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A nurse is reinforcing teaching with a client who has a new prescription for a clonidine patch. Which of the following instructions should the nurse include?
- A. Apply the patch to the same site each week.
- 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 clonidine patch to the upper arm (or other recommended sites) ensures effective delivery of the medication.
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A nurse is collecting data from a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following findings should the nurse report to the provider?
- A. Fasting blood glucose 110 mg/dL
- B. Fruity breath odor
- C. Blood pressure 132/82 mm Hg
- D. Numbness in the feet
Correct Answer: D
Rationale: Numbness in the feet suggests peripheral neuropathy, a complication of diabetes that requires prompt reporting to the provider for further evaluation.
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 an exercise stress test. Which of the following instructions should the nurse include?
- A. Eat a large meal before the test.
- B. Wear comfortable shoes.
- C. Take a sedative before the test.
- D. Avoid drinking water during the test.
Correct Answer: B
Rationale: Wearing comfortable shoes ensures safety and ease during the physical activity required for an exercise stress test.
A nurse is reinforcing teaching with a client who has a new prescription for a nystatin oral suspension. Which of the following instructions should the nurse include?
- A. Swallow the suspension immediately.
- B. Hold the suspension in the mouth for a minute.
- C. Mix the suspension with juice.
- D. Store the suspension in the refrigerator.
Correct Answer: B
Rationale: Holding nystatin oral suspension in the mouth for a minute ensures maximum contact with oral mucosa to treat thrush.
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.