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"Expect to have increased bruising.": Colchicine does not commonly cause increased bleeding or bruising. Bruising is more associated with anticoagulants or antiplatelet medications.

"Increase your intake of grapefruit juice.": Grapefruit juice can increase serum colchicine levels by inhibiting its metabolism, which raises the risk of toxicity. Clients should avoid grapefruit juice rather than increase intake while on colchicine.

"Take this medication with food if nausea develops.": Colchicine should be taken without food because meals can decrease its absorption. Although nausea is a common side effect, taking it with food is not recommended as a management strategy.

Muscle spasms: Muscle spasms are more commonly associated with hypocalcemia or electrolyte imbalances rather than the use of aluminum hydroxide. While clients with renal failure may experience spasms due to their condition, this is not a primary adverse effect.

Headache: Headaches are not a typical adverse effect of aluminum hydroxide. While clients may experience them due to other conditions, they are not specifically related to this phosphate-binding medication.

Metallic taste: Aluminum hydroxide can cause minor gastrointestinal disturbances, but a metallic taste is uncommon. It is not considered a primary adverse effect that requires patient teaching for routine therapy.

Restrict oral fluid intake during waking hours: Limiting fluids can lead to dehydration and concentrated urine, increasing the risk of urinary tract infections. Adequate hydration is essential while retraining the bladder, so fluid restriction is not recommended.

Encourage the client to hold her breath when feeling the urge to urinate: Holding the breath does not effectively control bladder contractions and may cause discomfort or increase abdominal pressure. Behavioral techniques like scheduled voiding are more effective.

Provide adult diapers until bladder retraining is successful: While adult diapers may be used for safety and hygiene, relying on them does not actively promote bladder control. They are a supportive measure but do not facilitate the retraining process itself.

Brachial: Assessing both brachial pulses at the same time does not pose the same risk to cerebral circulation. It is generally safe to palpate both arms simultaneously if needed for comparison.

Popliteal: Palpating both popliteal pulses at the same time is safe and does not compromise vital organ perfusion. This site is accessible for assessing lower extremity circulation.

Femoral: Assessing both femoral pulses simultaneously is typically safe, though it may be uncomfortable. Unlike the carotid arteries, there is no immediate risk of reducing blood flow to the brain when both femoral pulses are palpated.

In the area where the nurse obtained the medication: While initial checks for correct medication, dose, and expiration are important at the supply area, the final check must occur immediately before administration to ensure accuracy for the specific client.

At the nurses' station while reviewing the provider's prescription: Reviewing the prescription helps prevent errors, but it is not the final point of verification. The medication must be checked at the bedside to confirm the right client, route, and timing.

At the time of documentation: Documentation occurs after administration and cannot prevent an error that might happen if the medication is incorrect. Waiting until this point does not ensure safe delivery to the client.

Check the expiry date of the feeding formula: While confirming the formula is within its expiration date is important to prevent infection or spoilage, it does not directly prevent the most serious risk associated with enteral feeding.

Flush the tube with water before and after feeding: Flushing the tube maintains patency and prevents clogging, which is important for long-term tube care but does not address immediate patient safety.

Administer the feeding at room temperature: Feeding at room temperature improves tolerance and reduces gastrointestinal discomfort, but it does not prevent severe complications like aspiration, making it secondary to verifying tube placement.

"I know that kidney disease runs in my family, but I can prevent it.": This statement reflects a sense of control and optimism rather than anticipatory grieving. The client is focusing on prevention, not mourning anticipated loss.

"I can now eat whatever I want. The dialysis will remove it from my system.": This statement indicates misunderstanding or denial of treatment limitations, not anticipatory grieving. It reflects a lack of knowledge about dietary restrictions rather than emotional processing.

"I know that I will get a kidney transplant. I am a good candidate.": This reflects hope and positive expectation, which is different from anticipatory grieving. The client is focusing on potential future gain rather than acknowledging expected loss.

"A client's address would be an example of personally identifiable information.": A client’s address is considered protected health information because it can be used to identify the individual. Recognizing this aligns with HIPAA requirements for confidentiality.

"HIPAA is a federal law, not a state law.": HIPAA is indeed a federal law that sets national standards for the protection of health information, distinguishing it from state-specific regulations.

"HIPAA established regulations of individually identifiable health information in verbal, electronic, or written form.": HIPAA protects all forms of individually identifiable health information, and understanding this scope is essential for compliance in all healthcare settings.