A nurse is caring for a client who has a new prescription for lamotrigine. Which of the following adverse effects should the nurse monitor for?
- A. Skin rash
- B. Weight gain
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Lamotrigine, an anticonvulsant, can cause a skin rash, which may indicate a serious reaction like Stevens-Johnson syndrome.
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A nurse is reinforcing teaching with a client who has a new prescription for a medicated foot powder. Which of the following instructions should the nurse include?
- A. Apply the powder to wet feet.
- B. Use the powder twice a week.
- C. Apply a thick layer between the toes.
- D. Wear socks after applying the powder.
Correct Answer: D
Rationale: Wearing socks after applying medicated foot powder helps keep the medication in place and prevents spreading.
A nurse is reinforcing teaching with a client who is scheduled for a cardiac MRI. Which of the following instructions should the nurse include?
- A. Remove all metal objects before the procedure.
- B. Fast for 12 hours before the procedure.
- C. Expect to receive general anesthesia.
- D. Avoid drinking fluids after the procedure.
Correct Answer: A
Rationale: Removing all metal objects is essential for safety during an MRI, as magnetic fields can interact with metal.
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 reinforcing teaching with a client who has a new prescription for metformin. Which of the following adverse effects should the nurse include?
- A. Weight gain
- B. Metallic taste
- C. Hypotension
- D. Hyperglycemia
Correct Answer: B
Rationale: Metformin can cause a metallic taste, a common side effect that the client should be aware of when starting the medication.
A nurse is reinforcing teaching with a client who is scheduled for a PET scan. Which of the following instructions should the nurse include?
- A. Avoid strenuous exercise for 24 hours before the scan.
- B. Fast for 12 hours before the scan.
- C. Expect to receive general anesthesia.
- D. Remove all clothing during the scan.
Correct Answer: A
Rationale: Avoiding strenuous exercise for 24 hours before a PET scan prevents false positives from muscle uptake of the tracer.
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