a nurse is teaching a client who has a new prescription for tetracycline which of the following instructions should the nurse include

ATI RN

Proctored Pharmacology ATI

1. A client has a new prescription for Tetracycline. Which of the following instructions should be included?

A. Take the medication with milk.
B. Avoid prolonged sun exposure.
C. Take the medication at bedtime.
D. Expect urine to turn dark yellow.

Correct answer: B

Rationale: The correct instruction to include for a client prescribed Tetracycline is to 'Avoid prolonged sun exposure.' Tetracycline can cause photosensitivity, making the client more sensitive to the sun's rays. This can lead to adverse reactions like sunburn or skin rashes. Therefore, it is crucial for the client to minimize sun exposure and wear protective clothing when outdoors. Choice A is incorrect because taking Tetracycline with milk can reduce its absorption. Choice C is incorrect as there is no specific requirement to take Tetracycline at bedtime. Choice D is also incorrect as Tetracycline does not typically cause dark yellow urine.

2. A client has a new prescription for Spironolactone. Which of the following adverse effects should the nurse instruct the client to monitor?

A. Hyperkalemia
B. Hypoglycemia
C. Hypocalcemia
D. Hyponatremia

Correct answer: A

Rationale: Spironolactone is a potassium-sparing diuretic that can lead to hyperkalemia due to its mechanism of action. Hyperkalemia can cause muscle weakness and cardiac dysrhythmias. Therefore, the nurse should educate the client to monitor for signs and symptoms of hyperkalemia while taking Spironolactone.

3. What should you monitor when administering Clopidogrel to a patient?

A. Signs of thrombotic thrombocytopenic purpura
B. Bleeding during therapy
C. CBC with differential and platelet count
D. All of the above

Correct answer: D

Rationale: When administering Clopidogrel, it is crucial to monitor for signs of thrombotic thrombocytopenic purpura, bleeding during therapy, and changes in CBC with differential and platelet count. Thrombotic thrombocytopenic purpura is a rare but serious condition associated with Clopidogrel use, characterized by microangiopathic hemolytic anemia, thrombocytopenia, neurological symptoms, fever, and renal dysfunction. Monitoring for signs of thrombotic thrombocytopenic purpura is essential to detect this potentially life-threatening condition early. Monitoring for bleeding helps to assess the risk of hemorrhagic events, a known side effect of Clopidogrel. Additionally, regular monitoring of CBC with differential and platelet count is necessary to evaluate the drug's impact on blood cell counts and detect any abnormalities that may require intervention. Therefore, monitoring all these parameters is vital to ensure patient safety and appropriate management during Clopidogrel therapy.

4. When educating a client with a new prescription for albuterol, which instruction should the nurse include?

A. Use the inhaler every 4 hours.
B. Shake the inhaler before use.
C. Take a deep breath before inhaling the medication.
D. Use a spacer when using the inhaler.

Correct answer: B

Rationale: Shaking the albuterol inhaler before use is essential to ensure that the medication is evenly mixed and properly delivered when inhaled. This maximizes the effectiveness of the medication in opening the airways and relieving symptoms of bronchospasm.

5. Which of the following drugs is associated with hepatitis as a reaction?

A. Valproic acid
B. Quinidine
C. Isoniazid
D. Ethosuximide

Correct answer: C

Rationale: Hepatitis is a known side effect of isoniazid. It is important to monitor patients on isoniazid for signs of liver damage, including hepatitis, as part of their treatment regimen for tuberculosis.