A client with severe depression is prescribed sertraline. Which statement by the client indicates the need for further teaching?

Correct Answer: A

Rationale: The correct answer is A. Clients should not stop taking sertraline abruptly once they feel better without consulting their healthcare provider. It is important to complete the full course of treatment as prescribed to prevent a relapse of symptoms. Stopping the medication suddenly can lead to withdrawal symptoms and may worsen the condition.

Correct Answer: A

Rationale: The correct instruction for a client with GERD prescribed omeprazole is to take the medication in the morning before breakfast. Omeprazole works best when taken on an empty stomach, approximately 30 minutes before the first meal of the day. This timing maximizes its effectiveness in reducing stomach acid production and helps manage symptoms of GERD more efficiently.

Correct Answer: C

Rationale: In the context of diabetes mellitus type 1, insulin glargine is a long-acting basal insulin that provides a steady level of insulin over a 24-hour period. This makes it most effective when administered at bedtime. By instructing the client to administer insulin glargine at bedtime, the nurse ensures that the medication's peak action aligns with the body's natural overnight fasting state, helping to control blood glucose levels during this crucial period. Option A (Before meals) is incorrect because insulin glargine is not a rapid-acting insulin intended to cover mealtime blood sugar elevations. Option B (After meals) is also incorrect as insulin glargine is not meant to be taken in response to mealtime glucose spikes. Option D (In the morning) is not ideal as it may not provide adequate coverage during the night when blood glucose levels can fluctuate due to the lack of food intake. Educationally, understanding the timing and action of different types of insulin is crucial for managing diabetes effectively. By grasping the pharmacokinetics of insulin glargine, nurses can help clients achieve better glycemic control and reduce the risk of complications associated with diabetes. This knowledge empowers nurses to educate clients on the optimal use of their medications, leading to improved self-management and overall health outcomes.

Correct Answer: A

Rationale: The correct answer is A: Dry mouth. Tiotropium, a commonly prescribed medication for COPD, can cause dry mouth as a side effect. While it may not be severe, clients should report it if it becomes bothersome. Blurred vision, nausea, and tachycardia are not typically associated with tiotropium use in the context of COPD.

Correct Answer: C

Rationale: The correct instruction for a client prescribed methotrexate is to avoid sunlight while taking this medication. Methotrexate can increase sensitivity to sunlight, leading to skin reactions, so clients should limit sun exposure and use protective measures like sunscreen and clothing coverage to prevent adverse effects.