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A client is being discharged with a new prescription for levothyroxine. Which of the following instructions should the nurse include?
- A. Take this medication with meals to avoid stomach upset.
- B. Take this medication at the same time every day.
- C. Notify your provider if you experience chest pain or palpitations.
- D. Take this medication with antacids to reduce indigestion.
Correct Answer: B
Rationale: The correct answer is B: 'Take this medication at the same time every day.' It is crucial to take levothyroxine at the same time each day to maintain consistent thyroid hormone levels. Choice A is incorrect because levothyroxine should be taken on an empty stomach, usually in the morning. Choice C is important but not specific to the administration of levothyroxine. Choice D is incorrect as antacids can interfere with the absorption of levothyroxine.
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When managing blood pressure at home, which statement by the client indicates an understanding of the teaching provided by a nurse for hypertension?
- A. I will take my medication only when I feel dizzy.
- B. I will check my blood pressure at least once a week.
- C. I will stop taking my medication once my blood pressure is within normal range.
- D. I will sit quietly for 5 minutes before measuring my blood pressure.
Correct Answer: D
Rationale: The correct answer is D because sitting quietly for 5 minutes before measuring blood pressure ensures an accurate reading and helps monitor hypertension. Choice A is incorrect as medications for hypertension should be taken as prescribed, not based on symptoms like dizziness. Choice B is not ideal as blood pressure should be checked more frequently, preferably daily. Choice C is incorrect as stopping medication abruptly once blood pressure is normal can lead to rebound hypertension.
What is the appropriate intervention when a patient experiences a fall?
- A. Assess for injuries
- B. Call for help
- C. Document the fall
- D. Notify the healthcare provider
Correct Answer: A
Rationale: The appropriate intervention when a patient experiences a fall is to assess for injuries. This immediate action helps in identifying any harm or complications resulting from the fall, allowing for timely intervention. Calling for help may be necessary after assessing the injuries, but the priority is to evaluate the patient's condition. Documenting the fall is important for record-keeping purposes but should come after ensuring the patient's safety. Notifying the healthcare provider can be done once the assessment has been completed and any necessary initial interventions have been initiated.
A nurse is providing discharge teaching to a client who is postoperative following a laparoscopic cholecystectomy. Which of the following instructions should the nurse include?
- A. Resume a regular diet immediately.
- B. Remove the adhesive bandage after 3 days.
- C. Begin moderate activity immediately.
- D. Take a tub bath instead of a shower.
Correct Answer: B
Rationale: The correct answer is B. The adhesive bandage should be removed 3 days after a laparoscopic cholecystectomy to allow the incision to heal properly. Choice A is incorrect as the client should start with a clear liquid diet and advance to a regular diet as tolerated. Choice C is incorrect because the client should gradually increase activity levels as tolerated. Choice D is incorrect as the client should avoid tub baths and opt for showers to prevent infection and promote healing.
What is the correct method of administering insulin to a patient with diabetes?
- A. Administer subcutaneously
- B. Administer intramuscularly
- C. Administer intravenously
- D. Administer orally
Correct Answer: A
Rationale: The correct method of administering insulin to a patient with diabetes is to administer it subcutaneously. Insulin is typically injected into the fatty tissue just below the skin, allowing for a slow and consistent absorption into the bloodstream. Administering insulin intramuscularly (Choice B) is not recommended as it can lead to unpredictable absorption rates and potential complications. Administering insulin intravenously (Choice C) is only done in specific medical settings and not for routine diabetes management. Administering insulin orally (Choice D) is ineffective as the stomach acid would break down the insulin before it can be absorbed.
How should fluid balance be monitored in a patient receiving diuretics?
- A. Monitor daily weight
- B. Monitor intake and output
- C. Check for edema
- D. Monitor blood pressure
Correct Answer: A
Rationale: Corrected Question: To assess fluid balance in a patient receiving diuretics, monitoring daily weight is the most accurate method. This is because diuretics primarily affect fluid levels in the body, leading to changes in weight due to fluid loss. While monitoring intake and output, checking for edema, and monitoring blood pressure are important aspects of patient care, they do not provide as direct and accurate information about fluid balance as daily weight monitoring specifically in patients on diuretics.