Nokea
A client with a history of depression is prescribed sertraline (Zoloft). The nurse should teach the client to report which side effect?
- A. Weight loss
- B. Increased appetite
- C. Suicidal thoughts
- D. Dry skin
Correct Answer: C
Rationale: Suicidal thoughts are a serious side effect of SSRIs like sertraline, especially in the early weeks, requiring immediate reporting to ensure client safety.
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A client with a history of asthma is prescribed a metered-dose inhaler with albuterol. The nurse should teach the client to:
- A. Use the inhaler daily to prevent asthma attacks.
- B. Shake the inhaler well before each use.
- C. Hold the breath for 2 seconds after inhaling.
- D. Clean the inhaler with soap and water daily.
Correct Answer: B
Rationale: Shaking the inhaler well before use ensures proper mixing of the medication for effective delivery.
A nurse is administering indomethacin to a neonate. To ensure that the nurse has identified the neonate correctly, the nurse should do which of the following? Select all that apply.
- A. Ask the parents to confirm that this is their baby.
- B. Ask another nurse to confirm that this is the neonate for whom the medication has been prescribed.
- C. Check the neonate's identification band against the medical record number.
- D. Verify the date of birth from the medical record with the date of birth on the client's identification band.
- E. Compare the number on the crib with the number on the client's identification band.
Correct Answer: A, C, D
Rationale: Correct identification involves checking the ID band against the medical record and date of birth, and confirming with parents.
A primigravid client at 10 weeks' gestation tells the nurse that she eats fruits and vegetables but isn't fond of them. After teaching the client about possible serving sizes, the nurse determines that the teaching has been successful when the client states that one serving of fruit is equivalent to which of the following?
- A. One-fourth of a cantaloupe
- B. 3 oz of vegetable juice cocktail
- C. Three tomatoes
- D. One raw apricot
Correct Answer: A
Rationale: One serving of fruit is equivalent to one-fourth of a cantaloupe. The client needs $6 \mathrm{oz}$ of a vegetable juice cocktail, two tomatoes, or two raw apricots to meet one fruit serving.
A client 6 weeks postpartum is asking the nurse about taking progesterone (Depo-Provera) for birth control. Which of the following should the nurse determine? Select all that apply.
- A. If the client has a sexually transmitted disease.
- B. How willing her husband is to have her take the drug.
- C. If the woman is experiencing postpartum depression.
- D. That the woman is not currently pregnant.
- E. If the woman is breast-feeding.
Correct Answer: C,D,E
Rationale: The nurse should assess for postpartum depression, pregnancy status, and breast-feeding, as these affect Depo-Provera's safety and efficacy. STDs and husband's willingness are not primary concerns.
The client has been prescribed lisinopril (Prinivil) to treat hypertension. The nurse should assess the client for which of the following electrolyte imbalances?
- A. Hyponatremia
- B. Hypocalcemia
- C. Hypocalcemia
- D. Hypermagnesemia
Correct Answer: A
Rationale: Lisinopril, an ACE inhibitor, can cause hyponatremia due to its effects on sodium excretion. Hypocalcemia and hypermagnesemia are not commonly associated with this medication.