When monitoring a client for acute toxicity associated with bethanechol chloride (Urecholine), what sign should the nurse check for to indicate toxicity?

Correct Answer: C

Rationale: The correct answer is C: Bradycardia. Toxicity from bethanechol chloride (Urecholine) can lead to excessive muscarinic stimulation, resulting in manifestations like salivation, sweating, involuntary urination and defecation, bradycardia, and severe hypotension. When facing toxicity, treatment involves supportive measures and administering atropine sulfate subcutaneously or intravenously.

Correct Answer: A

Rationale: The correct answer is to avoid taking ciprofloxacin (Cipro) with milk or antacids. These can interfere with the medication's absorption. Consuming extra dairy products or taking it with a multivitamin is not recommended for the same reason. If gastrointestinal upset occurs, the medication can be taken with food to help alleviate the symptoms.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Persistent vomiting, which the nurse should report immediately to the healthcare provider. Persistent vomiting in a client receiving lithium carbonate is concerning as it can lead to dehydration and potentially increase lithium levels in the blood to toxic levels, causing serious complications. Option A) Increased thirst is a common side effect of lithium, but it is not as urgent as persistent vomiting. Option B) Fine hand tremors are also common side effects of lithium and do not pose an immediate threat to the client's well-being. Option C) Frequent urination is another expected side effect of lithium and does not require immediate medical attention unless it is excessive and causing dehydration. Educationally, it is crucial for nurses to understand the potential side effects of medications used in mental health conditions like bipolar disorder. Recognizing and reporting adverse effects promptly is essential in preventing complications and ensuring the safety and well-being of clients. Persistent vomiting, in this case, is a red flag that requires immediate intervention to prevent further harm.

Correct Answer: C

Rationale: The correct answer is to monitor blood glucose levels closely. Prednisone can elevate blood glucose levels, necessitating close monitoring. Adjusting the insulin dose may be necessary, but this should be managed by a healthcare provider. Prednisone should be taken with food to reduce gastrointestinal discomfort and should not be stopped suddenly to prevent adverse effects.

Correct Answer: B

Rationale: The correct instruction for a client prescribed alendronate (Fosamax) for osteoporosis is to take the medication with a full glass of water first thing in the morning. It should be taken at least 30 minutes before any food, beverage, or other medication. The client should also remain upright for at least 30 minutes after taking the medication to prevent esophageal irritation. Taking alendronate at bedtime or with food is not recommended as it may reduce its absorption and effectiveness.