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A nurse in a provider's office is caring for a group of clients who have communicable diseases. Which of the following infections should the nurse report to the state health department?
- A. Human papillomavirus
- B. Neisseria gonorrhoeae
- C. Impetigo contagious
- D. Sarcoptes scabiei
Correct Answer: B
Rationale: Neisseria gonorrhoeae is a reportable sexually transmitted infection to track and control its spread. HPV, impetigo, and scabies are not typically reportable to state health departments.
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A nurse is caring for a client who is receiving IV vancomycin. Which of the following actions should the nurse take?
- A. Infuse the medication over 30 min.
- B. Monitor the client for tinnitus.
- C. Administer the medication with an antihistamine.
- D. Check the client's blood pressure every 4 hr.
Correct Answer: B
Rationale: Vancomycin can cause ototoxicity, so monitoring for tinnitus is essential. It's infused over 60-90 minutes, antihistamines aren't needed, and blood pressure checks aren't specific to vancomycin.
A nurse is reinforcing teaching with a client who has a new prescription for metformin. Which of the following statements should the nurse include?
- A. Take this medication on an empty stomach.
- B. You might have a metallic taste while taking this medication.
- C. You need to limit your protein intake.
- D. You should stop taking this medication if you feel shaky.
Correct Answer: B
Rationale: Metformin can cause a metallic taste, a side effect to anticipate. It's taken with meals, protein limits aren't needed, and shakiness requires glucose, not stopping.
A nurse is reinforcing teaching with a client who has a new prescription for doxycycline. Which of the following statements should the nurse include?
- A. You should take this medication on an empty stomach.
- B. You might experience sensitivity to sunlight.
- C. You need to refrigerate this medication.
- D. You can take this medication with an antacid.
Correct Answer: B
Rationale: Doxycycline increases photosensitivity, requiring sun protection. It's taken with food to avoid upset, doesn't need refrigeration, and antacids reduce absorption.
A nurse is reinforcing teaching with a client who has a new prescription for metoprolol. Which of the following statements should the nurse include?
- A. You should take this medication with a high-fiber meal.
- B. You might experience fatigue while taking this medication.
- C. You need to avoid caffeine while taking this medication.
- D. You can stop taking this medication if your blood pressure is normal.
Correct Answer: B
Rationale: Metoprolol can cause fatigue, a common side effect to monitor. Fiber meals, caffeine avoidance, or stopping abruptly aren't recommended.
A nurse is reinforcing teaching with a client who has a new prescription for amoxicillin. Which of the following instructions should the nurse include?
- A. Take this medication with an antacid to prevent stomach upset.
- B. You might experience diarrhea while taking this medication.
- C. You need to refrigerate this medication.
- D. You should stop taking this medication if you feel better.
Correct Answer: B
Rationale: Amoxicillin can cause diarrhea, a common side effect. Antacids aren't needed, refrigeration depends on form, and stopping early risks resistance.