A client with a diagnosis of depression is prescribed escitalopram. Which statement by the client indicates the need for further teaching?

Correct Answer: C

Rationale: It is crucial for clients to understand that they should not discontinue escitalopram abruptly, even if they start feeling better. Stopping the medication suddenly can lead to withdrawal symptoms or a relapse of depression. It is essential to complete the full course of treatment as prescribed by the healthcare provider to ensure the best outcomes and prevent potential complications.

Correct Answer: A

Rationale: In the case of a client with schizophrenia prescribed aripiprazole, the nurse should monitor for potential side effects like weight gain. Aripiprazole is an atypical antipsychotic medication known to have side effects that include metabolic changes leading to weight gain. This is due to its impact on the body's metabolism and appetite regulation. Dry mouth, headache, and increased appetite are not commonly associated with aripiprazole. Dry mouth is more commonly seen with medications that have anticholinergic effects. Headache can be a general side effect of many medications but is not specifically linked to aripiprazole. Increased appetite is not a typical side effect of aripiprazole, as it tends to have a neutral effect on appetite compared to other antipsychotics. In an educational context, understanding the side effect profile of medications is crucial for nurses to provide safe and effective care to clients. By knowing the potential side effects of aripiprazole, nurses can monitor and manage these effects to promote the well-being of clients with schizophrenia.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Dry mouth. Salmeterol is a long-acting beta-adrenergic agonist bronchodilator used in the management of COPD. Dry mouth is a common side effect of beta-agonists due to their systemic effects, including decreasing salivary gland secretions. Option B) Tachycardia is incorrect because salmeterol is a long-acting beta-agonist, which has a lower risk of causing tachycardia compared to short-acting beta-agonists. Option C) Insomnia is incorrect because salmeterol, as a bronchodilator, does not typically cause central nervous system side effects like insomnia. Option D) Increased appetite is incorrect because salmeterol is not known to have an effect on appetite. Educationally, it is essential for nurses to understand the common side effects of medications to provide safe and effective care to patients. Monitoring for potential side effects allows for early recognition and intervention, contributing to optimal patient outcomes. Nurses should be knowledgeable about pharmacology to provide holistic care and educate patients on medication management.

Correct Answer: B

Rationale: The correct answer is B, liver toxicity. Pioglitazone is known to cause liver toxicity, so it is essential for the nurse to monitor the client's liver function while on this medication. Monitoring liver function tests can help detect any signs of liver damage early, allowing for timely intervention to prevent serious complications.

Correct Answer: A

Rationale: The correct answer is A: Hypotension. Doxazosin is an alpha-blocker medication commonly used to treat hypertension. One of the potential side effects of doxazosin is causing a sudden drop in blood pressure, leading to hypotension. Therefore, the nurse should closely monitor the client for signs and symptoms of low blood pressure when initiating or adjusting the dose of doxazosin.