A client is prescribed Ranitidine. Which of the following laboratory results should be monitored by the nurse?

Correct Answer: A

Rationale: In pharmacology, it is crucial for nurses to understand the specific monitoring parameters associated with different medications to ensure patient safety and optimal therapeutic outcomes. In the case of a client prescribed Ranitidine, the correct answer is option A) Complete blood count (CBC). Ranitidine is a medication that can affect blood cell production, particularly leading to decreased levels of certain blood cells. Therefore, monitoring the CBC is essential to detect any potential adverse effects such as anemia, leukopenia, or thrombocytopenia. Option B) Serum creatinine is not the primary laboratory parameter to monitor for a client taking Ranitidine, as this medication is not primarily associated with renal function impairment. Serum creatinine is generally monitored for medications that have known nephrotoxic effects. Option C) Serum potassium is also not directly related to Ranitidine use. While certain medications may impact potassium levels, Ranitidine is not typically known to cause significant potassium disturbances. Option D) Serum glucose is not the priority lab value to monitor for a client on Ranitidine. Although some medications can affect blood glucose levels, Ranitidine is not commonly associated with causing hypoglycemia or hyperglycemia. Educationally, this question highlights the importance of understanding the specific monitoring parameters for different medications. It reinforces the significance of tailored patient assessment and monitoring based on the pharmacological properties of each drug. By grasping these principles, nurses can ensure safe medication administration and promptly identify any potential adverse effects, thereby promoting patient well-being.

Correct Answer: C

Rationale: Epoetin alfa is a medication that stimulates red blood cell production, so hemoglobin levels should be monitored to assess the effectiveness of the drug. Monitoring hemoglobin levels helps evaluate the response to Epoetin Alfa treatment and ensures that the client's anemia is being appropriately managed.

Correct Answer: B

Rationale: The correct answer is B. Grapefruit can increase the levels of simvastatin in the blood, leading to an increased risk of serious side effects, including muscle pain or damage. Therefore, it is crucial for the client to avoid consuming grapefruit while taking this medication to prevent potential complications.

Correct Answer: A

Rationale: The correct instruction for a client taking Clindamycin is to take the medication with a full glass of water. Clindamycin can cause esophageal irritation, so taking it with a full glass of water helps minimize this risk. Avoiding taking the medication with food is not necessary. If diarrhea occurs, clients should not discontinue the medication without consulting their healthcare provider. Clindamycin is not known to cause increased appetite.

Correct Answer: A

Rationale: In pharmacology education, it is crucial for nurses to provide accurate and detailed information to patients regarding their medications to ensure safe and effective treatment outcomes. In the case of Metoprolol, the correct statement the nurse should include is "This medication may make you feel dizzy at first." This statement is correct because Metoprolol is a beta-blocker that can cause dizziness as a common side effect, especially when initiating therapy or with dosage adjustments. By informing the patient about this potential side effect, the nurse prepares the patient for what to expect and encourages adherence to the medication despite the discomfort. The other options are incorrect for the following reasons: - Option B: There is no specific dietary restriction related to fat intake with Metoprolol. Providing this information can create unnecessary dietary restrictions for the patient. - Option C: While some medications need to be taken at specific times, Metoprolol can generally be taken at any time of the day. There is no absolute requirement to take it in the morning. - Option D: Metoprolol is actually used to treat rapid heart rates, so experiencing a rapid heart rate while taking this medication would be unexpected and not a common side effect. In an educational context, teaching patients about their medications empowers them to manage their health effectively. Nurses play a crucial role in medication education, ensuring that patients have the knowledge and understanding needed to take their medications safely and adhere to the prescribed regimen. By providing accurate information, nurses can help prevent medication errors and improve patient outcomes.