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A nurse is caring for a client who is receiving a unit of packed red blood cells. Which of the following actions should the nurse take?
- A. Infuse the blood over 6 hr.
- B. Check the client's temperature every 30 min.
- C. Administer the blood through a 22-gauge IV catheter.
- D. Flush the IV line with dextrose 5% in water before infusion.
Correct Answer: B
Rationale: Monitoring temperature every 30 minutes detects transfusion reactions early. Blood infuses over 2-4 hours, requires a large-gauge catheter, and saline, not dextrose, is used.
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A nurse is reinforcing teaching with a client who has a new prescription for doxycycline. Which of the following statements should the nurse include?
- A. You should take this medication on an empty stomach.
- B. You might experience sensitivity to sunlight.
- C. You need to refrigerate this medication.
- D. You can take this medication with an antacid.
Correct Answer: B
Rationale: Doxycycline increases photosensitivity, requiring sun protection. It's taken with food to avoid upset, doesn't need refrigeration, and antacids reduce absorption.
A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following statements should the nurse include?
- A. You should avoid eating spinach and kale.
- B. You can take ibuprofen for a headache.
- C. You should take the medication at bedtime.
- D. You can continue to participate in contact sports.
Correct Answer: A
Rationale: Spinach and kale, high in vitamin K, can interfere with warfarin's anticoagulant effect. Ibuprofen, variable dosing times, or contact sports increase bleeding risks.
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 is reinforcing teaching with a client who has a new prescription for pantoprazole. Which of the following instructions should the nurse include?
- A. Take this medication at bedtime.
- B. You might experience diarrhea while taking this medication.
- C. You need to take this medication with an antacid.
- D. You should stop taking this medication if your symptoms improve.
Correct Answer: B
Rationale: Pantoprazole can cause diarrhea, a side effect to monitor. It's taken before meals, antacids aren't needed, and stopping early risks symptom recurrence.
A nurse is reinforcing teaching with a client who has a new prescription for duloxetine. Which of the following statements should the nurse include?
- A. You should take this medication in the morning.
- B. You might experience nausea while taking this medication.
- C. You need to avoid sunlight while taking this medication.
- D. You can stop taking this medication as soon as you feel better.
Correct Answer: B
Rationale: Duloxetine can cause nausea, a common side effect. Timing is flexible, sunlight avoidance isn't needed, and abrupt stopping risks withdrawal.