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A nurse is caring for a client who has a new prescription for isosorbide mononitrate. Which of the following adverse effects should the nurse monitor for?
- A. Headache
- B. Weight gain
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Isosorbide mononitrate, a nitrate, commonly causes headaches due to vasodilation, especially when starting therapy.
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A nurse is caring for a client who has a new diagnosis of gout. Which of the following dietary recommendations should the nurse make?
- A. Limit purine-rich foods.
- B. Increase dairy intake.
- C. Avoid whole grains.
- D. Reduce fluid intake.
Correct Answer: A
Rationale: Limiting purine-rich foods, like red meat and shellfish, reduces uric acid production, helping manage gout.
A nurse is reinforcing teaching with a client who is scheduled for a renal biopsy. Which of the following instructions should the nurse include?
- A. Fast for 12 hours before the procedure.
- B. Lie flat for 6 hours after the procedure.
- C. Expect general anesthesia.
- D. Avoid urinating after the procedure.
Correct Answer: B
Rationale: Lying flat for 6 hours after a renal biopsy prevents bleeding complications at the biopsy site.
A nurse is reinforcing teaching with a client who is scheduled for a stress test. Which of the following instructions should the nurse include?
- A. Eat a large meal before the test.
- B. Wear loose-fitting clothing.
- C. Continue taking beta-blockers.
- D. Avoid drinking water during the test.
Correct Answer: B
Rationale: Wearing loose-fitting clothing ensures comfort and allows for proper placement of monitoring equipment during a stress test.
A nurse is preparing to administer ibuprofen solution 60 mg orally to a 7-month-old infant who is febrile. Available is ibuprofen 50 mg/1.25 mL. How many should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
- A. 1.0 mL
- B. 1.2 mL
- C. 1.5 mL
- D. 2.0 mL
Correct Answer: C
Rationale: The correct dose is 1.5 mL. To calculate: (60 mg / 50 mg) * 1.25 mL = 1.5 mL. This ensures the infant receives the prescribed 60 mg of ibuprofen.
A nurse in a long-term care facility is contributing to the plan of care for a client who has a new prescription for propranolol. The nurse should plan to monitor the client for which of the following adverse effects of the medication?
- A. Ringing in the ears
- B. Bradycardia
- C. Hypertension
- D. Headache
Correct Answer: B
Rationale: Bradycardia is correct. Propranolol is a beta-blocker that reduces heart rate and blood pressure by blocking beta-adrenergic receptors. One of its primary adverse effects is bradycardia (slow heart rate), which can lead to dizziness, fatigue, or hypotension.