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A nurse is caring for a client who is postoperative following a hysterectomy. Which of the following actions should the nurse take?
- A. Encourage the client to ambulate as tolerated.
- B. Instruct the client to avoid deep breathing exercises.
- C. Apply a warm compress to the incision site.
- D. Administer a sedative every 4 hr.
Correct Answer: A
Rationale: Ambulation prevents complications like thromboembolism. Deep breathing aids recovery, warm compresses risk infection, and sedatives aren't routine.
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A nurse is reinforcing teaching with a client who has a new prescription for furosemide. Which of the following instructions should the nurse include?
- A. Take this medication at bedtime.
- B. You might need to eat more potassium-rich foods.
- C. You need to limit your fluid intake.
- D. You should stop taking this medication if you feel dizzy.
Correct Answer: B
Rationale: Furosemide causes potassium loss, so increasing intake helps prevent hypokalemia. It's taken in the morning, fluid limits aren't standard, and dizziness needs evaluation.
A nurse is reinforcing teaching with a client who has a new prescription for atorvastatin. Which of the following statements should the nurse include?
- A. You should take this medication in the morning.
- B. You might experience muscle pain while taking this medication.
- C. You need to avoid eating grapefruit while taking this medication.
- D. You should stop taking this medication if you feel dizzy.
Correct Answer: B
Rationale: Atorvastatin can cause myopathy, so muscle pain should be monitored. It's taken at night, grapefruit interaction is minimal, and dizziness doesn't warrant stopping.
A nurse is caring for a client who has been admitted to the mental health unit. While reinforcing teaching about the client's prescribed medications, the nurse communicates truthfully about the adverse effects of the medications. Which of the following ethical concepts is the nurse exhibiting?
- A. Justice
- B. Autonomy
- C. Veracity
- D. Beneficence
Correct Answer: C
Rationale: Veracity involves truthful communication. By honestly discussing medication side effects, the nurse upholds this principle, supporting informed decision-making.
A nurse is caring for a client who is postoperative following a hip replacement. Which of the following actions should the nurse take?
- A. Place an abduction pillow between the client's legs.
- B. Instruct the client to bend at the hip when sitting.
- C. Apply a warm compress to the surgical site.
- D. Encourage the client to cross their legs when seated.
Correct Answer: A
Rationale: An abduction pillow prevents dislocation by maintaining hip alignment. Bending, warm compresses, and leg crossing increase dislocation risk.
A nurse in a mental health facility is caring for a client who expresses anxiety about exercising in the outdoor courtyard. The nurse promises to walk with the client in the courtyard each day. Which of the following ethical principles is the nurse demonstrating?
- A. Justice
- B. Fidelity
- C. Autonomy
- D. Nonmaleficence
Correct Answer: B
Rationale: Fidelity involves keeping promises and maintaining trust. By committing to walk with the client, the nurse upholds this principle, fostering a supportive relationship.