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A nurse is caring for a client who has a new prescription for digoxin. Which of the following laboratory values should the nurse monitor?
- A. Potassium
- B. Hemoglobin
- C. Cholesterol
- D. Albumin
Correct Answer: A
Rationale: Digoxin toxicity risk increases with hypokalemia, so monitoring potassium levels is critical to ensure safety.
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A nurse is reinforcing teaching with a client who has a new prescription for a salmeterol inhaler. Which of the following instructions should the nurse include?
- A. Use it as needed for shortness of breath.
- B. Rinse your mouth after use.
- C. Take it once daily.
- D. Shake the inhaler before use.
Correct Answer: C
Rationale: Taking salmeterol once daily is correct, as it is a long-acting bronchodilator used for maintenance therapy in asthma or COPD.
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.
A nurse is caring for a client who has a prescription for acetaminophen 300 mg with codeine 30 mg, 1 tablet every 3 to 4 hr. PRN for pain. The nurse inadvertently administers 2 tablets to the client. In which of the following locations should the nurse document this client care incident?
- A. Nursing care plan
- B. Controlled substance inventory record
- C. Incident report
- D. Provider's progress notes
Correct Answer: C
Rationale: Completing an incident report is correct. An incident report is used to document medication errors, allowing for review and quality improvement measures to prevent future occurrences.
A nurse is reinforcing teaching with a client who has a new prescription for doxycycline. Which of the following instructions should the nurse include?
- A. Take the medication with milk.
- B. Lie down for 30 minutes after taking it.
- C. Take it on an empty stomach.
- D. Avoid sun exposure.
Correct Answer: D
Rationale: Avoiding sun exposure is critical with doxycycline, as it can cause photosensitivity, leading to severe sunburn.
A nurse is reinforcing teaching about a low-sodium diet with a client who has hypertension. Which of the following statements by the client indicates an understanding of the instructions?
- A. I will eat turkey sausage for breakfast.
- B. I will put ketchup on my hot dogs.
- C. I will use frozen vegetables rather than canned.
- D. I like to use store-bought spaghetti sauce.
Correct Answer: C
Rationale: Using frozen vegetables rather than canned is correct. Canned vegetables often contain added sodium for preservation, while frozen vegetables typically have little to no added salt, making them a healthier option.