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A nurse is caring for a client who has a prescription for clopidogrel. Which of the following actions should the nurse plan to take?
- A. Administer the medication with each meal.
- B. Initiate contact precautions.
- C. Have suction equipment at the bedside.
- D. Monitor the client for black, tarry stools.
Correct Answer: D
Rationale: Monitoring for black, tarry stools is crucial as clopidogrel increases bleeding risk, indicating potential gastrointestinal bleeding.
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A nurse is reinforcing discharge instructions to a client who is postoperative from a hip arthroplasty. Which of the following statements by the client indicates a correct understanding of the teaching?
- A. I will avoid wearing socks on my feet.
- B. I will avoid performing leg exercises.
- C. I will avoid crossing my legs for the first 3 months after surgery.
- D. I will avoid lying on the side of my surgery when I get home.
Correct Answer: C
Rationale: Avoiding crossing the legs for the first 3 months after surgery helps prevent dislocation of the hip joint and promotes proper healing.
A nurse is caring for a client who has COPD. Which of the following actions should the nurse take?
- A. Provide the client with a low protein diet.
- B. Instruct the client to cough every 4 hr.
- C. Advise the client to lie down after eating.
- D. Encourage the client to drink 8 glasses of water a day.
Correct Answer: D
Rationale: Encouraging 8 glasses of water daily helps thin mucus secretions, improving airway clearance and reducing infection risk in COPD clients.
A nurse in a clinic is caring for a client who has heart failure and is taking digoxin. Which of the following statements by the client indicates the client is experiencing digoxin toxicity?
- A. My tongue is red and beefy.
- B. I am constipated.
- C. My vision seems yellow.
- D. I am gaining weight.
Correct Answer: C
Rationale: Yellow vision (xanthopsia) is a classic symptom of digoxin toxicity, caused by its effects on the optic nerve.
A nurse is emptying a client's urinal when she notices the urine is dark amber, cloudy, and has an unpleasant odor. The nurse should identify that these findings are likely to be the result of which of the following?
- A. Urinary tract infection.
- B. Dehydration.
- C. Kidney stones.
- D. Liver disease.
Correct Answer: A
Rationale: Dark amber, cloudy urine with an unpleasant odor is commonly caused by a urinary tract infection due to bacterial inflammation and pus in the urine.
A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following risk factors should the nurse identify as contributing?
- A. High-purine diet.
- B. Female gender.
- C. Dehydration.
- D. Family history.
Correct Answer: C
Rationale: Dehydration is a major risk factor for urolithiasis, concentrating urine and promoting stone formation.