a nurse is providing discharge instructions to a client who is prescribed prednisone which of the following dietary instructions should the nurse inc

ATI RN

ATI Pharmacology

1. When providing discharge instructions to a client prescribed Prednisone, which of the following dietary instructions should the nurse include?

A. Increase your intake of potassium-rich foods.
B. Increase your intake of dairy products.
C. Avoid foods high in vitamin K.
D. Decrease your intake of protein.

Correct answer: A

Rationale: The correct answer is to instruct the client to increase their intake of potassium-rich foods. Prednisone can lead to potassium depletion, making it essential to consume foods high in potassium, such as bananas, oranges, and spinach, to maintain electrolyte balance and prevent complications. Choice B is incorrect because increasing dairy products is not specifically necessary when taking Prednisone. Choice C is wrong as foods high in vitamin K are not contraindicated with Prednisone. Choice D is incorrect as there is no need to decrease protein intake when prescribed Prednisone.

2. 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.

3. A client has a new prescription for Levofloxacin. Which of the following instructions should be included in the discharge instructions?

A. Take this medication with food.
B. Avoid taking this medication with dairy products.
C. Take this medication at bedtime.
D. Increase your intake of potassium-rich foods.

Correct answer: B

Rationale: The correct answer is B: 'Avoid taking this medication with dairy products.' Levofloxacin should not be taken with dairy products because calcium can interfere with the absorption of the medication. It is recommended to take Levofloxacin 1 hour before or 2 hours after consuming dairy products to ensure optimal absorption and effectiveness of the medication. Choices A, C, and D are incorrect. Choice A is not recommended as Levofloxacin is usually taken on an empty stomach. Choice C is not necessary information for taking Levofloxacin. Choice D is unrelated to the administration of Levofloxacin.

4. A client is starting therapy with bicalutamide. Which of the following adverse effects should the nurse instruct the client to monitor?

A. Muscle pain
B. Flushing
C. Gynecomastia
D. Hyperglycemia

Correct answer: C

Rationale: The correct answer is gynecomastia (Choice C). Bicalutamide is associated with gynecomastia due to its antiandrogenic properties. Gynecomastia, the development of breast tissue in males, is an important adverse effect to monitor when taking bicalutamide. Choices A, B, and D are incorrect. Muscle pain and flushing are not commonly associated with bicalutamide use. Hyperglycemia is not a typical adverse effect of bicalutamide therapy.

5. A drug ending in the suffix (tidine) is considered a ______.

A. Antidepressant
B. Protease inhibitor
C. Beta antagonist
D. H antagonist

Correct answer: D

Rationale: Drugs ending in -tidine are histamine (H2) receptor antagonists, which block the action of histamine at the H2 receptors, commonly used to reduce stomach acid production. Therefore, the correct answer is an 'H antagonist.' It is essential to be familiar with drug suffixes as they can provide clues to the drug's class and function.