The client with breast cancer is receiving cyclophosphamide (Neosar). The nurse is reinforcing medication instructions and advises the client to:

Correct Answer: B

Rationale: The correct answer is to increase fluid intake to 2000 to 3000 mL daily. Cyclophosphamide can cause hemorrhagic cystitis as a toxic effect. By increasing fluid intake, the client can help prevent this complication by promoting frequent urination, which reduces the concentration of the drug and its metabolites in the bladder. This dilution effect can help reduce the risk of bladder toxicity.

Correct Answer: C

Rationale: When prednisone is prescribed for a client with diabetes mellitus who is taking Humulin NPH insulin daily, the nurse should anticipate an increased amount of daily Humulin NPH insulin. Prednisone, a glucocorticoid, can elevate blood glucose levels, requiring an increase in insulin dosage to maintain optimal blood sugar control.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Nausea and vomiting. Trimethobenzamide (Tigan) is an antiemetic medication commonly used to treat nausea and vomiting. By monitoring the client for relief of nausea and vomiting, the nurse can assess the effectiveness of the medication in managing these symptoms. Option A) Heartburn is incorrect because trimethobenzamide is not indicated for the treatment of heartburn. It specifically targets nausea and vomiting. Option B) Constipation is incorrect because trimethobenzamide is not known to relieve constipation. This medication does not affect bowel motility or constipation symptoms. Option C) Abdominal pain is incorrect because while trimethobenzamide may indirectly alleviate abdominal pain associated with nausea and vomiting, it is not the primary symptom targeted by this medication. Educationally, understanding the specific indications of medications like trimethobenzamide is crucial for nurses to provide safe and effective care to their patients. By knowing the intended effects of a drug, nurses can accurately assess patient responses and intervene appropriately. This knowledge also helps prevent medication errors and ensures optimal patient outcomes.

Correct Answer: B

Rationale: The correct answer is B. Taking theophylline at bedtime is inappropriate because it can cause insomnia. The medication should be taken early in the morning to avoid disrupting sleep patterns. It is important to follow the healthcare provider's instructions regarding the timing of the medication to achieve optimal therapeutic effects.

Correct Answer: C

Rationale: The correct answer is monitoring blood pressure. Bumetanide is a loop diuretic, and monitoring blood pressure is crucial as hypotension is a common side effect. Hypotension can further worsen the condition of a patient with congestive heart failure, so assessing and managing blood pressure is a priority after administering bumetanide.