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A nurse is caring for a client who has a new prescription for varenicline. 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: Varenicline, used for smoking cessation, can cause mood changes, including depression or agitation, requiring monitoring.
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A nurse is reinforcing teaching with a client who has a new prescription for insulin glargine. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will take this insulin before meals.
- B. I will rotate injection sites.
- C. I will shake the vial before drawing up the insulin.
- D. I will store the insulin in the freezer.
Correct Answer: B
Rationale: Rotating injection sites prevents lipodystrophy and ensures consistent insulin absorption.
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.
A community health nurse is assisting with the development of a pamphlet regarding choking hazards for toddlers. Which of the following foods should the nurse include?
- A. Oranges
- B. Potatoes
- C. Grapes
- D. Corn
Correct Answer: C
Rationale: Grapes are correct. Whole grapes are a known choking hazard for toddlers due to their size and shape, which can easily obstruct the airway. They should be cut into smaller pieces to reduce the risk.
A nurse in a long-term care facility is contributing to the plan of care for a client who has a new prescription for propranolol. The nurse should plan to monitor the client for which of the following adverse effects of the medication?
- A. Ringing in the ears
- B. Bradycardia
- C. Hypertension
- D. Headache
Correct Answer: B
Rationale: Bradycardia is correct. Propranolol is a beta-blocker that reduces heart rate and blood pressure by blocking beta-adrenergic receptors. One of its primary adverse effects is bradycardia (slow heart rate), which can lead to dizziness, fatigue, or hypotension.
A nurse is caring for a client who has a prescription for NPH insulin 10 units and regular insulin 15 units subcutaneously. After injecting 10 units of air into the NPH insulin vial, which of the following actions should the nurse take next?
- A. Inject 15 units of air into the regular insulin vial.
- B. Place the cap over the needle.
- C. Verify the dosage with another nurse.
- D. Withdraw 10 units of NPH insulin.
Correct Answer: A
Rationale: Injecting 15 units of air into the regular insulin vial is correct. When drawing up two types of insulin, the nurse should first inject air into the NPH (cloudy) insulin vial without withdrawing the medication. Then, the nurse should inject air into the regular (clear) insulin vial before withdrawing the regular insulin. This prevents contamination and maintains proper insulin mixing procedures.