Nokea
A nurse is caring for a client who has a new diagnosis of chronic fatigue syndrome. Which of the following findings should the nurse expect?
- A. Persistent fatigue
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Persistent fatigue, lasting over 6 months, is a hallmark symptom of chronic fatigue syndrome.
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A nurse is caring for a client who has a new prescription for duloxetine. Which of the following adverse effects should the nurse monitor for?
- A. Insomnia
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Duloxetine, an SNRI, can cause insomnia due to its effect on serotonin and norepinephrine levels.
A nurse is caring for a client who has a new diagnosis of hypertension. Which of the following lifestyle modifications should the nurse recommend?
- A. Increase sodium intake.
- B. Limit physical activity.
- C. Reduce stress.
- D. Avoid calcium-rich foods.
Correct Answer: C
Rationale: Reducing stress helps lower blood pressure by decreasing sympathetic nervous system activation.
A nurse is caring for a client who is receiving IV fluids. The nurse notes that the IV site is red and swollen. Which of the following actions should the nurse take first?
- A. Elevate the extremity.
- B. Apply a warm compress.
- C. Discontinue the IV line.
- D. Notify the provider.
Correct Answer: C
Rationale: Discontinuing the IV line is the first action to prevent further complications from infiltration or phlebitis at the red and swollen site.
A nurse is caring for a client who has a new prescription for furosemide. Which of the following laboratory values should the nurse monitor?
- A. Potassium
- B. Hemoglobin
- C. Cholesterol
- D. Albumin
Correct Answer: A
Rationale: Furosemide, a loop diuretic, can cause hypokalemia, so monitoring potassium levels is essential to prevent complications like arrhythmias.
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.