When a client is prescribed hydrochlorothiazide, what adverse effect should they monitor for as instructed by the nurse?

Correct Answer: A

Rationale: Hyponatremia is a critical adverse effect associated with hydrochlorothiazide use. This medication is a diuretic that can lead to excessive loss of sodium and water from the body, potentially causing low sodium levels and resulting in hyponatremia. Monitoring for signs and symptoms of hyponatremia, such as confusion, headache, weakness, and muscle cramps, is essential to prevent serious complications.

Correct Answer: B

Rationale: The correct answer is B) You should stop taking this medication if you develop a rash. This information is crucial because ceftriaxone is known to cause severe allergic reactions, including skin rashes, which can be a sign of a serious adverse event like Stevens-Johnson syndrome. Discontinuing the medication and seeking medical attention promptly can prevent further complications and ensure the client's safety. Option A is incorrect because a cough is not a common side effect of ceftriaxone. Option C is also incorrect because ceftriaxone is primarily administered via intramuscular or intravenous routes, not orally. Option D is incorrect as well because while ceftriaxone can cause the urine to turn a reddish color, not yellow. In an educational context, it is essential for nurses to understand the potential side effects and adverse reactions of medications to educate clients effectively. Teaching clients to watch for specific signs and symptoms, like a rash in the case of ceftriaxone, empowers them to take an active role in their healthcare and seek timely medical intervention when necessary.

Correct Answer: D

Rationale: The client's symptoms of face spasms after receiving Prochlorperazine indicate acute dystonia, a known side effect. Diphenhydramine is commonly administered to manage extrapyramidal symptoms, such as muscle spasms, caused by medications like Prochlorperazine. Therefore, the nurse should anticipate a prescription for Diphenhydramine to alleviate the client's symptoms.

Correct Answer: B

Rationale: Warfarin is contraindicated for a client taking Gingko Biloba due to the potential interaction that can lead to suppressed coagulation and an increased risk of bleeding or hemorrhage. Warfarin is an anticoagulant, and when combined with Gingko Biloba, which also has anticoagulant properties, the risk of bleeding complications is significantly heightened.

Correct Answer: C

Rationale: In the context of a client with Preeclampsia receiving Magnesium Sulfate IV continuous infusion, the nurse should report a urinary output of 24 mL/hr to the provider. This finding suggests oliguria, which can indicate impaired renal function or magnesium toxicity. Magnesium sulfate is excreted by the kidneys, so a low urinary output could indicate decreased clearance of the medication, leading to potential toxicity. Option A (2+ deep tendon reflexes) is a normal finding in a client receiving magnesium sulfate due to its neuromuscular effects. Option B (2+ pedal edema) is a common symptom in preeclampsia but is not directly related to magnesium sulfate infusion. Option D (respirations 12/min) is within the normal range and not typically a concern with magnesium sulfate infusion unless respiratory depression is present. Educationally, understanding the importance of monitoring urinary output in clients receiving magnesium sulfate is crucial for safe and effective nursing care. It highlights the need for close assessment and communication with the healthcare provider to prevent complications associated with magnesium sulfate therapy.