Nokea
A nurse is caring for a client who is receiving oxygen at 2 L/min via nasal cannula. Which of the following actions should the nurse take?
- A. Apply petroleum jelly to the client's nares.
- B. Secure the cannula tubing behind the client's ears.
- C. Change the nasal cannula every 24 hr.
- D. Ensure the oxygen tubing is free of kinks.
Correct Answer: D
Rationale: Kink-free tubing ensures proper oxygen delivery. Petroleum jelly risks aspiration, securing tubing varies, and cannula changes aren't daily.
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A nurse is reinforcing teaching with a client about the use of budesonide for asthma management. Which of the following statements by the adolescent indicates an understanding of the teaching?
- A. I will take my inhaler treatment before each meal and at bedtime.
- B. I should use my inhaler before exercising.
- C. I should use my inhaler when I have an asthma attack.
- D. I will rinse my mouth and gargle with water after each inhaler treatment.
Correct Answer: D
Rationale: Rinsing the mouth after budesonide use prevents oral thrush, a key self-care step. Budesonide isn't timed with meals, used before exercise routinely, or for acute attacks.
A nurse is reinforcing teaching with a client who has a new prescription for losartan. Which of the following statements should the nurse include?
- A. You should take this medication with a high-potassium meal.
- B. You might experience dizziness while taking this medication.
- C. You need to limit your exercise while taking this medication.
- D. You can take this medication at any time of day.
Correct Answer: B
Rationale: Losartan can cause dizziness due to blood pressure lowering, a key safety concern. Potassium meals, exercise limits, or flexible timing aren't primary considerations.
A nurse is reinforcing teaching with a client who has a new prescription for insulin glargine. Which of the following instructions should the nurse include?
- A. Take this insulin with meals.
- B. You might gain weight while taking this insulin.
- C. Shake the vial before drawing up the insulin.
- D. Use this insulin only when your blood sugar is high.
Correct Answer: B
Rationale: Insulin glargine can cause weight gain, a side effect to monitor. It's taken daily, not with meals, shaking is avoided, and it's not for acute highs.
A nurse is reinforcing teaching with a client who has gout and a new prescription for allopurinol. Which of the following statements should the nurse include?
- A. You should limit your intake of vitamin C.
- B. You might experience a skin rash while taking this medication.
- C. You can take this medication with an antacid to reduce stomach upset.
- D. You should avoid drinking coffee while taking this medication.
Correct Answer: B
Rationale: Allopurinol can cause rashes, a potential sign of serious reactions. Vitamin C, antacids, or coffee don't significantly interact with allopurinol.
A nurse is reinforcing teaching with a client who has a new prescription for escitalopram. Which of the following statements should the nurse include?
- A. You should take this medication in the morning.
- B. You might experience sweating while taking this medication.
- C. You need to avoid dairy products while taking this medication.
- D. You can expect immediate relief from your symptoms.
Correct Answer: B
Rationale: Escitalopram can cause sweating, a side effect to anticipate. Timing is flexible, dairy isn't restricted, and relief takes weeks.