A hospitalized client receiving IV heparin for a deep-vein thrombosis begins vomiting blood. After the heparin has been stopped, which of the following medications should the nurse prepare to administer?

Correct Answer: C

Rationale: In this scenario, the client is experiencing a serious complication of heparin therapy, likely due to heparin-induced thrombocytopenia. Protamine is the antidote for heparin and can reverse its anticoagulant effects. It is essential to administer protamine promptly to counteract the effects of heparin and manage the bleeding. Vitamin K1 is used to reverse the effects of warfarin, not heparin. Atropine is used to treat bradycardia or some types of poisoning. Calcium gluconate is used to manage hyperkalemia or calcium channel blocker toxicity, not to reverse heparin's effects.

Correct Answer: A

Rationale: The correct answer is A) Take these medications with food. When educating a client about taking Amoxicillin and Clarithromycin for a peptic ulcer, it is crucial to advise taking these antibiotics with food to reduce gastrointestinal side effects such as nausea and stomach upset. This instruction helps enhance medication tolerance and absorption while minimizing potential adverse effects. Option B) These medications can turn your stool black is incorrect because this side effect, known as black hairy tongue, is not commonly associated with these antibiotics. Option C) These medications can cause photosensitivity is incorrect as photosensitivity is not a common side effect of Amoxicillin and Clarithromycin. Option D) The purpose of these medications is to decrease the pH of gastric juices in the stomach is incorrect because these antibiotics are used to eradicate H. pylori bacteria, which contribute to peptic ulcers, rather than altering gastric pH. In an educational context, it is essential for nurses to provide clear, accurate, and relevant information when teaching clients about their medications to ensure optimal therapeutic outcomes and safe medication administration. Emphasizing the importance of taking antibiotics with food can help prevent potential adverse effects and enhance medication compliance.

Correct Answer: A

Rationale: The correct answer is A) I will need to get my blood drawn periodically while on this medication. Rationale: 1. Correct Answer: Regular blood tests are necessary when taking Etanercept to monitor for potential adverse effects like liver function abnormalities or decreased blood cell counts. This statement shows the client understands the importance of monitoring their health while on the medication. 2. Incorrect Answers: - B) I should stop taking this medication if I develop a rash: While skin reactions can occur with Etanercept, not all rashes indicate a need to discontinue the medication. This statement may lead to premature cessation of treatment. - C) I will need to limit my alcohol intake to no more than one drink per week: Alcohol restrictions are not typically associated with Etanercept use. This statement does not reflect specific requirements related to this medication. - D) I should self-administer this medication subcutaneously: This statement is correct as Etanercept is typically self-administered subcutaneously. However, it does not address the monitoring aspect highlighted in the question. Educational Context: Understanding the importance of monitoring parameters while on specific medications is crucial for patients to manage their conditions effectively. Regular blood tests can help healthcare providers assess the medication's efficacy and detect any potential complications early on. Patients should be educated on the specific monitoring requirements of medications to ensure optimal treatment outcomes.

Correct Answer: C

Rationale: Propranolol is a nonselective beta-blocker that can cause bronchoconstriction, making it contraindicated for clients with a history of bronchial asthma. Reporting a history of bronchial asthma to the provider is crucial as it would prompt a review of the medication prescription to avoid potential adverse effects and consider alternative treatment options.

Correct Answer: A

Rationale: The correct instruction for a client prescribed allopurinol is to drink 2 liters of water daily. This helps reduce the risk of kidney stones, a potential side effect of allopurinol use. Adequate hydration is essential to prevent kidney stone formation and maintain kidney function while taking this medication.