Nokea
A nurse is caring for a client who has a new diagnosis of trigeminal neuralgia. Which of the following findings should the nurse expect?
- A. Facial pain
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Facial pain, often severe and shock-like, is a hallmark symptom of trigeminal neuralgia affecting the trigeminal nerve.
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A nurse is reinforcing teaching with a client who has a new prescription for lisinopril. Which of the following adverse effects should the nurse include?
- A. Dry cough
- B. Weight gain
- C. Tinnitus
- D. Hypoglycemia
Correct Answer: A
Rationale: Lisinopril, an ACE inhibitor, can cause a dry cough due to increased bradykinin levels, a common side effect.
A nurse is caring for a client who has a new prescription for fluoxetine. Which of the following adverse effects should the nurse monitor for?
- A. Weight loss
- B. Bradycardia
- C. Hypotension
- D. Insomnia
Correct Answer: D
Rationale: Fluoxetine, an SSRI, can cause insomnia due to its stimulatory effect on the central nervous system.
A nurse is reinforcing teaching with a client who has a new prescription for a nicotine lozenge. Which of the following instructions should the nurse include?
- A. Chew the lozenge like gum.
- B. Avoid drinking fluids while using the lozenge.
- C. Use the lozenge every 4 hours.
- D. Store the lozenges in the refrigerator.
Correct Answer: B
Rationale: Avoiding drinking fluids while using a nicotine lozenge ensures proper absorption of nicotine through the oral mucosa.
A nurse is collecting data from a client who is taking an oral contraceptive. Which of the following findings is a contraindication for the use of oral contraceptives?
- A. Headaches with aura
- B. History of mononucleosis 1 year ago.
- C. Irregular menstrual cycles
- D. Gastroesophageal reflux disease.
Correct Answer: A
Rationale: Headaches with aura is correct. Headaches with aura, a warning sign that can precede a migraine, are a contraindication for the use of oral contraceptives. This is because oral contraceptives increase the risk of stroke, especially in women who experience migraines with aura.
A nurse is caring for a client who delivered a newborn by cesarean birth 1 day ago. The client requests nonpharmacological interventions to manage pain when changing positions. Which of the following responses should the nurse make?
- A. You should use patterned-paced breathing when changing positions.
- B. You should change positions as little as possible.
- C. You can splint the incision with a pillow when changing positions.
- D. You can apply counterpressure to your back with each position change.
Correct Answer: C
Rationale: Splinting the incision with a pillow is correct. Holding a pillow firmly against the incision while changing positions provides support, reduces strain on the abdominal muscles, and minimizes pain during movement.