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A nurse is caring for a client who has a new prescription for duloxetine. Which of the following adverse effects should the nurse monitor for?
- A. Insomnia
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Duloxetine, an SNRI, can cause insomnia due to its effect on serotonin and norepinephrine levels.
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A nurse is reinforcing teaching with a client who has a new diagnosis of hypothyroidism. Which of the following findings should the nurse expect?
- A. Fatigue
- B. Weight loss
- C. Tachycardia
- D. Heat intolerance
Correct Answer: A
Rationale: Fatigue is a common symptom of hypothyroidism due to a slowed metabolism from decreased thyroid hormone production.
A nurse is reinforcing teaching with a client who has a new prescription for an albuterol inhaler. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will shake the inhaler before each use.
- B. I will use the inhaler every 2 hours.
- C. I will hold my breath for 5 seconds after inhaling.
- D. I will clean the inhaler with soap and water daily.
Correct Answer: A
Rationale: Shaking the inhaler before each use ensures the medication is properly mixed for effective delivery.
A nurse is caring for a client who has a new diagnosis of Cushing's syndrome. Which of the following findings should the nurse expect?
- A. Weight gain
- B. Weight loss
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Weight gain, especially in the trunk, is a common symptom of Cushing's syndrome due to excess cortisol.
A nurse is reinforcing teaching about hand hygiene with a newly licensed nurse. Which of the following information should the nurse include in the teaching?
- A. Use hot water to wash hands.
- B. Apply friction to hands for 10 seconds.
- C. Dry hands starting from forearm to fingers.
- D. Interlace the fingers while rubbing hands together.
Correct Answer: D
Rationale: Interlacing the fingers while rubbing hands together is correct. Interlacing the fingers and rubbing them together ensures that all surfaces of the hands, including between the fingers, are properly cleaned. This method is recommended in the CDC hand hygiene guidelines for thorough washing.
A nurse is reinforcing teaching with a client who has a new prescription for a nitroglycerin sublingual tablet. Which of the following instructions should the nurse include?
- A. Swallow the tablet with water.
- B. Take the tablet every 10 minutes for chest pain.
- C. Store the tablets in a dark container.
- D. Keep the tablet under the tongue for 2 hours.
Correct Answer: C
Rationale: Storing nitroglycerin tablets in a dark container protects them from light, which can degrade the medication.