A client with a history of peptic ulcer disease is prescribed misoprostol (Cytotec). The nurse should instruct the client to:
- A. Take the medication with meals.
- B. Avoid antacids.
- C. Take the medication at bedtime.
- D. Stop the medication if diarrhea occurs.
Correct Answer: A
Rationale: Misoprostol should be taken with meals to reduce gastrointestinal upset and protect the stomach lining.
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Which of the following is most closely aligned with the principles and concepts of informed consent?
- A. Justice
- B. Fidelity
- C. Self determination
- D. Nonmalficence
Correct Answer: C
Rationale: Informed consent is most closely aligned with self-determination , as it empowers clients to make autonomous decisions about their care based on full disclosure of information.
A client with a history of heart failure is prescribed carvedilol (Coreg). The nurse should instruct the client to:
- A. Monitor blood pressure regularly.
- B. Take the medication with meals.
- C. Avoid potassium-rich foods.
- D. Stop the medication if dizziness occurs.
Correct Answer: A
Rationale: Carvedilol can cause hypotension, requiring regular blood pressure monitoring.
A 16-year-old client is in the emergency department for treatment of minor injuries from a car accident. A crisis nurse is with her because she became hysterical and was saying, 'It's my fault. My Mom is going to kill me. I don't even have a way home.' Which of the following should be the nurse's initial intervention?
- A. Hold her hands and say, 'Slow down. Take a deep breath.'
- B. Say, 'Calm down. The police can take you home.'
- C. Put a hand on her shoulder and say, 'It wasn't your fault.'
- D. Say, 'Your mother is not going to kill you. Stop worrying.'
Correct Answer: A
Rationale: This intervention calms the client's hysteria using physical touch and breathing techniques, helping her regain composure before addressing other concerns.
A client with a history of stroke is prescribed clopidogrel (Plavix). The nurse should instruct the client to report which of the following side effects immediately?
- A. Mild headache.
- B. Bruising.
- C. Nausea.
- D. Fatigue.
Correct Answer: B
Rationale: Bruising may indicate bleeding, a serious side effect of clopidogrel, an antiplatelet medication, requiring immediate reporting.
The mother of a child with moderate diarrhea asks how to manage her child's illness. Which of the following should the nurse suggest?
- A. Begin clear liquids for 24 hours.
- B. Feed the child bananas, rice, applesauce, and toast.
- C. Offer foods that are low in fat.
- D. Continue the child's regular diet.
Correct Answer: B
Rationale: The BRAT diet (bananas, rice, applesauce, toast) is recommended for moderate diarrhea in children to provide easily digestible, low-fiber foods that help firm stools.
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