Capstone Leadership Post -Assessment Assignment A nurse is caring for a client prescribed tetracycline. What statement by the client would indicate understanding of the medication/food interactions for this medication? (Review the Pharmacology Review Module) Tetracycline should not be taken with any milk products, calcium or iron supplements, laxatives containing magnesium, or antacids. It should be taken on an empty stomach with a full glass of water but may be taken with meals. Tetracycline reduces t he efficacy of oral contraceptives and the client should be educated on using an alternative form of birth control. A nurse is caring for a client who has been prescribed a laxative. What is the therapeutic effect of laxatives? (Review the Pharmacology Review Module) The therapeutic effect of laxatives may be any of a combination of the following: relieve constipation; prevent painful elimination (in cases such as hemorrhoids or episiotomy); prevent straining; decrease the risk of fecal impaction; prepar e the client for surgery or a diagnostic test; rapid evacuation of the bowel (in cases such as poison ingestion). A nurse is caring for a client prescribed the proton pump inhibitor pantoprazole (Protonix). How does this medication work and what client education should be provided regarding administration of this medication? (Review the Adult Med Surg Review Module) PPIs work to reduce gastric acid secretion by irreversibly inhibiting the enzyme that produces gastric acid. The client should be educated n ot to crush, chew or break sustained -release capsules; avoid alcohol and irritating medications such as NSAIDs; notify the provider for an sign of GI bleeding (coffee -ground emesis). A home health nurse is caring for a client with a long -term urinary cath eter who has chronic recurrent urinary tract infections and is prescribed nitrofurantoin (Macrodantin) prophylactically for these recurrent infections. The client tells the nurse that the medication is causing nausea. What should the nurse instruct this client to do to minimize this side effect? (Review the Adult Med Surg Review Module) To minimize nausea, the nitrofurantoin may be taken with milk or meals. A nurse is caring for a client with acute cystitis that has been prescribed nitrofurantoin (Macrobi d). What client education should be provided to the client regarding this medication? (Review the Adult Med Surg Review Module The client education should consist of: informing them to expect brownish -colored urine; take with food or milk if GI symptoms occur; complete the course of medication as prescribed even if symptoms resolve prior to completion; do not crush tablets to avoid staining of teeth; do not take while pregnant. This study source was downloaded by 100000816649994 from CourseHero.com on 06 -26-2021 10:38:25 GMT -05:00
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