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A nurse is reinforcing teaching with a client who has a new prescription for a fluticasone inhaler. Which of the following instructions should the nurse include?
- A. Use it as needed for shortness of breath.
- B. Rinse your mouth after use.
- C. Take it once daily.
- D. Shake the inhaler before use.
Correct Answer: B
Rationale: Rinsing the mouth after using a fluticasone inhaler prevents oral thrush, a common side effect of inhaled corticosteroids.
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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 reinforcing teaching with a client who is scheduled for a PET scan. Which of the following instructions should the nurse include?
- A. Avoid strenuous exercise for 24 hours before the scan.
- B. Fast for 12 hours before the scan.
- C. Expect to receive general anesthesia.
- D. Remove all clothing during the scan.
Correct Answer: A
Rationale: Avoiding strenuous exercise for 24 hours before a PET scan prevents false positives from muscle uptake of the tracer.
A nurse is reinforcing teaching with a client who has a new prescription for clopidogrel. Which of the following adverse effects should the nurse include?
- A. Bleeding
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Clopidogrel, an antiplatelet medication, increases bleeding risk, which the client should monitor for.
A nurse is administering pancrelipase to a child who has cystic fibrosis. Which of the following outcomes should the nurse expect as a therapeutic effect of the treatment?
- A. Reduced fat in the stools
- B. Decreased sodium excretion
- C. Improved respiratory function
- D. Improved absorption of vitamins B and C
Correct Answer: A
Rationale: Reduced fat in the stools is correct. Pancrelipase is an enzyme replacement therapy that helps improve digestion and absorption of fats and proteins in individuals with cystic fibrosis. This treatment is especially important for those with pancreatic insufficiency, as it helps prevent the steatorrhea (fatty stools) commonly seen in these patients.
A nurse is assisting with preparing a client who is to have a central venous catheter inserted for the administration of total parenteral nutrition (TPN). Which of the following actions should the nurse take?
- A. Verify the amount of TPN solution the client is receiving every 4 hr.
- B. Place the client in Sims' position for catheter insertion
- C. Use clean technique when changing the catheter dressing
- D. Prepare the client for a chest x-ray to verify catheter placement
Correct Answer: D
Rationale: Preparing the client for a chest x-ray to verify catheter placement is correct. A chest x-ray is required to confirm correct catheter placement before TPN administration to ensure the catheter tip is in the superior vena cava and to rule out complications like pneumothorax.