A healthcare provider is providing instructions to the parent of an adolescent client who has a new prescription for Albuterol, PO. Which of the following instructions should the healthcare provider include?

Correct Answer: B

Rationale: In this scenario, the correct answer is B) "Tremors may be an adverse effect of this medication." This instruction is crucial because Albuterol, a beta-2 adrenergic agonist, can cause tremors as a common adverse effect due to its stimulant effect on the sympathetic nervous system. By informing the parent about this potential side effect, the healthcare provider prepares them for what to expect and how to manage it. Option A is incorrect because Albuterol is actually used for acute asthma attacks as a rescue inhaler to quickly relieve bronchospasms. Option C is incorrect because while long-term use of corticosteroids (not Albuterol) can lead to hyperglycemia, it is not a common side effect of Albuterol. Option D is incorrect because inhibiting skeletal growth is not a known side effect of Albuterol. Educationally, it is important for healthcare providers to provide accurate information to parents/caregivers regarding medications prescribed to adolescents. Understanding potential side effects and how to manage them is crucial for ensuring medication compliance and safety. Parents need to be empowered with the knowledge to monitor and address any adverse effects their child may experience while on medication.

Correct Answer: A

Rationale: Increasing dietary fiber intake is essential when taking Verapamil to prevent constipation, a common adverse effect of this medication. Verapamil is a calcium channel blocker used to treat hypertension, and dietary fiber helps maintain bowel regularity and prevent constipation that may occur as a side effect of the medication.

Correct Answer: B

Rationale: Dopamine, when administered at a low dose, acts on beta1 receptors in the heart, leading to increased myocardial contractility. This positive inotropic effect results in improved cardiac output, which is beneficial for a client with severe heart failure. Dopamine does not typically cause lowered heart rate, decreased conduction through the AV node, or vasoconstriction of renal blood vessels at low doses.

Correct Answer: A

Rationale: The correct instruction is to remove the prior dose before applying a new one to prevent toxicity. Nitroglycerin ointment can cause adverse effects if accumulated doses are not removed. Rubbing the ointment until it's not visible or covering it with gauze may alter absorption. Applying it to the same area each time can lead to skin irritation or desensitization.

Correct Answer: A

Rationale: In pharmacology education, it is crucial to understand the rationale behind medication instructions to ensure safe and effective treatment. For the question regarding starting Simvastatin, the correct answer is A) Take this medication in the evening. This instruction is important because Simvastatin is typically more effective when taken in the evening since cholesterol synthesis peaks at night. Option B) Change positions slowly when rising from a chair is not directly related to Simvastatin but is a general precaution for medications that may cause orthostatic hypotension. Option C) Maintain a steady intake of green leafy vegetables is not relevant to Simvastatin but is important for medications like Warfarin which interact with Vitamin K. Option D) Consume no more than 1 L/day of fluid is not a specific requirement for Simvastatin but is more relevant for medications that require fluid restriction like Lithium. Educationally, understanding the timing of medication administration is crucial for optimal drug efficacy. Teaching this specific detail ensures that the medication can achieve its intended therapeutic effect. This question highlights the importance of individualized medication education based on the pharmacokinetics and pharmacodynamics of each drug.