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A nurse is caring for a client who has a new prescription for topiramate. Which of the following adverse effects should the nurse monitor for?
- A. Drowsiness
- B. Weight gain
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Topiramate, an anticonvulsant, commonly causes drowsiness, which can affect safety and coordination.
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A nurse is collecting data from a client who has a new diagnosis of rheumatoid arthritis. Which of the following findings should the nurse expect?
- A. Morning stiffness
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Morning stiffness is a hallmark symptom of rheumatoid arthritis, lasting for hours due to joint inflammation.
A nurse is caring for a client who has a new prescription for enoxaparin. Which of the following laboratory values should the nurse monitor?
- A. Platelet count
- B. Blood urea nitrogen
- C. Serum albumin
- D. Cholesterol
Correct Answer: A
Rationale: Enoxaparin, a low-molecular-weight heparin, can cause thrombocytopenia, so platelet count monitoring is essential.
A nurse is caring for a client who has a new prescription for duloxetine. Which of the following adverse effects should the nurse monitor for?
- A. Insomnia
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Duloxetine, an SNRI, can cause insomnia due to its effect on serotonin and norepinephrine levels.
A nurse is reinforcing teaching with a client who has a new prescription for a fluticasone inhaler. Which of the following instructions should the nurse include?
- A. Use it as needed for shortness of breath.
- B. Rinse your mouth after use.
- C. Take it once daily.
- D. Shake the inhaler before use.
Correct Answer: B
Rationale: Rinsing the mouth after using a fluticasone inhaler prevents oral thrush, a common side effect of inhaled corticosteroids.
A nurse is reinforcing teaching with a client who has a new prescription for a clonidine patch. Which of the following instructions should the nurse include?
- A. Apply the patch to the same site each week.
- B. Remove the patch after 12 hours.
- C. Apply the patch to the upper arm.
- D. Leave the patch on for 48 hours.
Correct Answer: C
Rationale: Applying the clonidine patch to the upper arm (or other recommended sites) ensures effective delivery of the medication.