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A nurse is caring for a client who has a new diagnosis of Addison's disease. Which of the following findings should the nurse expect?
- A. Hypotension
- B. Weight gain
- C. Hyperglycemia
- D. Tinnitus
Correct Answer: A
Rationale: Hypotension is common in Addison's disease due to decreased cortisol and aldosterone levels affecting blood pressure regulation.
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A nurse is reinforcing teaching with a client who is scheduled for a bone marrow biopsy. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will need to fast for 12 hours before the procedure.
- B. I will receive general anesthesia during the procedure.
- C. I will lie on my side during the procedure.
- D. I will need to avoid walking for 24 hours after the procedure.
Correct Answer: C
Rationale: Lying on the side facilitates access to the iliac crest, a common site for bone marrow biopsy.
A nurse is reinforcing teaching with a client who has a new prescription for a clonidine patch. Which of the following instructions should the nurse include?
- A. Apply the patch to the same site each week.
- B. Remove the patch after 12 hours.
- C. Apply the patch to the upper arm.
- D. Leave the patch on for 48 hours.
Correct Answer: C
Rationale: Applying the clonidine patch to the upper arm (or other recommended sites) ensures effective delivery of the medication.
A nurse is caring for a client who has a new diagnosis of peripheral artery disease. Which of the following findings should the nurse expect?
- A. Intermittent claudication
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Intermittent claudication, pain in the legs during activity, is a common symptom of peripheral artery disease due to reduced blood flow.
A nurse is caring for a client who has a new prescription for bupropion. Which of the following adverse effects should the nurse monitor for?
- A. Insomnia
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Bupropion, an antidepressant, can cause insomnia due to its stimulatory effect on the central nervous system.
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.