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A nurse is caring for a client who has a new prescription for albuterol. Which of the following client statements indicates an understanding of the teaching?
- A. I will take this medication once daily at bedtime.
- B. This medication may cause my heart to beat faster.
- C. I should avoid drinking water after using this medication.
- D. This medication will prevent me from getting asthma attacks.
Correct Answer: B
Rationale: Albuterol can cause tachycardia, a key side effect to understand. It's used as needed, not daily, hydration is unaffected, and it treats, not prevents, asthma attacks.
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A nurse is reinforcing teaching with a client who has a new prescription for enoxaparin. The nurse should identify which of the following over-the-counter products as unsafe for use with enoxaparin.
- A. Cimetidine
- B. Docusate
- C. Calcium supplement
- D. Naproxen
Correct Answer: D
Rationale: Naproxen, an NSAID, increases bleeding risk with enoxaparin, an anticoagulant. Cimetidine, docusate, and calcium supplements don't pose significant interaction risks.
A nurse is reinforcing teaching with a client who has a new prescription for tramadol. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication with food.
- B. I might feel sleepy while taking this medication.
- C. I need to avoid sunlight.
- D. I can increase the dose if my pain gets worse.
Correct Answer: B
Rationale: Tramadol can cause drowsiness, showing understanding. Food isn't required, sunlight isn't a concern, and dose increases need provider approval.
A nurse is reinforcing teaching with a client who has a new prescription for losartan. Which of the following instructions should the nurse include?
- A. Take this medication with a high-potassium meal.
- B. You might feel dizzy when standing up quickly.
- C. You need to limit your exercise.
- D. You should take this medication at bedtime.
Correct Answer: B
Rationale: Losartan can cause orthostatic hypotension, leading to dizziness. Potassium meals, exercise limits, and bedtime dosing aren't necessary.
The nurse is reviewing the client's medical record.
Procedures
Planned endoscopy at 1300.
The nurse is reviewing the client's medical record. Procedures Planned endoscopy at 1300. The nurse is assisting with the care of a client prior to a blood transfusion. Which of the following actions should the nurse take? Select all that apply.
- A. Witness the client signing a consent for transfusion.
- B. Obtain a large bore IV catheter.
- C. Ensure two nurses confirm the information on the blood label.
- D. Ensure the transfusion tubing is flushed with dextrose 5% in water.
- E. Explain to the client that transfusion reactions are not serious.
Correct Answer: A,B,C
Rationale: Consent ensures informed agreement, a large-bore catheter prevents clotting, and dual verification reduces errors. Dextrose isn't used for flushing, and minimizing reaction severity is inaccurate.
A nurse is reinforcing teaching about disease management with a client who has GERD. Which of the following statements should the nurse make?
- A. You should lay down for 1 hour following a meal.
- B. You should eat three large meals and two snacks per day.
- C. You should only drink 2 cups of coffee per day.
- D. You should elevate the head of the bed while sleeping.
Correct Answer: D
Rationale: Elevating the bed head prevents acid reflux at night. Lying down post-meal, large meals, or coffee can worsen GERD symptoms.