Nokea
A healthcare professional is educating a client who has a new prescription for warfarin. Which of the following statements should the healthcare professional include?
- A. Avoid foods high in vitamin K.
- B. Report any signs of bleeding to your healthcare provider.
- C. Use a soft toothbrush to prevent gum bleeding.
- D. Use an electric razor to prevent cuts.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A client informs the nurse that she has difficulty swallowing tablets and struggles with liquid or chewable medications due to taste. What medication should the nurse request a prescription for when preparing to administer Penicillin V to treat the client's streptococcal infection?
- A. Fosfomycin
- B. Amoxicillin
- C. Nafcillin
- D. Cefaclor
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client is receiving Morphine IV for pain management. Which of the following actions should the nurse take?
- A. Monitor the client's respiratory rate every 15 minutes.
- B. Monitor the client's blood pressure every 30 minutes.
- C. Monitor the client's oxygen saturation every hour.
- D. Monitor the client's heart rate every 5 minutes.
Correct Answer: A
Rationale: The correct action for the nurse is to monitor the client's respiratory rate every 15 minutes while on Morphine IV to promptly detect respiratory depression, a critical adverse effect associated with this medication. Regular monitoring allows for early intervention and prevents potential respiratory complications.
When caring for a client with a wound infection, which action should the nurse perform first in the plan of care?
- A. Administer antibiotic medication.
- B. Obtain a wound specimen for culture.
- C. Review WBC laboratory findings.
- D. Apply a dressing to the wound.
Correct Answer: B
Rationale: The priority action when caring for a client with a wound infection is to obtain a wound specimen for culture before initiating antibiotic therapy. This step is crucial to identify the specific microorganism causing the infection, allowing for targeted antibiotic treatment. Reviewing WBC laboratory findings and applying a wound dressing are important steps but come after obtaining a wound specimen for culture to guide appropriate antibiotic therapy.
A client is starting a new prescription for furosemide. Which of the following instructions should the nurse include?
- A. Weigh yourself daily.
- B. Limit sodium intake.
- C. Increase potassium intake.
- D. Avoid potassium-rich foods.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A patient with hypertension is taking an ACE inhibitor to lower blood pressure. What should the nurse advise the patient to avoid in their diet?
- A. Vinegar
- B. Apples
- C. Salt substitutes
- D. Tomatoes
Correct Answer: C
Rationale: Patients taking ACE inhibitors should avoid salt substitutes as they often contain potassium, which can lead to hyperkalemia. Hyperkalemia is an elevated level of potassium in the blood that can be dangerous, especially for patients on ACE inhibitors. Therefore, it is important for the patient to avoid salt substitutes to prevent potential complications.