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A nurse is caring for a client who has a new diagnosis of Barrett's esophagus. Which of the following findings should the nurse expect?
- A. Heartburn
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Heartburn is a common symptom of Barrett's esophagus due to chronic acid reflux damaging the esophageal lining.
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A nurse is providing preoperative care to a client who reports he has no one at home to help him after his outpatient surgery. Which of the following actions should the nurse take?
- A. Assist with a referral to a home health care agency.
- B. Call the provider about admitting the client to the facility overnight.
- C. Give the client a list of home care assistants to contact.
- D. Contact the next of kin to assist the client at home.
Correct Answer: A
Rationale: Assist with a referral to a home health care agency is correct. If the client has no one to assist them at home after surgery, a home health care agency can provide the necessary support. This is a proactive solution to ensure the client has assistance for postoperative recovery, including monitoring for complications, assistance with mobility, and other care needs.
A nurse is reinforcing teaching with a client who has a new prescription for a testosterone patch. Which of the following instructions should the nurse include?
- A. Apply the patch to the scrotum.
- 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 testosterone patch to the upper arm (or other recommended sites) ensures effective hormone absorption.
A nurse is caring for a client who has a new prescription for gabapentin. Which of the following adverse effects should the nurse monitor for?
- A. Drowsiness
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Gabapentin commonly causes drowsiness, which can affect the client's alertness and safety.
A nurse is reinforcing teaching with a client who has a new prescription for a nystatin oral suspension. Which of the following instructions should the nurse include?
- A. Swallow the suspension immediately.
- B. Hold the suspension in the mouth for a minute.
- C. Mix the suspension with juice.
- D. Store the suspension in the refrigerator.
Correct Answer: B
Rationale: Holding nystatin oral suspension in the mouth for a minute ensures maximum contact with oral mucosa to treat thrush.
A client who has type 1 diabetes mellitus asks a nurse about beginning an exercise regimen. Which of the following instructions should the nurse include?
- A. Exercise when insulin is at its peak action.
- B. Eat a piece of fruit before exercising.
- C. Inject additional insulin before exercising.
- D. Avoid protein before exercising.
Correct Answer: B
Rationale: Eating a piece of fruit before exercising is correct. A small carbohydrate snack before exercise helps prevent hypoglycemia, especially for clients with type 1 diabetes. The body requires glucose for energy, and exercise can lower blood sugar levels rapidly.