansetron is a medication commonly used to prevent nausea and vomiting, especially related to chemotherapy treatments. Taking it 30 minutes before chemotherapy allows the medication to be most effective in preventing these side effects. This timing ensures that the drug reaches peak concentration in the body when the chemotherapy drugs are administered, providing optimal antiemetic effects. Option B) Expect your urine to turn orange is incorrect because Ondansetron does not typically cause changes in urine color. This statement may confuse the client and lead to unnecessary concern. Option C) Increase your intake of high-fiber foods is incorrect as it is unrelated to the administration or effects of Ondansetron. It is important for the nurse to provide relevant and accurate information to the client to ensure safe and effective medication use. Option D) Avoid drinking grapefruit juice is incorrect because Ondansetron does not have any known interactions with grapefruit juice. This statement may unnecessarily restrict the client's dietary choices without a valid reason. Educational Context: Understanding the appropriate timing and administration of medications is crucial for achieving the desired therapeutic effects and minimizing adverse reactions. Nurses play a key role in educating clients about their medications to promote safe and effective treatment outcomes. In the case of Ondansetron, timing its administration before chemotherapy can significantly improve its efficacy in preventing chemotherapy-induced nausea and vomiting. By providing accurate information, nurses empower clients to take an active role in their healthcare and adhere to prescribed treatment regimens.

Correct Answer: B

Rationale: Clients with conditions like pernicious anemia or other causes of vitamin B12 deficiency may require lifelong cyanocobalamin supplementation to prevent deficiency. This is because their bodies are unable to absorb B12 from dietary sources adequately, necessitating ongoing injections to maintain optimal B12 levels.

Correct Answer: D

Rationale: Tinnitus (ringing in the ears) is an early sign of aspirin toxicity. Aspirin poisoning can cause salicylate intoxication, which includes symptoms like tinnitus, nausea, vomiting, confusion, rapid breathing, and sweating. Other signs of aspirin toxicity may include respiratory alkalosis, metabolic acidosis, hyperthermia, and even seizures. Monitoring for tinnitus is important in clients who may have aspirin toxicity as it serves as an early warning sign to prevent further complications.