A client with schizophrenia is prescribed risperidone. Which statement by the client indicates the need for further teaching?

Correct Answer: A

Rationale: In this scenario, the correct answer is option A: "I can stop taking this medication once I feel better." This statement indicates a need for further teaching because it shows a lack of understanding regarding the nature of the medication and the treatment of schizophrenia. Risperidone is typically prescribed for long-term maintenance therapy in schizophrenia to help manage symptoms and prevent relapse. Stopping the medication abruptly can lead to a worsening of symptoms and potential relapse. Therefore, it is crucial for the client to understand that adherence to the prescribed treatment regimen is essential for the effective management of their condition. Option B and C both mention the possibility of drowsiness as a side effect of risperidone. While these statements are accurate, they do not indicate a need for further teaching as they align with common side effects associated with the medication, which the client should be aware of. Option D, "I should avoid alcohol while taking this medication," is also correct. Alcohol can interact with risperidone, potentially increasing the risk of side effects such as drowsiness or dizziness. Educating the client to avoid alcohol while taking this medication is important to ensure their safety and the effectiveness of the treatment. In an educational context, this question highlights the importance of patient education in pharmacological treatment. It emphasizes the need for healthcare providers to ensure that patients have a clear understanding of their medications, including the importance of adherence to the prescribed regimen and potential side effects. By addressing misconceptions and providing accurate information, healthcare professionals can support patients in effectively managing their conditions and achieving positive health outcomes.

Correct Answer: A

Rationale: The correct instruction for a client prescribed ranitidine for a peptic ulcer is to take the medication in the morning before breakfast. This timing helps reduce stomach acid production throughout the day, providing optimal therapeutic effects. Option B is incorrect because taking ranitidine with meals is not the recommended timing. Option C is incorrect as there is no specific contraindication against taking ranitidine with antacids. Option D is incorrect as the medication should not be taken at bedtime but rather in the morning before breakfast.

Correct Answer: C

Rationale: The correct answer is C: Muscle pain. Atorvastatin can cause muscle pain, which may indicate rhabdomyolysis, a serious adverse effect. Rhabdomyolysis is a condition where muscle breakdown releases a protein (myoglobin) into the bloodstream, potentially leading to kidney damage. Liver damage (choice A) is a less common side effect of atorvastatin compared to muscle pain. Kidney damage (choice B) is not a direct adverse effect of atorvastatin but can occur indirectly if rhabdomyolysis is severe. Increased appetite (choice D) is not a known adverse effect of atorvastatin.

Correct Answer: A

Rationale: The correct instruction for a client prescribed metformin is to take the medication with meals. Taking metformin with meals helps to minimize gastrointestinal side effects, which are common with this medication. Choice B, avoiding alcohol, is a good practice due to the increased risk of lactic acidosis when alcohol is consumed with metformin; however, it is not the priority teaching point in this scenario. Taking metformin on an empty stomach (Choice C) is incorrect because it can increase the risk of gastrointestinal side effects. Reporting signs of lactic acidosis (Choice D) is important, but it is more related to monitoring for adverse effects rather than a primary teaching point for administration.

Correct Answer: D

Rationale: The correct answer is D: Tremors. When a client is prescribed lithium for bipolar disorder, one common side effect to monitor for is tremors. Tremors are a known adverse effect of lithium therapy and should be monitored closely by healthcare providers. Choice A, dry mouth, is not typically associated with lithium use. Hair loss, as in choice B, is not a common side effect of lithium. Weight gain, as mentioned in choice C, can occur with some medications used to treat bipolar disorder, but it is not a prominent side effect of lithium specifically.