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A nurse is caring for a client who has a new prescription for risedronate. Which of the following adverse effects should the nurse monitor for?
- A. Esophageal irritation
- B. Weight gain
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Risedronate, a bisphosphonate, can cause esophageal irritation if not taken with water and while upright.
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A nurse is caring for a client who is receiving IV vancomycin. Which of the following findings should the nurse report to the provider?
- A. Redness at the IV site
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Redness at the IV site may indicate phlebitis or infiltration, requiring immediate reporting to prevent complications.
A nurse is caring for a client who has a new prescription for prednisone. Which of the following adverse effects should the nurse monitor for?
- A. Hypoglycemia
- B. Weight loss
- C. Bradycardia
- D. Insomnia
Correct Answer: D
Rationale: Prednisone, a corticosteroid, can cause insomnia due to its stimulatory effect on the central nervous system.
A nurse is reinforcing teaching with a client who is scheduled for a Holter monitor. Which of the following instructions should the nurse include?
- A. Avoid showering while wearing the monitor.
- B. Exercise more than usual during the test.
- C. Remove the monitor before sleeping.
- D. Keep a diary of activities.
Correct Answer: D
Rationale: Keeping a diary of activities helps correlate symptoms with heart rhythm changes recorded by the Holter monitor.
A nurse is caring for a client who has an indwelling catheter with a urinary drainage system. Which of the following actions should the nurse take?
- A. Instruct the client to hold the drainage bag at waist height when ambulating.
- B. Coil the tubing on the bed above the collection bag.
- C. Collect a sterile specimen from the urinary drainage bag.
- D. Secure the tubing with adhesive tape to the lower abdomen.
Correct Answer: D
Rationale: Securing the tubing with adhesive tape to the lower abdomen is correct. For male clients, securing the catheter to the lower abdomen prevents urethral trauma and tension. For female clients, the catheter is typically secured to the inner thigh to minimize movement and irritation.
A nurse is caring for a client who has a new diagnosis of fibromyalgia. Which of the following findings should the nurse expect?
- A. Chronic pain
- B. Weight loss
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Chronic pain, often widespread, is a hallmark symptom of fibromyalgia affecting muscles and joints.