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A nurse is caring for a client who has a new prescription for zolpidem. Which of the following adverse effects should the nurse monitor for?
- A. Drowsiness
- B. Weight gain
- C. Hyperglycemia
- D. Tinnitus
Correct Answer: A
Rationale: Zolpidem, a sedative-hypnotic, commonly causes drowsiness, which can affect safety and coordination.
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A nurse is reinforcing teaching with a client who has a new prescription for a nicotine lozenge. Which of the following instructions should the nurse include?
- A. Chew the lozenge like gum.
- B. Avoid drinking fluids while using the lozenge.
- C. Use the lozenge every 4 hours.
- D. Store the lozenges in the refrigerator.
Correct Answer: B
Rationale: Avoiding drinking fluids while using a nicotine lozenge ensures proper absorption of nicotine through the oral mucosa.
A nurse is reinforcing teaching with a client who has a new prescription for albuterol. Which of the following adverse effects should the nurse include?
- A. Tremors
- B. Bradycardia
- C. Hypoglycemia
- D. Constipation
Correct Answer: A
Rationale: Albuterol, a beta-agonist, can cause tremors as a common side effect due to its stimulatory effect on the nervous system.
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.
A nurse is caring for a client who has a new diagnosis of polycystic ovary syndrome (PCOS). Which of the following findings should the nurse expect?
- A. Irregular periods
- B. Weight loss
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Irregular periods are a common symptom of PCOS due to hormonal imbalances affecting ovulation.
A nurse is caring for a client who has a new prescription for trazodone. Which of the following adverse effects should the nurse monitor for?
- A. Drowsiness
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Trazodone, an antidepressant, commonly causes drowsiness, which can affect safety and coordination.