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"I've been taking an antacid to help with indigestion." – This statement is expected. Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that can irritate the gastrointestinal tract. Taking an antacid may help reduce GI discomfort and is a common recommendation.

"I signed up for a swimming class." – This is an appropriate activity for a client with rheumatoid arthritis. Swimming is a low-impact exercise that helps maintain joint flexibility and strength.

"I've lost 2 pounds since my appointment 2 weeks ago." – Mild weight fluctuations are not uncommon and may not be directly related to the medication. Unless weight loss is severe or unexplained, it does not require immediate concern in this context.

Eczema (atopic dermatitis) is an inflammatory skin condition characterized by itching, redness, and dry patches. It does not involve the loss of melanocytes or result in depigmentation.

Psoriasis is a chronic autoimmune condition marked by rapid skin cell turnover, causing red, scaly, and sometimes silvery plaques—pigmentation changes are not typical.

Rosacea is a chronic facial skin condition involving redness, visible blood vessels, and sometimes acne-like bumps. It does not cause depigmentation or loss of melanocytes.

Suppresses the urge to cough – This describes the action of antitussives, not expectorants. Antitussives are used to relieve dry, nonproductive coughs by suppressing the cough reflex.

Reduces inflammation – This is typically the action of anti-inflammatory medications, such as corticosteroids, not expectorants.

Dries mucous membranes – This effect is seen with anticholinergic or antihistamine medications, which are not expectorants.

Call the lab to verify the client's results – This is unnecessary unless the value is critically abnormal or inconsistent with the client’s condition. A level of 3.2 is low but not critically so.

Omit the KCL dose and document that it was not given – This would be inappropriate and potentially harmful, as withholding potassium in the presence of hypokalemia could lead to serious complications such as cardiac arrhythmias.

Hold the prescribed dose and notify the provider of the serum potassium level – This is not necessary. The potassium is already prescribed and the level confirms the need for supplementation.

Check the patient's blood pressure – While important for overall assessment, blood pressure alone cannot confirm or rule out an MI.

Auscultate the patient's heart sounds – This may reveal abnormalities (e.g., S3, murmurs), but it is not diagnostic for MI.

Determine if the pain radiates to the left arm – Radiation of pain is a classic symptom of MI, but it is subjective and not sufficient to confirm the diagnosis without further diagnostic tests like an EKG.

"You should limit alcohol intake to 12 ounces daily." – This is inappropriate. Alcohol should be avoided completely while taking codeine, as both are central nervous system depressants and combining them increases the risk of respiratory depression and sedation.

"You should take the medication on an empty stomach to prevent nausea." – Opioids can cause gastrointestinal upset, and taking them with food is often recommended to reduce nausea.

"You should expect to experience diarrhea while taking this medication." – Codeine commonly causes constipation, not diarrhea, due to its slowing effect on gastrointestinal motility.

Take the medication at bedtime. – Furosemide causes increased urination. Taking it at bedtime may lead to nocturia and disturbed sleep. It is best taken in the morning.

Expect some swelling in the hands and feet. – Furosemide is used to reduce fluid overload and edema. Persistent swelling could indicate inadequate response or another issue and should be reported.

Take aspirin if headaches develop. – Aspirin can increase the risk of bleeding and gastric irritation, especially in clients who may be volume-depleted from diuretics. Headaches should be reported rather than self-treated.

Prevention of bipolar manic episodes – Lisinopril is an ACE inhibitor used to treat hypertension and heart failure. It has no effect on mood disorders like bipolar disorder.

Improved sexual function – Lisinopril can actually cause sexual side effects such as decreased libido or erectile dysfunction in some clients.

Increase of HDL cholesterol – Lisinopril does not affect cholesterol levels. HDL (good cholesterol) is usually managed with lifestyle changes and lipid-lowering medications like statins.

Normal cardiac output with impaired filling ability of the heart – This describes diastolic dysfunction, which can be part of heart failure, but not all heart failure involves normal cardiac output.

Normal cardiac output with impaired electrical conduction of the heart –This describes cardiac arrhythmias or conduction disorders, not heart failure.

Increased cardiac output due to excessive pumping ability of the heart – Heart failure is associated with decreased, not increased, cardiac output.

Pulmonary edema – Pulmonary edema is the accumulation of fluid in the lungs, typically due to heart failure, not air in the pleural space.

Bronchiectasis – This is a chronic condition involving permanent dilation of the bronchi due to repeated infections and inflammation, not collapse from air leakage.

Emphysema – Emphysema is a form of chronic obstructive pulmonary disease (COPD) that involves the destruction of alveoli, leading to air trapping—not lung collapse from air in the pleural cavity.