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A nurse is caring for a client who is receiving chemotherapy. Which of the following actions should the nurse take?
- A. Encourage the client to eat raw fruits and vegetables.
- B. Monitor the client's white blood cell count.
- C. Administer an antipyretic every 4 hr.
- D. Instruct the client to avoid handwashing.
Correct Answer: B
Rationale: Monitoring WBC count detects neutropenia, critical for infection prevention. Raw produce risks infection, antipyretics aren't routine, and handwashing is essential.
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A nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin sublingual tablets. Which of the following instructions should the nurse include?
- A. Keep the tablets in a dark, airtight container.
- B. Take one tablet every 15 min for chest pain.
- C. You might feel a tingling sensation under your tongue.
- D. You should swallow the tablet with water.
Correct Answer: C
Rationale: Nitroglycerin causes a tingling sensation, indicating absorption. Tablets are kept in dark containers, taken every 5 minutes for pain, and not swallowed.
A nurse is caring for a client who is postoperative following a femoral-popliteal bypass. Which of the following actions should the nurse take?
- A. Check the client's pedal pulses every 2 hr.
- B. Instruct the client to keep the affected leg in a dependent position.
- C. Apply a warm compress to the surgical site.
- D. Encourage the client to cross their legs when seated.
Correct Answer: A
Rationale: Checking pedal pulses assesses circulation, critical post-bypass. Dependent positioning risks swelling, warm compresses aren't standard, and leg crossing impairs flow.
A nurse is caring for a client who is receiving chemotherapy. Which of the following actions should the nurse take to prevent infection?
- A. Encourage the client to avoid fresh fruits and vegetables.
- B. Administer prophylactic antibiotics daily.
- C. Monitor the client's white blood cell count regularly.
- D. Instruct the client to avoid crowded places.
Correct Answer: C
Rationale: Monitoring WBC counts detects neutropenia early, guiding infection prevention. Fresh produce is safe if washed, antibiotics aren't routine, and avoiding crowds is secondary.
A nurse is reinforcing teaching with a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include?
- A. Take this medication in the morning.
- B. You might experience muscle pain while taking this medication.
- C. You need to avoid grapefruit juice while taking this medication.
- D. You should stop taking this medication if you feel dizzy.
Correct Answer: B,C
Rationale: Simvastatin can cause myopathy (muscle pain) and interacts with grapefruit juice, increasing toxicity risk. It's taken at night, and dizziness doesn't warrant stopping.
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 notice the effects of this medication for several weeks.
- C. I will need to decrease my intake of green, leafy vegetables.
- D. I can take an antacid with this medication if I get heartburn.
Correct Answer: B
Rationale: Levothyroxine's effects take weeks to manifest, reflecting proper understanding. It's taken on an empty stomach, diet doesn't need altering, and antacids can interfere.