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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.
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A nurse is reinforcing teaching with a client who has a new prescription for omeprazole. Which of the following adverse effects should the nurse include?
- A. Diarrhea
- B. Weight loss
- C. Tinnitus
- D. Hypotension
Correct Answer: A
Rationale: Omeprazole, a proton pump inhibitor, can cause diarrhea as a common side effect due to changes in gut flora.
A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following over-the-counter medications should the nurse identify as safe for use with warfarin?
- A. Docusate
- B. Ibuprofen
- C. Aspirin
- D. Omeprazole
Correct Answer: A
Rationale: Docusate is correct. Docusate is a stool softener, and it does not have a significant effect on blood clotting. Therefore, it is considered safe for use with warfarin, which requires careful monitoring to avoid interactions that may increase bleeding risks.
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 reinforcing teaching with a client who is scheduled for a HIDA scan. Which of the following instructions should the nurse include?
- A. Fast for 4 hours before the scan.
- B. Avoid dairy products after the scan.
- C. Expect general anesthesia.
- D. Remove all clothing during the scan.
Correct Answer: A
Rationale: Fasting for 4 hours before a HIDA scan ensures accurate imaging of gallbladder function.
A nurse is caring for a client who has a new diagnosis of shingles. Which of the following findings should the nurse expect?
- A. Painful rash
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: A painful rash, often unilateral and following a dermatomal pattern, is a hallmark symptom of shingles.