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A nurse is reinforcing teaching with a client who has a new prescription for a nicotine lozenge. Which of the following instructions should the nurse include?
- A. Chew the lozenge like gum.
- B. Avoid drinking fluids while using the lozenge.
- C. Use the lozenge every 4 hours.
- D. Store the lozenges in the refrigerator.
Correct Answer: B
Rationale: Avoiding drinking fluids while using a nicotine lozenge ensures proper absorption of nicotine through the oral mucosa.
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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 caring for a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following actions should the nurse take?
- A. Check the tube cuff pressure every 8 hours.
- B. Suction the tube every 4 hours.
- C. Reposition the tube every 12 hours.
- D. Clean the tube with alcohol-based solution.
Correct Answer: A
Rationale: Checking the tube cuff pressure every 8 hours ensures it remains within a safe range to prevent tracheal damage or air leaks.
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 diagnosis of hypertension. Which of the following lifestyle modifications should the nurse recommend?
- A. Increase sodium intake.
- B. Limit physical activity.
- C. Reduce stress.
- D. Avoid calcium-rich foods.
Correct Answer: C
Rationale: Reducing stress helps lower blood pressure by decreasing sympathetic nervous system activation.
A nurse is caring for a client who has a new diagnosis of hyperthyroidism. Which of the following findings should the nurse expect?
- A. Weight gain
- B. Bradycardia
- C. Heat intolerance
- D. Fatigue
Correct Answer: C
Rationale: Heat intolerance is a common symptom of hyperthyroidism due to increased metabolic rate, causing excessive heat production.