The client is a 54-year-old male with a history of hypertension and type 2 diabetes. He takes spironolactone 25 mg per day, metformin 500 mg twice a day, and 25 units of insulin glargine.

The nurse notifies the provider that the client is having trouble remembering to take his second dose of captopril.

Which ACE inhibitors can be given only once per day? Select all that apply

A. Take with milk or antacids to prevent gastrointestinal (GI) irritation:

Tetracycline should not be taken with milk or antacids because these can bind to the medication and reduce its absorption. It is generally recommended to take tetracycline with a full glass of water on an empty stomach, unless otherwise instructed by the healthcare provider.

When providing instructions to a client prescribed tetracycline HCl, the nurse should include the following instruction:

B. Protect the skin from sunlight while taking the drug.

Explanation: Tetracycline antibiotics can make the skin more sensitive to sunlight (photosensitivity). Exposure to sunlight or ultraviolet (UV) rays can lead to severe sunburn reactions. Therefore, it is important for clients taking tetracycline to avoid prolonged exposure to direct sunlight and to use sunblock, protective clothing, and sunglasses when outdoors. This precaution helps prevent skin irritation and sunburn.

C. Return to the clinic weekly to obtain serum drug levels:

Routine monitoring of serum drug levels is not typically required for clients taking tetracycline. Monitoring may be necessary for other medications, but it is not a standard practice for tetracycline.

D. Take with orange juice to enhance GI absorption:

Like milk and antacids, taking tetracycline with orange juice can interfere with its absorption. It is generally recommended to take tetracycline with a full glass of water on an empty stomach for optimal absorption.

A. Obtain a stool specimen to evaluate for occult blood and fat content:

While assessing stool content can provide valuable information, it is not the initial action needed in response to these side effects, which are commonly associated with orlistat use.

B. Instruct the client to increase her intake of saturated fats over the next week:

Increasing the intake of saturated fats is not a recommended action, especially when taking orlistat, as it may exacerbate the gastrointestinal side effects.

C. Advise the client to stop taking the drug and contact her healthcare provider:

While contacting the healthcare provider is important if the side effects are severe or persistent, the initial step should involve assessing the client's dietary choices and discussing possible dietary modifications before discontinuing the medication.

When a female client taking orlistat (a medication used for weight management) reports experiencing increasingly frequent oily stools and flatus, the nurse should take the following action:

D. Ask the client to describe her dietary intake history for the last several days.

Explanation: Oily stools and flatus are common side effects of orlistat, which works by blocking the absorption of dietary fat in the gastrointestinal tract. To assess the situation and provide appropriate guidance, the nurse should inquire about the client's dietary intake history. This will help determine if the side effects are related to the consumption of high-fat foods while taking the medication.