When caring for a school-age child with 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: In caring for a school-age child prescribed Atomoxetine, monitoring for liver damage is crucial. Atomoxetine is a selective norepinephrine reuptake inhibitor used to treat ADHD. The liver metabolizes this drug, making hepatic monitoring important to prevent toxicity. Kidney toxicity (option A) is less likely with Atomoxetine. Seizure activity (option C) is not a common adverse effect of this medication. Adrenal insufficiency (option D) is not associated with Atomoxetine use. Educational context: Understanding the pharmacokinetics and potential adverse effects of Atomoxetine aids in safe administration and monitoring, ensuring optimal outcomes for pediatric patients. Regular liver function tests can help detect and manage any liver-related issues promptly.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Yellow-tinged vision. Digoxin is a medication commonly prescribed for heart failure, but it has a narrow therapeutic range and can lead to toxicity if not closely monitored. Yellow-tinged vision is a classic sign of digoxin toxicity and should be reported immediately to the healthcare provider. A) Dry cough is not typically associated with digoxin use; it is more commonly seen with ACE inhibitors or ARBs used to treat heart failure. B) Pedal edema is a common symptom of heart failure itself, and while monitoring for changes in edema is important, it is not a specific adverse effect of digoxin. C) Bruising is not a common adverse effect of digoxin. It can be a side effect of medications that affect platelet function or coagulation, but it is not typically associated with digoxin use. Educationally, this question highlights the importance of recognizing the unique adverse effects of specific medications like digoxin. It emphasizes the need for close monitoring and patient education to prevent potential harm from medication side effects. Nurses and healthcare providers must be vigilant in educating patients on the signs and symptoms of medication toxicity to ensure safe and effective treatment.

Correct Answer: C

Rationale: The correct answer is C because Warfarin interacts with vitamin K, found in green leafy vegetables, not potassium. The client should avoid consuming large amounts of foods high in vitamin K to maintain the effectiveness of Warfarin therapy. Increasing potassium intake is not a concern related to Warfarin therapy, so this statement indicates a need for further teaching.

Correct Answer: B

Rationale: Spironolactone is a potassium-sparing diuretic, meaning it can cause potassium retention, leading to elevated potassium levels. A potassium level of 5.2 mEq/L is above the normal range (3.5-5.0 mEq/L) and indicates hyperkalemia, which can be a serious condition. Therefore, this finding should be promptly reported to the healthcare provider for further evaluation and management to prevent potential complications.

Correct Answer: B

Rationale: In this scenario, the correct instruction that the healthcare professional should include is to "Increase intake of foods high in potassium" (Option B). Furosemide is a loop diuretic that works by increasing the excretion of water and electrolytes such as sodium and potassium from the body. Therefore, patients taking Furosemide are at risk of developing hypokalemia, a condition characterized by low potassium levels. Educationally, it is crucial to explain to patients the importance of maintaining adequate potassium levels to prevent adverse effects such as muscle weakness, irregular heartbeats, and fatigue. Encouraging the consumption of potassium-rich foods like bananas, oranges, potatoes, and spinach is essential to counteract the potassium loss caused by Furosemide. Regarding why the other options are incorrect: A) Taking the medication with breakfast (Option A) is not the priority instruction for a patient taking Furosemide. While timing of medication administration is important, it is not directly related to the potential side effects of Furosemide. C) Avoiding prolonged sun exposure (Option C) is not directly related to the use of Furosemide. Furosemide does not typically increase photosensitivity, so this instruction is not necessary in this context. D) Limiting sodium intake (Option D) is a general health recommendation but is not the most critical instruction for a patient specifically prescribed Furosemide. Furosemide already works to reduce sodium levels in the body, so the focus should be on potassium-rich foods instead.