A client is receiving discharge instructions for long-term use of Prednisone. Which of the following instructions should be included?

Correct Answer: B

Rationale: The correct answer is B because long-term use of Prednisone can lead to weight gain, necessitating regular weight monitoring by the healthcare provider to manage any potential complications. Options A, C, and D are incorrect because swelling is not a typical reason to stop Prednisone, taking it on an empty stomach is not usually required, and Prednisone commonly increases appetite rather than decreases it.

Correct Answer: A

Rationale: The correct instruction for a client prescribed Docusate Sodium is to take the medication with a full glass of water. Docusate sodium is a stool softener, and taking it with water helps to soften the stool and make bowel movements easier. It is important to ensure an adequate intake of fluids when taking stool softeners to prevent constipation.

Correct Answer: A

Rationale: In the context of pharmacology and the treatment of chronic pancreatitis, the correct instruction for a client prescribed Pancrelipase is to take the medication with meals and snacks (Option A). This is because Pancrelipase is an enzyme replacement therapy that helps in the digestion of fats, proteins, and carbohydrates. Taking Pancrelipase with meals and snacks ensures that the enzymes are available to aid in the digestion of food, thus improving nutrient absorption. Option B, chewing the tablet thoroughly before swallowing, is incorrect as Pancrelipase is usually available in capsule form and should not be chewed. Chewing the tablet can affect the enteric coating of the medication, which is designed to protect the enzymes from stomach acid. Option C, taking the medication 1 hour before meals, is also incorrect because Pancrelipase should be taken with meals to optimize its effectiveness in aiding digestion. Taking it before meals may not provide the necessary enzyme support during the digestive process. Option D, expecting the stool to be yellow, is not a crucial instruction for the client to know for proper medication administration. While it is true that Pancrelipase can sometimes cause a change in stool color, focusing on this aspect may not be as relevant as understanding the timing of medication administration. In an educational context, it is essential for nurses to understand the rationale behind medication instructions to ensure safe and effective patient care. By emphasizing the importance of taking Pancrelipase with meals and snacks, nurses can help patients maximize the benefits of the medication and manage their condition more effectively.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Dry cough. Enalapril is an angiotensin-converting enzyme (ACE) inhibitor commonly prescribed for hypertension and heart failure. One of the most common adverse effects of ACE inhibitors like Enalapril is a persistent dry cough, which occurs due to the accumulation of bradykinin in the lungs. This side effect is unique to ACE inhibitors and can be bothersome for patients. Now, let's discuss why the other options are incorrect: - B) Hyperglycemia is not a common adverse effect of Enalapril. In fact, ACE inhibitors are known to have a neutral or even beneficial effect on blood glucose levels. - C) Weight gain is not a typical adverse effect of Enalapril. In fact, ACE inhibitors are often associated with weight loss or maintenance. - D) Increased urination is not a common adverse effect of Enalapril. ACE inhibitors do not typically have a diuretic effect. Educationally, understanding the common adverse effects of medications is crucial for nurses to educate patients on what to expect and monitor for. By knowing the specific side effects of Enalapril, nurses can provide targeted and effective patient education, leading to better medication adherence and management of potential complications.

Correct Answer: C

Rationale: In pharmacology, it is crucial to provide accurate and detailed instructions to clients regarding their medications. In the case of iron supplements, option C, which states "Increase fiber intake to prevent constipation," is the correct instruction to include in the teaching. Iron supplements commonly cause constipation as a side effect, so increasing fiber intake can help alleviate this issue by promoting regular bowel movements. Option A, "Take the medication with a glass of milk," is incorrect because calcium in milk can interfere with iron absorption. Option B, "Avoid taking the medication with orange juice," is also incorrect because vitamin C in orange juice actually enhances iron absorption. Option D, "Expect stools to be bright red," is inaccurate as iron supplements typically cause stools to turn dark or black, not bright red. In an educational context, teaching clients about the proper administration of medications is essential to ensure therapeutic effectiveness and prevent adverse reactions. By explaining the rationale behind each instruction, clients can better understand and adhere to the medication regimen, leading to improved health outcomes.