Nokea
A nurse is administering pancrelipase to a child who has cystic fibrosis. Which of the following outcomes should the nurse expect as a therapeutic effect of the treatment?
- A. Reduced fat in the stools
- B. Decreased sodium excretion
- C. Improved respiratory function
- D. Improved absorption of vitamins B and C
Correct Answer: A
Rationale: Reduced fat in the stools is correct. Pancrelipase is an enzyme replacement therapy that helps improve digestion and absorption of fats and proteins in individuals with cystic fibrosis. This treatment is especially important for those with pancreatic insufficiency, as it helps prevent the steatorrhea (fatty stools) commonly seen in these patients.
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A nurse is caring for a client who has a new prescription for lorazepam. Which of the following adverse effects should the nurse monitor for?
- A. Drowsiness
- B. Weight gain
- C. Hyperglycemia
- D. Tinnitus
Correct Answer: A
Rationale: Lorazepam, a benzodiazepine, commonly causes drowsiness, which can affect the client's safety and coordination.
A nurse is reinforcing teaching with a client who is scheduled for a thyroid scan. Which of the following instructions should the nurse include?
- A. Avoid iodine-rich foods for 2 weeks before the scan.
- B. Fast for 12 hours before the scan.
- C. Expect to receive general anesthesia.
- D. Remove all jewelry after the scan.
Correct Answer: A
Rationale: Avoiding iodine-rich foods for 2 weeks before a thyroid scan ensures accurate uptake of the radioactive tracer.
A nurse is caring for a client who has a new prescription for rivaroxaban. Which of the following adverse effects should the nurse monitor for?
- A. Bleeding
- B. Weight gain
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Rivaroxaban, an anticoagulant, increases bleeding risk, which requires careful monitoring.
A nurse is reinforcing teaching with a client who has a new prescription for a salmeterol inhaler. Which of the following instructions should the nurse include?
- A. Use it as needed for shortness of breath.
- B. Rinse your mouth after use.
- C. Take it once daily.
- D. Shake the inhaler before use.
Correct Answer: C
Rationale: Taking salmeterol once daily is correct, as it is a long-acting bronchodilator used for maintenance therapy in asthma or COPD.
A nurse is caring for a client who has a new diagnosis of heart failure. Which of the following findings should the nurse expect?
- A. Orthopnea
- B. Bradycardia
- C. Weight loss
- D. Hypotension
Correct Answer: A
Rationale: Orthopnea, difficulty breathing when lying flat, is common in heart failure due to fluid accumulation in the lungs.