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A nurse is caring for a client who has a new prescription for valsartan. Which of the following adverse effects should the nurse monitor for?
- A. Hyperkalemia
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Valsartan, an ARB, can cause hyperkalemia by affecting potassium excretion in the kidneys.
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A nurse is reinforcing teaching with a client who is postoperative following a laparoscopic cholecystectomy. Which of the following statements by the client indicates an understanding of the teaching?
- A. I can resume my usual diet tomorrow.
- B. I should avoid lifting heavy objects for 4 to 6 weeks.
- C. I will need to return for suture removal in 7 days.
- D. I can shower after 7 days.
Correct Answer: B
Rationale: Avoiding heavy lifting for 4 to 6 weeks prevents strain on the surgical site, promoting healing after a laparoscopic cholecystectomy.
A nurse is reinforcing teaching with a client who has a new prescription for a vaginal pessary. Which of the following instructions should the nurse include?
- A. Remove the pessary daily for cleaning.
- B. Leave the pessary in place for 3 months.
- C. Insert the pessary at bedtime.
- D. Report any vaginal discomfort.
Correct Answer: D
Rationale: Reporting vaginal discomfort ensures early detection of complications like irritation or infection from the pessary.
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 caring for a client who has a new prescription for metformin. Which of the following laboratory values should the nurse monitor?
- A. Blood glucose
- B. Hemoglobin
- C. Serum creatinine
- D. Cholesterol
Correct Answer: C
Rationale: Metformin can affect kidney function, so monitoring serum creatinine is essential to assess renal clearance and prevent lactic acidosis.
A nurse is caring for a client who has a new prescription for isosorbide mononitrate. Which of the following adverse effects should the nurse monitor for?
- A. Headache
- B. Weight gain
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Isosorbide mononitrate, a nitrate, commonly causes headaches due to vasodilation, especially when starting therapy.