Nokea
A nurse is reinforcing teaching with a client who has a new prescription for a lidocaine patch. Which of the following instructions should the nurse include?
- A. Apply the patch to broken skin.
- B. Remove the patch after 12 hours.
- C. Apply multiple patches at once.
- D. Leave the patch on for 24 hours.
Correct Answer: B
Rationale: Removing the lidocaine patch after 12 hours prevents excessive absorption and reduces the risk of side effects.
You may also like to solve these questions
A nurse is monitoring a client's lower extremity following the placement of a cast earlier in the day. Which of the following findings should the nurse identify as manifestations of compartment syndrome? (Select all that apply.)
- A. Pale-colored toes
- B. Decreased skin turgor
- C. Pain relieved by analgesia
- D. Diminished capillary refill
- E. Sensation of tingling
Correct Answer: A,D,E
Rationale: Pale-colored toes are a sign of compromised circulation, which is a key manifestation of compartment syndrome. Decreased blood flow to the affected limb can cause pallor, which requires immediate intervention to prevent permanent damage. Diminished capillary refill is correct. Delayed capillary refill (longer than 2 seconds) suggests poor perfusion, which can indicate increased pressure within the compartment. Sensation of tingling is correct. Paresthesia (tingling or numbness) is an early sign of nerve compression due to swelling within the compartment. If untreated, this can progress to permanent nerve and muscle damage.
A nurse is caring for a client who has a new prescription for valsartan. Which of the following adverse effects should the nurse monitor for?
- A. Hyperkalemia
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Valsartan, an ARB, can cause hyperkalemia by affecting potassium excretion in the kidneys.
A nurse in an acute care facility is assisting with the development of an in-service about reducing environmental stressors to improve clients' sleep. Which of the following instructions should the nurse include?
- A. Turn on overhead lights briefly when checking IV lines.
- B. Open curtains between clients in semiprivate rooms.
- C. Wear shoes with rubber soles.
- D. Conduct change-of-shift report near the clients' rooms.
Correct Answer: C
Rationale: Wearing shoes with rubber soles is correct. Rubber-soled shoes reduce noise from footsteps, minimizing disturbances in client rooms and creating a quieter environment that promotes sleep.
A nurse is caring for a client who has a new diagnosis of polycystic ovary syndrome (PCOS). Which of the following findings should the nurse expect?
- A. Irregular periods
- B. Weight loss
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Irregular periods are a common symptom of PCOS due to hormonal imbalances affecting ovulation.
A nurse is caring for a client who has a new diagnosis of restless legs syndrome. Which of the following findings should the nurse expect?
- A. Leg discomfort
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Leg discomfort, especially at night, is a hallmark symptom of restless legs syndrome, prompting movement.