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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.
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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 is collecting data from a client who has anorexia nervosa. Which of the following findings should the nurse identify as a positive outcome of treatment?
- A. The client's potassium level is 2.7 mEq/L
- B. The client resumes menstruation.
- C. The client's pulse rate is 44/min.
- D. The client develops lanugo.
Correct Answer: B
Rationale: The client resumes menstruation is correct. The resumption of menstruation is a positive outcome of treatment for anorexia nervosa. It indicates that the client's nutritional status has improved and that the body is starting to regain normal function after addressing issues like malnutrition and hormonal imbalances.
A nurse is caring for a client who has a new diagnosis of shingles. Which of the following findings should the nurse expect?
- A. Painful rash
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: A painful rash, often unilateral and following a dermatomal pattern, is a hallmark symptom of shingles.
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.
A nurse is caring for a client who has a new diagnosis of osteoporosis. Which of the following dietary recommendations should the nurse make?
- A. Increase calcium intake.
- B. Limit protein intake.
- C. Avoid whole grains.
- D. Reduce vitamin D intake.
Correct Answer: A
Rationale: Increasing calcium intake supports bone health and helps prevent further bone loss in osteoporosis.