A school-age child has a new prescription for Atomoxetine. The nurse should monitor the client for which of the following adverse effects of this medication?

Correct Answer: B

Rationale: Liver damage is an adverse effect of Atomoxetine. The nurse should monitor for manifestations such as jaundice, upper abdominal tenderness, darkening of urine, and elevated liver enzymes. It is crucial to be vigilant for signs of liver damage to ensure early detection and intervention to prevent further complications.

Correct Answer: D

Rationale: In this scenario, the correct answer is option D) Yellow-tinged vision. Digoxin is a medication commonly used to treat heart failure, but it can have serious adverse effects if not monitored closely. Yellow-tinged vision is a classic sign of digoxin toxicity and should be reported to the healthcare provider immediately. This visual disturbance can indicate that the digoxin levels in the body are too high, potentially leading to life-threatening cardiac arrhythmias. Option A) Dry cough is not typically associated with digoxin use. Dry cough is more commonly seen with medications like ACE inhibitors used to treat conditions like hypertension. Option B) Pedal edema is a frequent symptom of heart failure itself and may not necessarily be directly related to digoxin use. It is crucial to monitor for changes in pedal edema, but it is not a specific adverse effect of digoxin. Option C) Bruising is also not a typical adverse effect of digoxin. Bruising may occur due to various reasons such as trauma or underlying clotting disorders, but it is not directly linked to digoxin use. Educationally, this question highlights the importance of understanding the specific adverse effects of medications, especially those commonly used in managing chronic conditions like heart failure. It emphasizes the need for close monitoring and timely reporting of any unusual symptoms to prevent serious complications in patient care.

Correct Answer: C

Rationale: Rationale: Correct Answer: C) I will increase my intake of foods high in potassium. Explanation: This statement indicates a need for further teaching because Warfarin is a vitamin K antagonist, not potassium. Increasing potassium intake can potentially interfere with the anticoagulant effects of Warfarin, leading to ineffective treatment and increased risk of clotting. Option A: Avoiding large amounts of green leafy vegetables is correct because they are high in vitamin K, which can interfere with the effects of Warfarin. This statement shows the client understands the dietary restrictions necessary while on Warfarin therapy. Option B: Taking medication at the same time every day is important for maintaining consistent blood levels of Warfarin and ensuring its effectiveness. This statement demonstrates good medication adherence practice. Option D: Reporting any signs of bleeding to the provider is crucial when on Warfarin as it can increase the risk of bleeding. This statement indicates the client's understanding of a potential side effect and the importance of timely reporting to healthcare providers. Educational Context: Understanding the dietary restrictions, medication adherence, and potential side effects of Warfarin is essential for clients to manage their therapy effectively and prevent complications. Providing accurate and comprehensive education empowers clients to take an active role in their healthcare and promotes safe medication use.

Correct Answer: B

Rationale: In a client taking Spironolactone, the nurse should monitor and report a potassium level of 5.2 mEq/L to the provider. Spironolactone is a potassium-sparing diuretic that works by inhibiting aldosterone, leading to decreased sodium retention and increased potassium retention. Monitoring potassium levels is crucial because hyperkalemia can occur, leading to serious cardiac complications. The other laboratory findings are not the priority because they are within the normal range or do not directly relate to Spironolactone therapy. A sodium level of 138 mEq/L is within the normal range and not typically affected by Spironolactone. Similarly, chloride and calcium levels are not typically influenced by Spironolactone therapy and are within normal limits. In an educational context, understanding the mechanism of action and common side effects of pharmacological agents is essential for nurses to provide safe and effective care to their patients. Monitoring specific laboratory values allows nurses to identify and address potential medication-related complications promptly, ensuring patient safety and optimal outcomes.

Correct Answer: B

Rationale: In the context of pharmacology, the correct answer to the question is option B) Increase intake of foods high in potassium. When a client is prescribed Furosemide, which is a loop diuretic, there is an increased risk of hypokalemia (low potassium levels) due to the drug's mechanism of action of promoting potassium excretion in the urine. By instructing the client to increase intake of foods high in potassium, such as bananas, oranges, potatoes, and spinach, the nurse is helping to prevent or counteract the potential electrolyte imbalance caused by Furosemide. This is a crucial aspect of patient education to ensure the client's safety and therapeutic effectiveness of the medication. The other options are incorrect: A) Taking Furosemide at bedtime is not a specific instruction related to the medication's action or side effects. C) Avoiding sun exposure is not directly related to the use of Furosemide. D) Limiting fluid intake is not generally recommended with Furosemide unless specifically advised by the healthcare provider for certain medical conditions. Educationally, understanding the rationale behind specific medication instructions helps nurses provide comprehensive patient education, promote medication adherence, and prevent potential adverse effects. It also highlights the importance of tailoring patient education to the individual's medication regimen to optimize therapeutic outcomes.