A client with a new prescription for Verapamil to control hypertension is being taught by a healthcare professional. Which of the following client statements indicates an understanding of the teaching?

Correct Answer: A

Rationale: In this scenario, the correct client statement indicating an understanding of the teaching is option A: "I should avoid drinking grapefruit juice." This statement shows an understanding of the potential drug interaction between Verapamil and grapefruit juice. Grapefruit juice can inhibit the metabolism of Verapamil, leading to increased drug levels in the body, which can potentiate the medication's effects and increase the risk of adverse reactions. Option B is incorrect because Verapamil is a calcium channel blocker that typically decreases heart rate, so the client should not expect an increase in heart rate while taking this medication. Option C is incorrect as Verapamil does not typically cause urine discoloration. Option D is also incorrect because experiencing headaches does not necessarily indicate that the client should stop taking Verapamil; it is important for the client to consult their healthcare provider before discontinuing any prescribed medication. Educationally, this question highlights the importance of understanding drug-food interactions, specifically the interaction between Verapamil and grapefruit juice. It emphasizes the need for clients to be informed about potential interactions to ensure the safe and effective use of medications to manage hypertension. Encouraging clients to ask questions and seek clarification from healthcare professionals can help prevent medication errors and optimize therapeutic outcomes.

Correct Answer: D

Rationale: The correct instruction is not to stop taking Propranolol abruptly. Abrupt cessation can lead to rebound hypertension or other cardiac complications. It is essential for the client to taper off the medication gradually under the supervision and guidance of a healthcare provider to avoid adverse effects.

Correct Answer: D

Rationale: When educating a client about Bisacodyl suppositories, it is important to include information about the common side effects. Rectal burning is a frequent side effect that can occur after using Bisacodyl suppositories, so the client should be informed to expect this discomfort. The onset of action for Bisacodyl suppositories is typically within 15 to 60 minutes, so the client should expect results relatively quickly, not in 6 to 12 hours. There is no specific instruction to insert the suppository after breakfast, and keeping the suppository in the refrigerator is not necessary.

Correct Answer: C

Rationale: The correct instruction for a client prescribed Alendronate is to sit upright for at least 30 minutes after taking the medication. Alendronate can cause esophageal irritation, and maintaining an upright position helps prevent this adverse effect by reducing the risk of reflux of the medication into the esophagus.

Correct Answer: B

Rationale: When a client is receiving Gentamicin, the nurse should monitor serum creatinine levels to assess for nephrotoxicity. Gentamicin is known to potentially cause nephrotoxicity, leading to impaired kidney function. Monitoring serum creatinine levels helps in early detection of any kidney damage or dysfunction.