A healthcare professional is preparing to administer Diltiazem IV to a client who has atrial fibrillation. Which of the following findings should the healthcare professional report immediately?

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Bradycardia. Administering Diltiazem, a calcium channel blocker, to a client with atrial fibrillation aims to slow down the heart rate. Bradycardia, or a heart rate that is too slow, could indicate an excessive response to the medication, potentially leading to adverse effects such as decreased cardiac output or hypotension. Option B) Hypertension would not be an immediate concern in this case, as Diltiazem is used to treat high blood pressure by relaxing blood vessels. Option C) Shortness of breath is a common symptom in various conditions but not directly related to administering Diltiazem. Option D) Tachycardia is the condition the medication is intended to address, so it would not be a cause for immediate concern. Educationally, understanding the expected pharmacological effects of medications is crucial for safe and effective administration. Recognizing potential adverse reactions promptly can prevent serious complications and ensure optimal patient outcomes. Healthcare professionals must be knowledgeable about drug actions, indications, contraindications, and potential side effects to provide quality care to their patients.

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.

Correct Answer: A

Rationale: In this scenario, option A is the correct answer: "I will need to take this medication for the rest of my life." This statement indicates an understanding of the teaching because Cyanocobalamin (Vitamin B12) is often prescribed for conditions like pernicious anemia or B12 deficiency that require lifelong supplementation. Option B is incorrect because stopping the medication when symptoms improve can lead to a relapse of the underlying condition. Option C is incorrect as Vitamin B12 injections are typically administered intramuscularly and not taken orally with food. Option D is also incorrect as there is no need to avoid green, leafy vegetables while taking Vitamin B12 injections. In an educational context, it is crucial for students to understand the importance of patient compliance with medication regimens, especially for chronic conditions. Teaching patients about the need for lifelong Vitamin B12 supplementation can help prevent complications associated with B12 deficiency. Students should also learn to differentiate between appropriate and inappropriate dietary restrictions related to specific medications.