Nokea
A client with schizophrenia is prescribed risperidone (Risperdal). The nurse should teach the client to report which side effect immediately?
- A. Weight gain
- B. Dry mouth
- C. Tremors
- D. Insomnia
Correct Answer: C
Rationale: Tremors may indicate extrapyramidal side effects, such as parkinsonism, which require prompt reporting to adjust the dose or add an antiparkinsonian medication.
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A client with a history of burns is admitted with a 40% total body surface area injury. The nurse should prioritize which of the following interventions?
- A. Initiate fluid resuscitation.
- B. Administer prophylactic antibiotics.
- C. Apply ice to the burns.
- D. Cover the burns with dry gauze.
Correct Answer: A
Rationale: Fluid resuscitation is the priority to prevent hypovolemic shock in extensive burns.
You are fully aware of the fact that some risk factors are correctable or modifiable and other risk factors are innate and not modifiable. Which of the following risk factors are most likely to be correctable?
- A. Genetic predisposition
- B. Lifestyle choices
- C. High risk behaviors
- D. An external locus of control
Correct Answer: B,C
Rationale: Lifestyle choices (e.g., diet, exercise) and high-risk behaviors (e.g., smoking, substance abuse) are modifiable risk factors that can be addressed through education and behavior change. Genetic predisposition and an external locus of control are less easily modified.
A client with a history of anxiety is prescribed buspirone (Buspar). The nurse should instruct the client that:
- A. The medication may take 2–4 weeks to be effective.
- B. The medication should be taken with grapefruit juice.
- C. The medication should be stopped if anxiety resolves.
- D. The medication is taken as needed for anxiety.
Correct Answer: A
Rationale: Buspirone requires 2–4 weeks to achieve therapeutic effects, unlike as-needed anxiolytics.
A client with a history of type 2 diabetes is prescribed pioglitazone (Actos). The nurse should monitor the client for which of the following adverse effects?
- A. Weight gain.
- B. Hypoglycemia.
- C. Bradycardia.
- D. Hypotension.
Correct Answer: A
Rationale: Pioglitazone can cause weight gain due to fluid retention.
A client has undergone a vasectomy. The nurse instructs the client that he can begin having unprotected intercourse:
- A. When desired because sterilization is immediate.
- B. As soon as scrotal edema and tenderness resolve.
- C. When the sperm count reflects sterilization.
- D. After 6 to 10 ejaculations.
Correct Answer: C
Rationale: A vasectomy requires confirmation of azoospermia (no sperm in semen) via sperm count before unprotected intercourse to ensure sterilization, as sperm may remain in the reproductive tract initially.