A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take?
- A. Monitor the client's weight weekly.
- B. Check the client's blood glucose every 12 hours.
- C. Change the TPN bag every 48 hours.
- D. Administer TPN through a peripheral IV line.
Correct Answer: B
Rationale: Checking blood glucose every 12 hours is necessary, as TPN contains high dextrose concentrations that can cause hyperglycemia.
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A nurse is caring for a client who has a new prescription for bupropion. Which of the following adverse effects should the nurse monitor for?
- A. Insomnia
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Bupropion, an antidepressant, can cause insomnia due to its stimulatory effect on the central nervous system.
A nurse is caring for a client who has a new prescription for tamsulosin. Which of the following adverse effects should the nurse monitor for?
- A. Orthostatic hypotension
- B. Weight gain
- C. Hyperglycemia
- D. Tinnitus
Correct Answer: A
Rationale: Tamsulosin, an alpha-blocker, can cause orthostatic hypotension due to vasodilation, especially with the first dose.
A nurse is reinforcing teaching with a client who is scheduled for a HIDA scan. Which of the following instructions should the nurse include?
- A. Fast for 4 hours before the scan.
- B. Avoid dairy products after the scan.
- C. Expect general anesthesia.
- D. Remove all clothing during the scan.
Correct Answer: A
Rationale: Fasting for 4 hours before a HIDA scan ensures accurate imaging of gallbladder function.
A nurse is caring for a client who has a new prescription for rivaroxaban. Which of the following adverse effects should the nurse monitor for?
- A. Bleeding
- B. Weight gain
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Rivaroxaban, an anticoagulant, increases bleeding risk, which requires careful monitoring.
A nurse is reinforcing teaching with a client who is scheduled for a thyroid scan. Which of the following instructions should the nurse include?
- A. Avoid iodine-rich foods for 2 weeks before the scan.
- B. Fast for 12 hours before the scan.
- C. Expect to receive general anesthesia.
- D. Remove all jewelry after the scan.
Correct Answer: A
Rationale: Avoiding iodine-rich foods for 2 weeks before a thyroid scan ensures accurate uptake of the radioactive tracer.
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