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The client consumed alcohol 2 days after taking disulfiram.
A nurse is caring for a client who consumed alcohol 2 days after taking disulfiram. The nurse should monitor the client for which of the following findings?
- A. Constipation
- B. Dry skin
- C. Hypotension
- D. Urinary retention
Correct Answer: C
Rationale: Disulfiram-alcohol reaction causes hypotension among other symptoms.
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A nurse is assisting with the care of a client following electroconvulsive therapy for the treatment of a depressive disorder. Which of the following findings should the nurse expect 15 min following the procedure?
- A. Sleep apnea
- B. Paresthesias
- C. Disorientation
- D. Tonic-clonic seizures
Correct Answer: C
Rationale: Disorientation is common shortly after ECT.
The client reports having trouble getting to sleep at night.
A nurse is caring for an adult client who reports having trouble getting to sleep at night. Which of the following recommendations should the nurse make?
- A. Remain in bed until you fall asleep.
- B. Keep the television volume low while you are trying to fall asleep.
- C. Sleep longer hours on the weekend.
- D. Establish a daily exercise routine.
Correct Answer: D
Rationale: A daily exercise routine promotes better sleep patterns.
A nurse is performing nasopharyngeal suctioning for an adult client. Which of the following techniques should the nurse use?
- A. Apply suction while inserting the catheter
- B. Apply intermittent suction for 30 seconds
- C. Insert the catheter 10 cm (4 in)
- D. Wait 1 min between suctioning attempts
Correct Answer: D
Rationale: Waiting 1 minute between attempts allows oxygenation and prevents hypoxia.
A home health nurse is conducting a home inspection for a client who is at risk for falls. Which of the following instructions should the nurse provide for the client?
- A. Place the bedside table 2 feet away from the bed.
- B. Keep lighting in the home dim.
- C. Place area rugs on slick floor surfaces.
- D. Move the client's bed to the main floor of the house.
Correct Answer: D
Rationale: Moving the bed to the main floor reduces stair-related fall risks.
The client reports he has headaches after taking chewable isosorbide dinitrate.
A nurse is caring for a client who reports he has headaches after taking chewable isosorbide dinitrate. Which of the following statements should the nurse make?
- A. Swallow the tablet whole to minimize your headaches.
- B. You can discontinue the medication until the headache goes away.
- C. You should take the medication on an empty stomach to prevent a headache.
- D. The headaches should decrease as you get used to the medication.
Correct Answer: D
Rationale: Headaches are a common side effect of isosorbide that typically lessen over time.