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

ATI RN

ATI Pharmacology

1. A healthcare provider is providing discharge instructions to a client who is prescribed Prednisone. Which of the following dietary instructions should the healthcare provider 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 increase the intake of potassium-rich foods (Choice A). Prednisone can cause potassium depletion, so clients should increase their intake of foods such as bananas, oranges, and spinach. Potassium-rich foods help maintain electrolyte balance and prevent complications associated with low potassium levels, such as muscle weakness and irregular heartbeats. Choices B, C, and D are incorrect because increasing dairy products (Choice B) or avoiding foods high in vitamin K (Choice C) are not specifically related to Prednisone therapy. Decreasing protein intake (Choice D) is also not necessary in this case.

2. In which of the following cases is Lansoprazole not used?

A. Gastritis
B. Peptic Ulcers
C. Zollinger-Ellison syndrome
D. Thalamus hypertrophy

Correct answer: D

Rationale: Lansoprazole is a proton pump inhibitor mainly used to treat conditions related to the stomach, such as gastritis, peptic ulcers, and Zollinger-Ellison syndrome. Thalamus hypertrophy is not a condition that Lansoprazole is indicated for; it is used for gastrointestinal issues and not neurological conditions.

3. A client has a new prescription for Captopril. Which of the following instructions should the nurse include?

A. Take the medication with food.
B. Monitor your blood pressure weekly.
C. Notify your provider if you develop a persistent cough.
D. Avoid using salt substitutes to prevent hyperkalemia.

Correct answer: C

Rationale: The correct answer is to instruct the client to notify the provider if they develop a persistent cough. A persistent cough is a common adverse effect of Captopril and other ACE inhibitors. It is essential for the client to inform their healthcare provider promptly if this side effect occurs, as it may indicate a potentially serious issue that needs medical attention.

4. A client has a new prescription for Atenolol. Which of the following statements should be included by the healthcare provider?

A. Take the medication with a high-fat meal.
B. Monitor your heart rate before taking the medication.
C. Expect a persistent cough.
D. Avoid foods high in fiber.

Correct answer: B

Rationale: When a client is prescribed Atenolol, a beta-blocker, they should monitor their heart rate before taking the medication. It is crucial because if the heart rate is below 60 bpm, the client needs to contact their healthcare provider for further guidance and evaluation. Choices A, C, and D are incorrect. Atenolol does not need to be taken with a high-fat meal, does not typically cause a persistent cough, and there is no need to avoid foods high in fiber when taking this medication.

5. Which of the following is not a side effect of the vasodilator Nifedipine?

A. Nausea
B. Flushed appearance
C. Vertigo
D. Sexual dysfunction

Correct answer: D

Rationale: Sexual dysfunction is not a common side effect of vasodilators such as Nifedipine. Nausea, flushed appearance, and vertigo are more commonly reported side effects associated with this medication. It's essential for healthcare providers to be aware of the potential side effects to monitor and manage them effectively in patients prescribed with Nifedipine.