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A nurse is reinforcing teaching with a client who has a new prescription for a combination oral contraceptive. Which of the following adverse effects should the nurse include?
- A. Weight gain
- B. Hypoglycemia
- C. Bradycardia
- D. Tinnitus
Correct Answer: A
Rationale: Combination oral contraceptives can cause weight gain due to hormonal effects on fluid retention and metabolism.
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A nurse is caring for a client who has a new prescription for topiramate. Which of the following adverse effects should the nurse monitor for?
- A. Drowsiness
- B. Weight gain
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Topiramate, an anticonvulsant, commonly causes drowsiness, which can affect safety and coordination.
A nurse is caring for a client who has a prescription for NPH insulin 10 units and regular insulin 15 units subcutaneously. After injecting 10 units of air into the NPH insulin vial, which of the following actions should the nurse take next?
- A. Inject 15 units of air into the regular insulin vial.
- B. Place the cap over the needle.
- C. Verify the dosage with another nurse.
- D. Withdraw 10 units of NPH insulin.
Correct Answer: A
Rationale: Injecting 15 units of air into the regular insulin vial is correct. When drawing up two types of insulin, the nurse should first inject air into the NPH (cloudy) insulin vial without withdrawing the medication. Then, the nurse should inject air into the regular (clear) insulin vial before withdrawing the regular insulin. This prevents contamination and maintains proper insulin mixing procedures.
A nurse is reinforcing teaching with a client who is scheduled for a Holter monitor. Which of the following instructions should the nurse include?
- A. Avoid showering while wearing the monitor.
- B. Exercise more than usual during the test.
- C. Remove the monitor before sleeping.
- D. Keep a diary of activities.
Correct Answer: D
Rationale: Keeping a diary of activities helps correlate symptoms with heart rhythm changes recorded by the Holter monitor.
A nurse is caring for a client who has a new prescription for cyclobenzaprine. Which of the following adverse effects should the nurse monitor for?
- A. Drowsiness
- B. Weight gain
- C. Hyperglycemia
- D. Tinnitus
Correct Answer: A
Rationale: Cyclobenzaprine, a muscle relaxant, commonly causes drowsiness, which can affect safety and coordination.
A client who has type 1 diabetes mellitus asks a nurse about beginning an exercise regimen. Which of the following instructions should the nurse include?
- A. Exercise when insulin is at its peak action.
- B. Eat a piece of fruit before exercising.
- C. Inject additional insulin before exercising.
- D. Avoid protein before exercising.
Correct Answer: B
Rationale: Eating a piece of fruit before exercising is correct. A small carbohydrate snack before exercise helps prevent hypoglycemia, especially for clients with type 1 diabetes. The body requires glucose for energy, and exercise can lower blood sugar levels rapidly.