Nokea
A nurse is caring for a client who recently gave birth to her first child. The newborn is crying, and the client states, 'I can't seem to do anything right. What should I do?' Which of the following responses should the nurse make?
- A. I'll take him back to the nursery, so you can get some rest.
- B. If I turn him on his side, maybe he'll go back to sleep.
- C. Babies need to cry soon after they are born to develop their lungs.
- D. Let me show you how to swaddle and cuddle him, then you try.
Correct Answer: D
Rationale: Showing the mother how to swaddle and cuddle the baby, then letting her try is correct. This approach provides practical guidance and empowers the mother, helping her build confidence in her ability to care for her newborn.
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A nurse is caring for a client who has a new diagnosis of epilepsy. Which of the following instructions should the nurse include in the teaching?
- A. Avoid driving until seizures are controlled.
- B. Limit fluid intake.
- C. Avoid physical activity.
- D. Take antiseizure medication at different times each day.
Correct Answer: A
Rationale: Avoiding driving until seizures are controlled ensures safety, as seizures can impair consciousness and coordination.
A nurse is caring for a client who has a new prescription for sumatriptan. Which of the following adverse effects should the nurse monitor for?
- A. Chest pain
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Sumatriptan, a triptan, can cause chest pain or tightness, which may indicate vasoconstriction and requires monitoring.
A nurse is reinforcing teaching with a client who has a new prescription for a nicotine nasal spray. Which of the following instructions should the nurse include?
- A. Use the spray every 2 hours.
- B. Avoid using it for more than 6 months.
- C. Inhale deeply after spraying.
- D. Store the spray in the refrigerator.
Correct Answer: B
Rationale: Avoiding use of nicotine nasal spray for more than 6 months prevents dependency and supports smoking cessation.
A nurse is reinforcing teaching with a client who has a new prescription for a testosterone patch. Which of the following instructions should the nurse include?
- A. Apply the patch to the scrotum.
- B. Remove the patch after 12 hours.
- C. Apply the patch to the upper arm.
- D. Leave the patch on for 48 hours.
Correct Answer: C
Rationale: Applying the testosterone patch to the upper arm (or other recommended sites) ensures effective hormone absorption.
A nurse is caring for a client who has a new prescription for risedronate. Which of the following adverse effects should the nurse monitor for?
- A. Esophageal irritation
- B. Weight gain
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Risedronate, a bisphosphonate, can cause esophageal irritation if not taken with water and while upright.