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A nurse is caring for a client who has a new prescription for montelukast. Which of the following adverse effects should the nurse monitor for?
- A. Mood changes
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Montelukast, a leukotriene inhibitor, can cause mood changes, including anxiety or depression, which require monitoring.
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A nurse is reinforcing teaching with a client who is scheduled for an electroencephalogram (EEG). Which of the following instructions should the nurse include?
- A. Avoid caffeine before the procedure.
- B. Take your antiseizure medication as prescribed.
- C. Wash your hair after the procedure.
- D. Expect to be sedated during the procedure.
Correct Answer: A
Rationale: Avoiding caffeine before an EEG prevents stimulation that could alter brain wave patterns and affect results.
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.
A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following findings should indicate to the nurse that the client is developing a thyroid storm?
- A. Decreased body temperature
- B. Increased incisional drainage
- C. Hypertension
- D. Bradycardia
Correct Answer: C
Rationale: Hypertension is correct. Thyroid storm is a severe, acute exacerbation of hyperthyroidism, and it is associated with hypertension, tachycardia, fever, and other symptoms of sympathetic nervous system overactivity.
A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following over-the-counter medications should the nurse identify as safe for use with warfarin?
- A. Docusate
- B. Ibuprofen
- C. Aspirin
- D. Omeprazole
Correct Answer: A
Rationale: Docusate is correct. Docusate is a stool softener, and it does not have a significant effect on blood clotting. Therefore, it is considered safe for use with warfarin, which requires careful monitoring to avoid interactions that may increase bleeding risks.
A nurse is caring for a client who has a new prescription for amlodipine. Which of the following adverse effects should the nurse monitor for?
- A. Peripheral edema
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Amlodipine, a calcium channel blocker, commonly causes peripheral edema due to vasodilation.