Discharge planning for the client prescribed tetracycline will include which instruction?

Correct Answer: C

Rationale: Tetracycline is a broad-spectrum antibiotic that can be rendered ineffective if taken with certain substances that interfere with its absorption. Dairy products, such as milk, contain calcium, which binds to tetracycline in the gastrointestinal tract, forming insoluble complexes that prevent the drug from being absorbed into the bloodstream. This interaction significantly reduces its therapeutic efficacy, making it crucial to instruct the client to avoid milk when taking the medication. Similarly, antacids (containing magnesium, aluminum, or calcium) and iron supplements also chelate tetracycline, decreasing its bioavailability, so choices A and B are incorrect and potentially harmful instructions. Reducing vitamin intake is unrelated to tetracycline's administration or efficacy, as vitamins do not typically interfere with its action unless specifically combined with minerals like iron or calcium. Therefore, the priority instruction is to avoid milk, ensuring the drug's effectiveness, which makes choice C the correct and most critical discharge teaching point.

Correct Answer: B

Rationale: Correct Answer: B) My kids all have that head cold that is going around school. Rationale: The correct answer is B because fluticasone (Flonase) is a nasal corticosteroid used to treat allergic rhinitis, not viral infections like the common cold. If the patient mentions that their kids have a head cold, it could indicate a misunderstanding of the medication's purpose. Collaboration with the prescriber would be necessary to clarify the indication for fluticasone and ensure appropriate treatment for the patient's seasonal allergies. Incorrect Answers: A) Incorrect because liking or not liking licorice is unrelated to the use of fluticasone for allergies. C) Incorrect because discussing psoriasis treatment does not impact the use of fluticasone for seasonal allergies. D) Incorrect because eating fresh fruits is not relevant to the use of fluticasone for allergic rhinitis. Educational Context: This question highlights the importance of patient education and communication in medication management. Nurses need to ensure that patients understand the purpose of their medications and can identify any misconceptions or potential interactions that may affect treatment outcomes. Collaborating with prescribers when patients express confusion or misinformation is essential for safe and effective care.

Correct Answer: A

Rationale: Gentamicin risks ototoxicity, causing tinnitus (ringing, choice A), a serious sign needing immediate reporting to prevent hearing loss. Food doesn't apply'IV delivery. Calcium is irrelevant. Stopping early risks resistance. Reporting tinnitus aligns with gentamicin's toxicity profile, critical in therapy where auditory damage is irreversible, making A the key instruction.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.