Nokea
A nurse is caring for a client who has Clostridium difficile. When applying a cover gown, which of the following techniques should the nurse use?
- A. Tie the gown with the gloves on.
- B. Tuck the glove cuffs under the gown sleeves.
- C. Apply the gown before the gloves.
- D. Push the gown sleeves up to the elbows.
Correct Answer: C
Rationale: Applying the gown before the gloves is correct. According to infection control guidelines, the gown should be worn first, followed by gloves. This technique ensures that the gown covers the sleeves properly and that the gloves are overlapping the gown cuffs, reducing the risk of contamination.
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A nurse is reinforcing teaching with a client who has a new prescription for levothyroxine. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication with a meal to avoid stomach upset.
- B. I might not have an appetite while taking this medication.
- C. I should take this medication at the same time every day.
- D. I might need a higher dose of this medication when I am older.
Correct Answer: C
Rationale: Taking levothyroxine at the same time every day ensures consistent blood levels, optimizing its effectiveness in treating hypothyroidism.
A nurse is caring for a client who has a new diagnosis of Sjögren's syndrome. Which of the following findings should the nurse expect?
- A. Dry eyes
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Dry eyes are a hallmark symptom of Sjögren's syndrome due to decreased tear production from autoimmune gland dysfunction.
A nurse is reinforcing teaching with a client who has a new prescription for atorvastatin. Which of the following adverse effects should the nurse include?
- A. Muscle pain
- B. Weight gain
- C. Hypoglycemia
- D. Tinnitus
Correct Answer: A
Rationale: Atorvastatin, a statin, can cause muscle pain (myalgia), a common side effect that may indicate myopathy.
A nurse is reinforcing teaching with a client who has a new prescription for a fentanyl patch. Which of the following instructions should the nurse include?
- A. Apply the patch to the same site each time.
- B. Remove the patch after 24 hours.
- C. Apply the patch to broken skin.
- D. Dispose of the patch in a sharps container.
Correct Answer: D
Rationale: Disposing of the fentanyl patch in a sharps container or per facility protocol prevents accidental exposure to the potent opioid.
A nurse is collecting data from a client who has a new diagnosis of rheumatoid arthritis. Which of the following findings should the nurse expect?
- A. Morning stiffness
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Morning stiffness is a hallmark symptom of rheumatoid arthritis, lasting for hours due to joint inflammation.