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.
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A nurse is caring for a client who is receiving a blood transfusion. Which of the following actions should the nurse take first if a transfusion reaction is suspected?
- A. Stop the transfusion.
- B. Notify the provider.
- C. Increase the infusion rate.
- D. Administer an antihistamine.
Correct Answer: A
Rationale: Stopping the transfusion is the first action to prevent further harm if a transfusion reaction is suspected.
A nurse is caring for a client who has a new diagnosis of restless legs syndrome. Which of the following findings should the nurse expect?
- A. Leg discomfort
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Leg discomfort, especially at night, is a hallmark symptom of restless legs syndrome, prompting movement.
A nurse is reinforcing teaching with a client who has a new prescription for a lidocaine patch. Which of the following instructions should the nurse include?
- A. Apply the patch to broken skin.
- B. Remove the patch after 12 hours.
- C. Apply multiple patches at once.
- D. Leave the patch on for 24 hours.
Correct Answer: B
Rationale: Removing the lidocaine patch after 12 hours prevents excessive absorption and reduces the risk of side effects.
A nurse working in a rehabilitation unit is administering medications to two clients who have the same name. Which of the following identifiers should the nurse use to verify the identities of each client?
- A. The telephone numbers of the clients
- B. The room numbers of the clients
- C. The diagnoses of the clients
- D. The names of the clients' nearest relatives
Correct Answer: A
Rationale: Using the telephone numbers of the clients is correct. According to The Joint Commission's National Patient Safety Goals, at least two unique identifiers, such as date of birth and telephone number, should be used to verify client identity before administering medications to prevent errors.
A nurse is caring for a client who has a new prescription for amlodipine. Which of the following adverse effects should the nurse monitor for?
- A. Peripheral edema
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Amlodipine, a calcium channel blocker, commonly causes peripheral edema due to vasodilation.
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