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A nurse is caring for a client who is postoperative following a thyroidectomy. Which of the following findings should the nurse monitor for?
- A. Hypotension
- B. Hyperglycemia
- C. Hypocalcemia
- D. Bradycardia
Correct Answer: C
Rationale: Thyroidectomy risks hypoparathyroidism, leading to hypocalcemia, which can cause tetany or seizures. Hypotension, hyperglycemia, or bradycardia aren't primary concerns.
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A nurse is reinforcing teaching with a client who has a new prescription for montelukast. Which of the following statements should the nurse include?
- A. You should take this medication in the evening.
- B. You might experience weight gain while taking this medication.
- C. You need to limit your fluid intake while taking this medication.
- D. You can take this medication with an antacid.
Correct Answer: A
Rationale: Montelukast is taken in the evening for asthma control. Weight gain, fluid limits, or antacids aren't significant concerns.
A nurse is reinforcing teaching with a client who has hypertension and a new prescription for hydrochlorothiazide. Which of the following instructions should the nurse include?
- A. Increase your intake of potassium-rich foods.
- B. Take the medication at bedtime.
- C. Monitor for leg cramps.
- D. Limit your fluid intake to 1 liter daily.
Correct Answer: C
Rationale: Hydrochlorothiazide can cause hypokalemia, leading to leg cramps, which should be monitored. Potassium intake may need adjustment, it's taken in the morning, and fluid limits aren't standard.
A nurse is caring for a client who is receiving IV fluids. Which of the following actions should the nurse take to prevent infection?
- A. Change the IV tubing every 24 hr.
- B. Clean the IV insertion site with alcohol before insertion.
- C. Monitor the IV site for redness or swelling.
- D. Use a new IV catheter for each attempt.
Correct Answer: C
Rationale: Monitoring for redness or swelling detects infection early. Tubing changes are every 72-96 hours, alcohol is standard, and new catheters are used per attempt.
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take?
- A. Check the client's blood glucose levels regularly.
- B. Administer TPN through a peripheral IV line.
- C. Change the TPN bag every 48 hr.
- D. Monitor the client's blood pressure every 4 hr.
Correct Answer: A
Rationale: TPN's high glucose content requires regular blood glucose monitoring to prevent hyperglycemia. It's given centrally, bags change every 24 hours, and blood pressure isn't specific.
A nurse is reinforcing teaching with a client who has a new prescription for citalopram. Which of the following statements should the nurse include?
- A. You should take this medication at bedtime.
- B. You might experience dry mouth while taking this medication.
- C. You need to avoid tyramine-rich foods while taking this medication.
- D. You can expect symptom improvement within 48 hours.
Correct Answer: B
Rationale: Citalopram can cause dry mouth, a common side effect. Timing is flexible, tyramine isn't a concern, and effects take weeks.