A client is prescribed allopurinol (Zyloprim) for chronic gout. Which instruction should the nurse include in the teaching plan?

Correct Answer: A

Rationale: The correct instruction for a client prescribed allopurinol (Zyloprim) for chronic gout is to take the medication with a full glass of water. This helps prevent kidney stones which can be a side effect of the medication. It is important for the client to avoid purine-rich foods to help manage gout symptoms. They should continue taking the medication even during a gout attack as prescribed by the healthcare provider. Allopurinol can be taken with or without food, so there is no need to take it on an empty stomach.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Acetaminophen (Tylenol). Acetaminophen is recommended for pain relief in clients taking lansoprazole due to its minimal gastrointestinal side effects. Lansoprazole is a proton pump inhibitor that reduces stomach acid production, making it a suitable choice for clients with Zollinger-Ellison syndrome. Option A) Naproxen and option B) Ibuprofen are nonsteroidal anti-inflammatory drugs (NSAIDs) that can increase the risk of gastric irritation and bleeding, especially when used with lansoprazole. Option D) Acetylsalicylic acid (aspirin) is also an NSAID and can further exacerbate the risk of gastrointestinal complications in this population. Educationally, it is crucial for nurses and healthcare providers to understand the interactions between medications to prevent potential adverse effects. Providing appropriate guidance on pain management options that are safe and effective for specific patient populations, such as those with Zollinger-Ellison syndrome, is essential in optimizing patient care and outcomes.

Correct Answer: D

Rationale: Constipation is a common side effect of iron supplements such as ferrous sulfate. Iron can cause constipation by slowing down the movement of the digestive system and hardening the stool. Patients should be advised to increase their fluid intake, dietary fiber, and physical activity to help alleviate this side effect.

Correct Answer: C

Rationale: In this scenario, option C is the correct answer: "I can't drink alcohol while I am taking my medication." This statement indicates that the client understands an important aspect of taking anticonvulsant medication. Alcohol can interact with anticonvulsants, reducing their effectiveness or causing adverse effects. This understanding is crucial for the adolescent's safety and well-being. Option A is incorrect because it presents a blanket statement that the client will never be able to drive a car, which is not necessarily true for all individuals taking anticonvulsant medication. Option B is incorrect as it implies that the medication will clear up the client's skin, which is not a common effect of anticonvulsants. Option D is also incorrect because doubling the dosage of medication without medical advice can be dangerous and should not be encouraged. Educationally, this question highlights the importance of patient education regarding medication management, interactions, and potential side effects. It emphasizes the need for clear communication between healthcare providers and patients, especially when dealing with medications that can significantly impact a person's health and daily activities.

Correct Answer: D

Rationale: Crackles on auscultation of the lungs would indicate a toxic effect related to daunorubicin, known to cause cardiotoxicity. Cardiotoxicity can manifest as heart failure, abnormal ECG findings, or cardiomyopathy. It is crucial for the nurse to monitor for signs of cardiotoxicity to ensure timely intervention and prevent further complications.