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A nurse is reinforcing teaching with a client who has a new prescription for a hydrocortisone suppository. Which of the following instructions should the nurse include?
- A. Insert the suppository after a bowel movement.
- B. Store the suppository at room temperature.
- C. Use the suppository twice daily for 1 month.
- D. Lie on your back for 30 minutes after insertion.
Correct Answer: A
Rationale: Inserting the hydrocortisone suppository after a bowel movement ensures better retention and effectiveness.
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A nurse is collecting data from a client who is taking an oral contraceptive. Which of the following findings is a contraindication for the use of oral contraceptives?
- A. Headaches with aura
- B. History of mononucleosis 1 year ago.
- C. Irregular menstrual cycles
- D. Gastroesophageal reflux disease.
Correct Answer: A
Rationale: Headaches with aura is correct. Headaches with aura, a warning sign that can precede a migraine, are a contraindication for the use of oral contraceptives. This is because oral contraceptives increase the risk of stroke, especially in women who experience migraines with aura.
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 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.
A nurse is caring for a client who has a new prescription for zolpidem. Which of the following adverse effects should the nurse monitor for?
- A. Drowsiness
- B. Weight gain
- C. Hyperglycemia
- D. Tinnitus
Correct Answer: A
Rationale: Zolpidem, a sedative-hypnotic, commonly causes drowsiness, which can affect safety and coordination.
A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should sleep flat in bed at night.
- B. I should eat three large meals a day.
- C. I should avoid drinking decaffeinated coffee.
- D. I should remain upright after eating.
Correct Answer: D
Rationale: Remaining upright after eating reduces acid reflux by preventing stomach contents from flowing back into the esophagus, aiding in GERD management.