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A nurse is reinforcing teaching with a client who has a new prescription for a budesonide inhaler. Which of the following instructions should the nurse include?
- A. Rinse your mouth after use.
- B. Use it as needed for shortness of breath.
- C. Take it twice daily.
- D. Shake the inhaler before use.
Correct Answer: A
Rationale: Rinsing the mouth after using a budesonide inhaler prevents oral thrush, a common side effect of inhaled corticosteroids.
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A nurse is caring for a client who has Clostridium difficile. When applying a cover gown, which of the following techniques should the nurse use?
- A. Tie the gown with the gloves on.
- B. Tuck the glove cuffs under the gown sleeves.
- C. Apply the gown before the gloves.
- D. Push the gown sleeves up to the elbows.
Correct Answer: C
Rationale: Applying the gown before the gloves is correct. According to infection control guidelines, the gown should be worn first, followed by gloves. This technique ensures that the gown covers the sleeves properly and that the gloves are overlapping the gown cuffs, reducing the risk of contamination.
A nurse is reinforcing teaching with a client who has a new prescription for a medicated foot powder. Which of the following instructions should the nurse include?
- A. Apply the powder to wet feet.
- B. Use the powder twice a week.
- C. Apply a thick layer between the toes.
- D. Wear socks after applying the powder.
Correct Answer: D
Rationale: Wearing socks after applying medicated foot powder helps keep the medication in place and prevents spreading.
A nurse is providing preoperative care to a client who reports he has no one at home to help him after his outpatient surgery. Which of the following actions should the nurse take?
- A. Assist with a referral to a home health care agency.
- B. Call the provider about admitting the client to the facility overnight.
- C. Give the client a list of home care assistants to contact.
- D. Contact the next of kin to assist the client at home.
Correct Answer: A
Rationale: Assist with a referral to a home health care agency is correct. If the client has no one to assist them at home after surgery, a home health care agency can provide the necessary support. This is a proactive solution to ensure the client has assistance for postoperative recovery, including monitoring for complications, assistance with mobility, and other care needs.
A nurse is reinforcing teaching with a client who has a new prescription for doxycycline. Which of the following instructions should the nurse include?
- A. Take the medication with milk.
- B. Lie down for 30 minutes after taking it.
- C. Take it on an empty stomach.
- D. Avoid sun exposure.
Correct Answer: D
Rationale: Avoiding sun exposure is critical with doxycycline, as it can cause photosensitivity, leading to severe sunburn.
A nurse is caring for a client who has a new diagnosis of sarcoidosis. Which of the following findings should the nurse expect?
- A. Lung nodules
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Lung nodules are a common finding in sarcoidosis due to granuloma formation in the lungs.