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A nurse is caring for a client who has a new prescription for gabapentin. Which of the following adverse effects should the nurse monitor for?
- A. Drowsiness
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Gabapentin commonly causes drowsiness, which can affect the client's alertness and safety.
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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 at a long-term care facility is part of a risk management team that is creating a plan to lower infection rates in the facility. Which of the following instructions regarding hand hygiene should the nurse include?
- A. Dry hands thoroughly from fingers to wrist.
- B. Hold the hands slightly higher than the elbows when using running water.
- C. Wash hands under running water for at least 10 seconds.
- D. Clean hands with alcohol-based hand gel for 16 seconds.
Correct Answer: A
Rationale: Drying hands thoroughly from fingers to wrist is correct. Proper drying technique is important because residual moisture can harbor bacteria, and drying from fingers to wrist prevents recontamination of clean areas by water dripping from contaminated areas.
A nurse is reinforcing teaching with a client who is scheduled for a cardiac catheterization. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will need to stay flat for 24 hours after the procedure.
- B. I can eat a full meal right before the procedure.
- C. I will receive contrast dye during the procedure.
- D. I should avoid drinking fluids for 12 hours after the procedure.
Correct Answer: C
Rationale: Contrast dye is used during cardiac catheterization to visualize the coronary arteries, and the client should understand this aspect of the procedure.
A nurse is caring for a client who has a new prescription for rivaroxaban. Which of the following adverse effects should the nurse monitor for?
- A. Bleeding
- B. Weight gain
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Rivaroxaban, an anticoagulant, increases bleeding risk, which requires careful monitoring.
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.