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 the 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; prepare 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 not 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 catheter 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
(Macrobid). 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.Power ed by TCPDF( www.tcpdf.org)
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 the 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; prepare 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 not 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 catheter 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
(Macrobid). 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.Power ed by TCPDF( www.tcpdf.org)
