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A nurse is caring for a client who has a new prescription for venlafaxine. Which of the following adverse effects should the nurse monitor for?
- A. Hypertension
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Venlafaxine, an SNRI, can cause hypertension by increasing norepinephrine levels, requiring monitoring.
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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 reinforcing teaching with a client who has a new prescription for a salmeterol 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: C
Rationale: Taking salmeterol once daily is correct, as it is a long-acting bronchodilator used for maintenance therapy in asthma or COPD.
A nurse is caring for a client who has a new prescription for sumatriptan. Which of the following adverse effects should the nurse monitor for?
- A. Chest pain
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Sumatriptan, a triptan, can cause chest pain or tightness, which may indicate vasoconstriction and requires monitoring.
A nurse is reinforcing teaching with a client's family about home oxygen use via nasal cannula. Which of the following statements by a family member indicates an understanding of the teaching?
- A. We will frequently check the top of his ears for sores.
- B. We can turn the oxygen up to 10 when he has trouble breathing.
- C. We can use petroleum jelly to keep his nares moist.
- D. We will need to remove the nasal cannula when he is eating.
Correct Answer: A
Rationale: Frequently checking the top of the ears for sores is correct. The nasal cannula tubing can cause pressure injuries behind the ears over time. The family should check for redness or sores and use protective padding or adjust the tubing as needed.
A nurse is reinforcing teaching with a client who is scheduled for a cardiac catheterization. Which of the following instructions should the nurse include?
- A. Fast for 6 hours before the procedure.
- B. Drive yourself home after the procedure.
- C. Expect to stay overnight routinely.
- D. Avoid lying flat after the procedure.
Correct Answer: A
Rationale: Fasting for 6 hours before a cardiac catheterization reduces the risk of aspiration during sedation.