Nokea
A nurse is providing teaching to a client who has hypertension and a new prescription for hydrochlorothiazide. Which of the following instructions should the nurse provide?
- A. Take the medication early in the day.
- B. Take the medication at bedtime.
- C. Take the medication with food.
- D. Take the medication only when blood pressure is high.
Correct Answer: A
Rationale: The correct answer is A: Take the medication early in the day. Hydrochlorothiazide is a diuretic that increases urine production, which can cause frequent urination. Taking it early helps prevent nighttime urination, promoting better sleep. Taking it with food may reduce gastrointestinal upset. Taking it only when blood pressure is high is incorrect, as it should be taken regularly to maintain consistent blood pressure control. Bedtime dosing may lead to nocturnal diuresis and disturb sleep. The other choices are irrelevant or incorrect in the context of hydrochlorothiazide administration.
You may also like to solve these questions
A nurse is evaluating teaching on a client who has a new prescription for montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching?
- A. I'll take this medication once a day in the evening.
- B. I'll take this medication only when I have an asthma attack.
- C. I'll take this medication in the morning before exercise.
- D. I'll stop the medication if I feel better.
Correct Answer: A
Rationale: Correct Answer: A. "I'll take this medication once a day in the evening."
Rationale:
1. Montelukast is usually taken once daily in the evening to provide optimal control of asthma symptoms.
2. Taking it consistently at the same time every day helps maintain a steady level of the medication in the body.
3. This statement shows the client understands the prescribed dosing schedule and is likely to adhere to it.
Summary of other choices:
B. Incorrect: Waiting to take the medication only during an asthma attack is not the correct way to manage asthma as montelukast is meant for daily maintenance.
C. Incorrect: Taking the medication before exercise is not the recommended timing for montelukast administration.
D. Incorrect: Stopping the medication when feeling better can lead to a worsening of asthma symptoms as montelukast helps prevent asthma attacks.
A nurse in a clinic is teaching information about cervical polyps with a client who has a new diagnosis. Which of the following information should the nurse include in the teaching?
- A. Postcoital bleeding may occur.
- B. A pelvic ultrasound is required for diagnosis.
- C. Cervical polyps usually resolve without treatment.
- D. Cervical polyps are rarely associated with cancer.
Correct Answer: A
Rationale: The correct answer is A: Postcoital bleeding may occur. This information is essential to include in teaching about cervical polyps because it is a common symptom associated with this condition. Cervical polyps are benign growths on the cervix that can cause bleeding, especially after intercourse. It is crucial for the client to be aware of this symptom to monitor for any abnormal bleeding and seek medical attention if necessary.
Option B is incorrect because a pelvic ultrasound is not always required for diagnosing cervical polyps; they can often be diagnosed through a pelvic exam. Option C is incorrect because not all cervical polyps resolve on their own and may require treatment if symptomatic. Option D is incorrect because while cervical polyps are usually benign, they can be associated with an increased risk of cervical cancer in some cases.
A nurse is teaching self-management to a client who has hepatitis B. Which of the following instructions should the nurse include in the teaching?
- A. Limit salt intake.
- B. Avoid consuming alcohol.
- C. Engage in light exercise regularly.
- D. Rest frequently throughout the day.
Correct Answer: D
Rationale: The correct answer is D: Rest frequently throughout the day. For a client with hepatitis B, rest is essential to allow the body to recover and heal. Hepatitis B can cause fatigue and weakness, so resting frequently helps to conserve energy and support the immune system in fighting the infection. Limiting salt intake (Choice A) is not directly related to managing hepatitis B. Avoiding alcohol (Choice B) is important but more for liver health in general, not specifically for hepatitis B. Engaging in light exercise regularly (Choice C) may be beneficial for overall health, but during active hepatitis B infection, rest is more crucial.
A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan?
- A. Avoid foods high in fat.
- B. Avoid foods high in carbohydrates.
- C. Eat a high-protein, low-fat diet.
- D. Increase intake of high-fat foods.
Correct Answer: A
Rationale: The correct answer is A: Avoid foods high in fat. Biliary colic is caused by gallstones, and high-fat foods can trigger gallbladder contractions leading to pain. Therefore, advising the client to avoid foods high in fat can help prevent biliary colic episodes. Choice B is incorrect as carbohydrates do not directly affect biliary colic. Choice C is incorrect because while a high-protein, low-fat diet may be beneficial for some conditions, it is not specifically recommended for biliary colic. Choice D is incorrect as increasing intake of high-fat foods can worsen symptoms.
A nurse is monitoring a client who was admitted with a severe burn injury and is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?
- A. Blood pressure
- B. Heart rate
- C. Urine output
- D. Respiratory rate
Correct Answer: B
Rationale: The correct answer is B: Heart rate. A decrease in heart rate indicates adequate fluid replacement in a burn-injured patient due to improved cardiac output and perfusion. When fluid resuscitation is effective, the heart doesn't need to work as hard to maintain circulation. Blood pressure (choice A) may fluctuate initially but is not a reliable indicator of fluid replacement alone. Urine output (choice C) is important but may take time to stabilize. Respiratory rate (choice D) may be affected by pain or stress, not solely fluid status. Other choices are not relevant.