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A nurse is caring for a client who has bulimia nervosa. Which of the following actions should the nurse take first?
- A. Observe the client during and after meals.
- B. Suggest that the client assist with meal planning.
- C. Instruct the client about effective coping strategies.
- D. Refer the client to a support group for clients who have eating disorders.
Correct Answer: A
Rationale: Observing during and after meals monitors for purging behaviors, a priority for safety in bulimia. Meal planning, coping strategies, and support groups follow after ensuring immediate safety.
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A nurse is caring for a client who is receiving mechanical ventilation. Which of the following actions should the nurse take?
- A. Check the ventilator settings every 8 hr.
- B. Suction the endotracheal tube every 4 hr.
- C. Monitor the client's oxygen saturation continuously.
- D. Administer a bronchodilator every 12 hr.
Correct Answer: C
Rationale: Continuous oxygen saturation monitoring ensures adequate ventilation. Settings checks, suctioning, and bronchodilators depend on specific needs, not fixed schedules.
A nurse is reinforcing teaching with a client who has a new prescription for gabapentin. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication with a high-fat meal.
- B. I might feel sleepy while taking this medication.
- C. I need to avoid sunlight while taking this medication.
- D. I can stop taking this medication as soon as my pain goes away.
Correct Answer: B
Rationale: Gabapentin can cause drowsiness, reflecting understanding. Food intake is flexible, sunlight isn't a concern, and stopping needs tapering.
A nurse is reinforcing teaching with a client who has a new prescription for clopidogrel. Which of the following statements should the nurse include?
- A. Take this medication with food to prevent stomach upset.
- B. You might experience bruising more easily.
- C. You need to avoid eating citrus fruits.
- D. You should take this medication at bedtime.
Correct Answer: B
Rationale: Clopidogrel increases bleeding risk, leading to easy bruising. Food isn't required, citrus isn't restricted, and timing is flexible.
A nurse is caring for a client who is postoperative following a mastectomy. Which of the following actions should the nurse take?
- A. Encourage the client to perform arm exercises on the affected side.
- B. Instruct the client to keep the affected arm dependent.
- C. Apply a cold pack to the surgical site every 2 hr.
- D. Administer a diuretic to reduce arm swelling.
Correct Answer: A
Rationale: Arm exercises prevent lymphedema and promote mobility. Dependent positioning worsens swelling, cold packs aren't standard, and diuretics aren't routine.
A nurse is caring for a client who has a new prescription for furosemide. Which of the following laboratory values should the nurse monitor?
- A. Sodium
- B. Calcium
- C. Potassium
- D. Magnesium
Correct Answer: C
Rationale: Furosemide can cause hypokalemia, so potassium levels must be monitored. Sodium, calcium, or magnesium aren't primarily affected.