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A nurse is caring for a client who has a new prescription for furosemide. Which of the following laboratory values should the nurse monitor?
- A. Potassium
- B. Hemoglobin
- C. Cholesterol
- D. Albumin
Correct Answer: A
Rationale: Furosemide, a loop diuretic, can cause hypokalemia, so monitoring potassium levels is essential to prevent complications like arrhythmias.
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A nurse is caring for a client who has a new prescription for enoxaparin. Which of the following laboratory values should the nurse monitor?
- A. Platelet count
- B. Blood urea nitrogen
- C. Serum albumin
- D. Cholesterol
Correct Answer: A
Rationale: Enoxaparin, a low-molecular-weight heparin, can cause thrombocytopenia, so platelet count monitoring is essential.
A nurse is reinforcing teaching with a client who has a new prescription for a fentanyl patch. Which of the following instructions should the nurse include?
- A. Apply the patch to the same site each time.
- B. Remove the patch after 24 hours.
- C. Apply the patch to broken skin.
- D. Dispose of the patch in a sharps container.
Correct Answer: D
Rationale: Disposing of the fentanyl patch in a sharps container or per facility protocol prevents accidental exposure to the potent opioid.
A nurse is reinforcing teaching with a client who has a new prescription for a transdermal nitroglycerin patch. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will apply the patch to my back.
- B. I will leave the patch on for 24 hours.
- C. I will rotate the application sites.
- D. I will apply a new patch if I have chest pain.
Correct Answer: C
Rationale: Rotating application sites prevents skin irritation and ensures consistent absorption of nitroglycerin from the transdermal patch.
A nurse is reinforcing teaching with a client who is scheduled for a urodynamic study. Which of the following instructions should the nurse include?
- A. Fast for 8 hours before the study.
- B. Avoid urinating before the study.
- C. Expect general anesthesia.
- D. Remove all jewelry before the study.
Correct Answer: B
Rationale: Avoiding urination before a urodynamic study ensures the bladder is full, allowing accurate assessment of bladder function.
A nurse is reinforcing teaching about toilet training with the guardians of a toddler who has a cognitive impairment. Which of the following instructions should the nurse include?
- A. Encourage the toddler to flush the toilet while still seated.
- B. Have the toddler remain on the toilet for a minimum of 20 min.
- C. Wake the toddler every 2 hr. in the night to prevent bed-wetting.
- D. Give the toddler a sticker after each successful toileting attempt.
Correct Answer: D
Rationale: Giving the toddler a sticker after each successful toileting attempt is correct. Positive reinforcement, such as stickers or praise, encourages consistency and motivation, which is particularly beneficial for children with cognitive impairments.