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A nurse is reinforcing teaching with a client who has a new prescription for a progesterone injection. Which of the following instructions should the nurse include?
- A. Inject into the thigh.
- B. Rotate injection sites.
- C. Store the medication in the refrigerator.
- D. Massage the site after injection.
Correct Answer: B
Rationale: Rotating injection sites for progesterone injections prevents tissue irritation and ensures consistent absorption.
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A nurse is caring for a client who has a new prescription for sumatriptan. Which of the following adverse effects should the nurse monitor for?
- A. Chest pain
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Sumatriptan, a triptan, can cause chest pain or tightness, which may indicate vasoconstriction and requires monitoring.
A nurse is caring for a client who has a new prescription for prednisone. Which of the following adverse effects should the nurse monitor for?
- A. Hypoglycemia
- B. Weight loss
- C. Bradycardia
- D. Insomnia
Correct Answer: D
Rationale: Prednisone, a corticosteroid, can cause insomnia due to its stimulatory effect on the central nervous system.
A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following over-the-counter medications should the nurse identify as safe for use with warfarin?
- A. Docusate
- B. Ibuprofen
- C. Aspirin
- D. Omeprazole
Correct Answer: A
Rationale: Docusate is correct. Docusate is a stool softener, and it does not have a significant effect on blood clotting. Therefore, it is considered safe for use with warfarin, which requires careful monitoring to avoid interactions that may increase bleeding risks.
A nurse is assisting with the care of a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?
- A. Check gastric residual volume every 8 hours.
- B. Flush the tube with cold water every 4 hours.
- C. Position the client flat during feeding.
- D. Change the feeding bag every 72 hours.
Correct Answer: C
Rationale: Positioning the client with the head of the bed elevated during feeding reduces the risk of aspiration, a critical safety measure.
A nurse is caring for a client who has a new prescription for venlafaxine. Which of the following adverse effects should the nurse monitor for?
- A. Hypertension
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Venlafaxine, an SNRI, can cause hypertension by increasing norepinephrine levels, requiring monitoring.