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A nurse is caring for a client who has a new prescription for apixaban. Which of the following adverse effects should the nurse monitor for?
- A. Bleeding
- B. Weight gain
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Apixaban, an anticoagulant, increases bleeding risk, which requires careful monitoring.
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A nurse is caring for an adolescent who states, 'I joined the track and field team, so I won't argue with my brothers anymore.' The nurse should identify that the client is using which of the following defense mechanisms?
- A. Denial
- B. Sublimation
- C. Regression
- D. Repression
Correct Answer: B
Rationale: Sublimation is correct. Sublimation is the process of channeling unacceptable impulses (such as frustration or aggression) into socially acceptable activities (such as sports or creative pursuits). By joining the track and field team instead of arguing with his brothers, the adolescent is redirecting energy into a positive outlet.
A nurse is reinforcing teaching with a client who is scheduled for a cardiac ablation. Which of the following instructions should the nurse include?
- A. Fast for 6 hours before the procedure.
- B. Drive yourself home after the procedure.
- C. Avoid lying flat after the procedure.
- D. Expect to stay overnight routinely.
Correct Answer: A
Rationale: Fasting for 6 hours before a cardiac ablation reduces the risk of aspiration during sedation.
A nurse is reinforcing teaching with a client who has a new prescription for insulin glargine. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will take this insulin before meals.
- B. I will rotate injection sites.
- C. I will shake the vial before drawing up the insulin.
- D. I will store the insulin in the freezer.
Correct Answer: B
Rationale: Rotating injection sites prevents lipodystrophy and ensures consistent insulin absorption.
A nurse is reinforcing teaching with a client who has a new prescription for a testosterone patch. Which of the following instructions should the nurse include?
- A. Apply the patch to the scrotum.
- B. Remove the patch after 12 hours.
- C. Apply the patch to the upper arm.
- D. Leave the patch on for 48 hours.
Correct Answer: C
Rationale: Applying the testosterone patch to the upper arm (or other recommended sites) ensures effective hormone absorption.
A nurse is reinforcing teaching with a client who is scheduled for a bronchoscopy. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will need to fast for 6 to 8 hours before the procedure.
- B. I can drive myself home after the procedure.
- C. I will receive general anesthesia during the procedure.
- D. I should avoid gargling after the procedure.
Correct Answer: A
Rationale: Fasting for 6 to 8 hours before a bronchoscopy reduces the risk of aspiration during the procedure.