A client with a new prescription for Escitalopram for the treatment of generalized anxiety disorder is being taught by a healthcare provider. Which statement by the client indicates understanding of the teaching?

Correct Answer: C

Rationale: The correct answer is C. When discontinuing escitalopram, the client should taper the medication slowly according to a prescribed tapered dosing schedule to reduce the risk of withdrawal syndrome. This gradual reduction helps minimize potential withdrawal symptoms and ensures a safer discontinuation process.

Correct Answer: B

Rationale: Neck spasms are indicative of acute dystonia, a serious side effect of Haloperidol that requires urgent intervention. Immediate reporting to the provider is crucial to address this potentially harmful condition and ensure the client's safety. Shuffling gait, drowsiness, and impotence are important to monitor but do not pose the same level of immediate risk as acute dystonia.

Correct Answer: B

Rationale: In caring for a school-age child prescribed Atomoxetine, monitoring for liver damage is crucial. Atomoxetine is a selective norepinephrine reuptake inhibitor used to treat ADHD. The liver metabolizes this drug, making hepatic monitoring important to prevent toxicity. Kidney toxicity (option A) is less likely with Atomoxetine. Seizure activity (option C) is not a common adverse effect of this medication. Adrenal insufficiency (option D) is not associated with Atomoxetine use. Educational context: Understanding the pharmacokinetics and potential adverse effects of Atomoxetine aids in safe administration and monitoring, ensuring optimal outcomes for pediatric patients. Regular liver function tests can help detect and manage any liver-related issues promptly.

Correct Answer: D

Rationale: In this scenario, the priority action for the nurse is to obtain baseline vital signs. This step is crucial in assessing the client's current physiological status and establishing a reference point for monitoring the effects of Clonidine. Administering the medication, providing ice chips, and educating the client are important tasks but assessing the client's vital signs takes precedence to ensure the client's safety and well-being during withdrawal management.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Yellow-tinged vision. Digoxin is a medication commonly prescribed for heart failure, but it has a narrow therapeutic range and can lead to toxicity if not closely monitored. Yellow-tinged vision is a classic sign of digoxin toxicity and should be reported immediately to the healthcare provider. A) Dry cough is not typically associated with digoxin use; it is more commonly seen with ACE inhibitors or ARBs used to treat heart failure. B) Pedal edema is a common symptom of heart failure itself, and while monitoring for changes in edema is important, it is not a specific adverse effect of digoxin. C) Bruising is not a common adverse effect of digoxin. It can be a side effect of medications that affect platelet function or coagulation, but it is not typically associated with digoxin use. Educationally, this question highlights the importance of recognizing the unique adverse effects of specific medications like digoxin. It emphasizes the need for close monitoring and patient education to prevent potential harm from medication side effects. Nurses and healthcare providers must be vigilant in educating patients on the signs and symptoms of medication toxicity to ensure safe and effective treatment.