Nokea
A nurse is collecting data from a client who has an arm cast newly applied. Which of the following findings should the nurse report to the provider?
- A. The client reports discomfort at the cast edges.
- B. The client can wiggle their fingers freely.
- C. The cast feels warm to the touch.
- D. The client reports mild pain at the fracture site.
Correct Answer: A
Rationale: Discomfort at cast edges may indicate pressure points or improper fit, requiring immediate attention. Finger movement, warmth, and mild pain are expected.
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A nurse is reinforcing teaching with a client who has a new prescription for simvastatin. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication in the morning.
- B. I might have muscle pain while taking this medication.
- C. I need to avoid grapefruit juice.
- D. I should stop taking this medication if I feel dizzy.
Correct Answer: B,C
Rationale: Simvastatin can cause muscle pain and interacts with grapefruit juice, showing understanding. It's taken at night, and dizziness doesn't warrant stopping.
A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for metformin. Which of the following instructions should the nurse include?
- A. Take this medication on an empty stomach.
- B. You might experience a metallic taste in your mouth.
- C. You should stop taking this medication if you feel shaky.
- D. You need to limit your protein intake while taking this medication.
Correct Answer: B
Rationale: Metformin can cause a metallic taste, a common side effect to anticipate. It's taken with meals, shakiness requires glucose, and protein limits aren't needed.
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.
A nurse is caring for a client who is postoperative following a total knee arthroplasty. Which of the following actions should the nurse take?
- A. Encourage the client to flex the knee every 2 hr.
- B. Apply a continuous passive motion machine as prescribed.
- C. Instruct the client to keep the leg in a dependent position.
- D. Administer a diuretic to reduce swelling.
Correct Answer: B
Rationale: A CPM machine promotes mobility and prevents stiffness as prescribed. Flexion timing varies, dependent positioning increases swelling, and diuretics aren't routine.
A nurse is caring for a client who has a new prescription for digoxin. Which of the following actions should the nurse take?
- A. Check the client's potassium level.
- B. Administer the medication with a high-fiber meal.
- C. Instruct the client to take the medication at bedtime.
- D. Monitor the client's blood pressure every 4 hr.
Correct Answer: A
Rationale: Digoxin toxicity risks increase with hypokalemia, so potassium monitoring is essential. Fiber meals, bedtime dosing, or routine blood pressure checks aren't specific.