A client is starting therapy with cisplatin. Which of the following findings should the nurse instruct the client to report?

Correct Answer: A

Rationale: Tinnitus should be reported by the client as it can be indicative of ototoxicity, an adverse effect associated with cisplatin therapy. Ototoxicity can result in damage to the inner ear structures, leading to hearing problems. Therefore, prompt reporting of tinnitus is essential for early intervention and prevention of potential complications.

Correct Answer: A

Rationale: In the context of pharmacology and specifically Prednisone therapy, the correct dietary instruction for a client would be to increase their intake of potassium-rich foods. Prednisone is a corticosteroid that can lead to potassium depletion in the body, so it is important to replenish this electrolyte through diet. Option B, increasing intake of dairy products, is not the most appropriate choice as dairy products do not specifically address the issue of potassium depletion caused by Prednisone. Option C, avoiding foods high in vitamin K, is not directly related to the dietary considerations when taking Prednisone. Vitamin K is more commonly associated with anticoagulant therapy like warfarin. Option D, decreasing intake of protein, is not necessary in this case. Protein is important for overall health and there is no specific indication to decrease protein intake when taking Prednisone. In an educational context, it is important for nurses and healthcare providers to understand the specific dietary considerations that come with certain medications like Prednisone to ensure optimal patient outcomes and prevent potential complications. Providing clear and accurate dietary instructions is crucial in promoting patient adherence and well-being.

Correct Answer: A

Rationale: St. John's wort should be avoided by clients taking Warfarin as it can reduce the medication's effectiveness by interacting with its metabolism. While garlic and ginseng are also known to interact with Warfarin, the specific supplement the nurse should instruct the client to avoid in this scenario is St. John's wort.

Correct Answer: B

Rationale: In pharmacology, understanding the administration instructions for medications is crucial to ensure optimal therapeutic outcomes for patients. In the case of Ferrous sulfate, the correct instruction is to take the medication on an empty stomach. This is because iron absorption is enhanced in an acidic environment, which is present in an empty stomach. Taking iron with food, especially calcium-rich foods like milk (Option A) or with antacids (Option D), can decrease its absorption due to the decreased acidity in the stomach. Taking the medication before bedtime (Option C) may not be ideal as it could lead to potential gastrointestinal side effects during the night. Educationally, it is important for nurses to understand the rationale behind specific medication instructions to provide safe and effective care to their patients. Teaching patients about the correct administration of medications like Ferrous sulfate can help prevent potential drug interactions or reduced therapeutic effects. Nurses play a vital role in medication education and adherence, which ultimately impacts patient outcomes.

Correct Answer: C

Rationale: The correct answer is to instruct the client to avoid sudden discontinuation of Metoprolol. Metoprolol is a beta-blocker that should be tapered off gradually to prevent rebound hypertension and other cardiac issues. Abruptly stopping Metoprolol can lead to serious complications, so it is essential for the client to follow the healthcare provider's guidance on discontinuation.