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A nurse is caring for a client who has a new prescription for bupropion. Which of the following adverse effects should the nurse monitor for?
- A. Insomnia
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Bupropion, an antidepressant, can cause insomnia due to its stimulatory effect on the central nervous system.
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A nurse is caring for a client who has a new prescription for sumatriptan. Which of the following adverse effects should the nurse monitor for?
- A. Chest pain
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Sumatriptan, a triptan, can cause chest pain or tightness, which may indicate vasoconstriction and requires monitoring.
A nurse is reinforcing teaching with a client who is scheduled for a parathyroid scan. Which of the following instructions should the nurse include?
- A. Avoid iodine-rich foods for 1 week before the scan.
- B. Fast for 12 hours before the scan.
- C. Expect to receive sedation.
- D. Remove all jewelry before the scan.
Correct Answer: D
Rationale: Removing all jewelry before a parathyroid scan prevents interference with the imaging process.
A nurse is collecting data from a client who uses a continuous positive airway pressure (CPAP) machine at night for sleep apnea. The nurse should identify which of the following findings as an indication of proper CPAP use?
- A. There is one finger width between the strap on the mask and the client's face.
- B. The therapeutic dose of albuterol is being inhaled.
- C. The mask fits loosely so air can escape from underneath.
- D. The mask is secured over the client's mouth and the client's nose is uncovered.
Correct Answer: A
Rationale: There is one finger width between the strap on the mask and the client's face is correct. A properly fitted CPAP mask should have a snug fit, with a space of about one finger width between the strap and the face to ensure adequate seal and comfort. A mask that is too tight can cause discomfort, while a loose mask may not provide the necessary pressure to treat sleep apnea.
A nurse is caring for a client who has a new prescription for cyclobenzaprine. Which of the following adverse effects should the nurse monitor for?
- A. Drowsiness
- B. Weight gain
- C. Hyperglycemia
- D. Tinnitus
Correct Answer: A
Rationale: Cyclobenzaprine, a muscle relaxant, commonly causes drowsiness, which can affect safety and coordination.
A nurse is reinforcing teaching with a client who is scheduled for a bone marrow biopsy. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will need to fast for 12 hours before the procedure.
- B. I will receive general anesthesia during the procedure.
- C. I will lie on my side during the procedure.
- D. I will need to avoid walking for 24 hours after the procedure.
Correct Answer: C
Rationale: Lying on the side facilitates access to the iliac crest, a common site for bone marrow biopsy.