Nokea
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.
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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 is reinforcing teaching with a client who has a new prescription for a vaginal pessary. Which of the following instructions should the nurse include?
- A. Remove the pessary daily for cleaning.
- B. Leave the pessary in place for 3 months.
- C. Insert the pessary at bedtime.
- D. Report any vaginal discomfort.
Correct Answer: D
Rationale: Reporting vaginal discomfort ensures early detection of complications like irritation or infection from the pessary.
A nurse is caring for a client who is receiving IV fluids and develops dyspnea. Which of the following actions should the nurse take first?
- A. Elevate the head of the bed.
- B. Increase the infusion rate.
- C. Administer oxygen.
- D. Notify the provider.
Correct Answer: A
Rationale: Elevating the head of the bed is the first action to improve breathing in a client with dyspnea, facilitating lung expansion.
A nurse is caring for a client who has a new prescription for lorazepam. Which of the following adverse effects should the nurse monitor for?
- A. Drowsiness
- B. Weight gain
- C. Hyperglycemia
- D. Tinnitus
Correct Answer: A
Rationale: Lorazepam, a benzodiazepine, commonly causes drowsiness, which can affect the client's safety and coordination.
A nurse is reinforcing discharge teaching with a client who states, 'I don't feel confident driving to my follow-up appointments.' The nurse should obtain a referral for which of the following members of the health care team?
- A. Physical therapist
- B. Primary care provider
- C. Occupational therapist
- D. Social worker
Correct Answer: D
Rationale: Referring to a social worker is correct. Social workers help clients identify resources, such as transportation services, to ensure they can attend medical appointments and access necessary care.