A client with a history of hypertension is prescribed hydrochlorothiazide. Which instruction should the nurse include in the client's teaching?

Correct Answer: C

Rationale: The correct answer is C: "Monitor your blood pressure regularly." This instruction is crucial for a client with hypertension prescribed hydrochlorothiazide because the medication helps lower blood pressure. By monitoring their blood pressure regularly, the client can track the effectiveness of the medication and ensure it is within the target range. This allows for early detection of any potential issues or the need for medication adjustments. Option A is incorrect because while it is generally recommended to take hydrochlorothiazide in the morning, it is not the most critical instruction for this scenario. Option B is incorrect as hydrochlorothiazide can cause hypokalemia, so avoiding high potassium foods is not necessary. Option D is also important but not as crucial as monitoring blood pressure, as reducing high-sodium foods can help manage hypertension but is not specific to hydrochlorothiazide.

Correct Answer: B

Rationale: The correct answer is B: Decreased pedal edema. Digoxin is a medication commonly used to treat heart failure by improving the heart's ability to pump effectively. As the medication helps to reduce fluid buildup in the body, a decrease in pedal edema (swelling in the feet and ankles) indicates that digoxin is effectively managing the client's heart failure. Increased heart rate (A) may indicate digoxin toxicity, elevated blood pressure (C) is not a typical indicator of digoxin effectiveness, and improved urine output (D) may be a result of diuretic therapy rather than specifically digoxin efficacy in heart failure management.

Correct Answer: A

Rationale: The correct answer is A: Dry cough. Lisinopril, an ACE inhibitor, commonly causes a dry cough due to the accumulation of bradykinin. This side effect can be bothersome and non-productive. Other choices are incorrect because weight gain is not a common side effect of lisinopril but rather a side effect of some other antihypertensive medications. Tachycardia is not associated with lisinopril; in fact, it can cause bradycardia in some cases. Hyperglycemia is not a common side effect of lisinopril and is more commonly associated with other classes of antihypertensive medications.

Correct Answer: B

Rationale: The correct answer is B: Lowered cholesterol levels. Atorvastatin is a statin medication used to lower cholesterol levels, reducing the risk of further cardiovascular events in patients with a history of MI. Lowering cholesterol helps prevent plaque buildup in arteries, reducing the likelihood of another MI. Increased blood pressure (A) and decreased heart rate (C) are not direct indicators of atorvastatin's effectiveness. Improved liver function (D) may be a consideration due to potential side effects, but the primary goal of atorvastatin is to lower cholesterol levels to prevent cardiovascular events.

Correct Answer: C

Rationale: The correct answer is C because the behavior exhibited by the resident may stem from touch deprivation rather than being intentional sexual harassment. Here's a step-by-step rationale: 1. Understanding the resident's age and environment (extended care facility) helps in interpreting his behavior. 2. The resident's actions suggest a need for touch, which is common in older adults who may lack physical contact. 3. Educating the resident on appropriate ways to express his need for touch can address the underlying issue. 4. Reassigning the UAP or reporting the incident as sexual harassment (options A and B) may not address the root cause of the behavior and could potentially harm the resident's well-being. In summary, choice C focuses on addressing the resident's potential touch deprivation in a compassionate and understanding manner, making it the best assessment of the situation.