A nurse is caring for a client who has a new diagnosis of polycystic ovary syndrome (PCOS). Which of the following findings should the nurse expect?
- A. Irregular periods
- B. Weight loss
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Irregular periods are a common symptom of PCOS due to hormonal imbalances affecting ovulation.
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A nurse is caring for a client who has a new prescription for allopurinol. Which of the following laboratory values should the nurse monitor?
- A. Uric acid
- B. Hemoglobin A1c
- C. Serum creatinine
- D. Cholesterol
Correct Answer: A
Rationale: Allopurinol reduces uric acid levels, so monitoring uric acid ensures the medication's effectiveness in treating gout.
A nurse is caring for a client who has a new prescription for tamsulosin. Which of the following adverse effects should the nurse monitor for?
- A. Orthostatic hypotension
- B. Weight gain
- C. Hyperglycemia
- D. Tinnitus
Correct Answer: A
Rationale: Tamsulosin, an alpha-blocker, can cause orthostatic hypotension due to vasodilation, especially with the first dose.
A nurse is caring for a client who has a new diagnosis of Raynaud's disease. Which of the following findings should the nurse expect?
- A. Cold fingers
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Cold fingers, often with color changes, are a hallmark symptom of Raynaud's disease due to vasospasm.
A nurse is caring for a client who has a new prescription for spironolactone. Which of the following laboratory values should the nurse monitor?
- A. Potassium
- B. Hemoglobin
- C. Cholesterol
- D. Albumin
Correct Answer: A
Rationale: Spironolactone, a potassium-sparing diuretic, can cause hyperkalemia, so monitoring potassium levels is critical.
A nurse is assisting with the care of a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?
- A. Check gastric residual volume every 8 hours.
- B. Flush the tube with cold water every 4 hours.
- C. Position the client flat during feeding.
- D. Change the feeding bag every 72 hours.
Correct Answer: C
Rationale: Positioning the client with the head of the bed elevated during feeding reduces the risk of aspiration, a critical safety measure.
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