A client is taking Epoetin Alfa for anemia. Which of the following laboratory tests should the nurse monitor to evaluate the effectiveness of the therapy?

Correct Answer: C

Rationale: The nurse should monitor the hematocrit level to evaluate the effectiveness of Epoetin Alfa therapy. Epoetin Alfa stimulates red blood cell production, leading to an increase in hematocrit levels. Monitoring the hematocrit helps assess the response to therapy and ensures that the medication is effectively addressing the anemia.

Correct Answer: C

Rationale: The correct instruction the nurse should include is that Brimonidine can absorb into soft contact lenses. To prevent this, the client should remove the contacts, instill the medication, and wait at least 15 minutes before putting the contacts back in to avoid any potential absorption of the medication into the lenses.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Excessive perspiration. Bethanechol is a muscarinic receptor agonist, which means it stimulates muscarinic receptors in the body. Muscarinic receptors are found in various organs, including sweat glands. Stimulation of these receptors by Bethanechol would lead to an increase in sweating, hence excessive perspiration is a manifestation of muscarinic stimulation. Now, let's analyze why the other options are incorrect: A) Dry mouth: Dry mouth is a common side effect of anticholinergic drugs, not muscarinic agonists like Bethanechol. B) Hypertension: Muscarinic stimulation typically does not lead to hypertension. In fact, activation of muscarinic receptors can cause vasodilation and a decrease in blood pressure. D) Fecal impaction: Fecal impaction is not directly related to muscarinic stimulation by Bethanechol. In an educational context, understanding the effects of medications on specific receptors is crucial for safe and effective pharmacological practice. By knowing the expected outcomes of muscarinic stimulation, healthcare professionals can anticipate and manage potential side effects or therapeutic responses in patients taking medications like Bethanechol for urinary retention.

Correct Answer: A

Rationale: In pharmacology, it is crucial for nurses to provide accurate instructions to clients to ensure safe and effective medication administration. In the case of Beclomethasone, the correct instruction for the nurse to include is option A) Rinse your mouth after each use of this medication. This is because Beclomethasone is an inhaled corticosteroid commonly used to treat respiratory conditions such as asthma. Rinsing the mouth after each use helps prevent the development of oral thrush, a common side effect of inhaled corticosteroids. Option B) Limit fluid intake while taking this medication is incorrect and potentially harmful advice. Adequate hydration is important for overall health and should not be limited unless specifically advised by a healthcare provider for a different medical reason. Option C) Increase your intake of vitamin B12 while taking this medication is also incorrect. Beclomethasone does not specifically interact with vitamin B12, so there is no need to increase its intake solely based on this medication. Option D) You can take the medication as needed is incorrect as Beclomethasone is typically prescribed on a scheduled basis to provide continuous control of respiratory symptoms. Taking it as needed may lead to inadequate symptom management and potential exacerbation of the condition. Educationally, this question highlights the importance of understanding medication-specific instructions and the rationale behind them to promote safe and effective patient care. Nurses need to be knowledgeable about common medications, their side effects, and administration instructions to provide comprehensive patient education and support optimal health outcomes.

Correct Answer: C

Rationale: The correct answer is C: Sedation. Dextromethorphan can lead to sedation as an adverse effect. The nurse should advise the client to avoid activities that require alertness when taking this medication to prevent any potential harm. Monitoring for sedation is crucial to ensure the client's safety and well-being.