Nokea
A nurse is caring for a client who has a new diagnosis of diverticulitis. Which of the following dietary recommendations should the nurse make?
- A. Increase fiber intake.
- B. Limit fluid intake.
- C. Avoid whole grains.
- D. Reduce protein intake.
Correct Answer: A
Rationale: Increasing fiber intake helps prevent constipation and promotes bowel regularity, reducing diverticulitis flare-ups.
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A nurse is reinforcing teaching with a client who is scheduled for a lumbar puncture. Which of the following instructions should the nurse include?
- A. Avoid eating after midnight before the procedure.
- B. Lie flat for 4 to 6 hours after the procedure.
- C. Expect general anesthesia during the procedure.
- D. Avoid drinking fluids for 12 hours before the procedure.
Correct Answer: B
Rationale: Lying flat for 4 to 6 hours after a lumbar puncture prevents cerebrospinal fluid leakage and reduces headache risk.
A nurse is reinforcing teaching with a client who has a new prescription for albuterol. Which of the following adverse effects should the nurse include?
- A. Tremors
- B. Bradycardia
- C. Hypoglycemia
- D. Constipation
Correct Answer: A
Rationale: Albuterol, a beta-agonist, can cause tremors as a common side effect due to its stimulatory effect on the nervous system.
A nurse is reinforcing teaching with a client who has a new prescription for a budesonide inhaler. Which of the following instructions should the nurse include?
- A. Rinse your mouth after use.
- B. Use it as needed for shortness of breath.
- C. Take it twice daily.
- D. Shake the inhaler before use.
Correct Answer: A
Rationale: Rinsing the mouth after using a budesonide inhaler prevents oral thrush, a common side effect of inhaled corticosteroids.
A nurse is caring for a client who has a new prescription for oxybutynin. Which of the following adverse effects should the nurse monitor for?
- A. Dry mouth
- B. Weight gain
- C. Hyperglycemia
- D. Tinnitus
Correct Answer: A
Rationale: Oxybutynin, an anticholinergic, commonly causes dry mouth due to reduced salivary production.
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take?
- A. Monitor the client's weight weekly.
- B. Check the client's blood glucose every 12 hours.
- C. Change the TPN bag every 48 hours.
- D. Administer TPN through a peripheral IV line.
Correct Answer: B
Rationale: Checking blood glucose every 12 hours is necessary, as TPN contains high dextrose concentrations that can cause hyperglycemia.