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A nurse is reinforcing teaching with a client who has a new prescription for a salmeterol inhaler. Which of the following instructions should the nurse include?
- A. Use it as needed for shortness of breath.
- B. Rinse your mouth after use.
- C. Take it once daily.
- D. Shake the inhaler before use.
Correct Answer: C
Rationale: Taking salmeterol once daily is correct, as it is a long-acting bronchodilator used for maintenance therapy in asthma or COPD.
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A nurse is reinforcing teaching with a client who is scheduled for a lumbar puncture. Which of the following instructions should the nurse include?
- A. Avoid eating after midnight before the procedure.
- B. Lie flat for 4 to 6 hours after the procedure.
- C. Expect general anesthesia during the procedure.
- D. Avoid drinking fluids for 12 hours before the procedure.
Correct Answer: B
Rationale: Lying flat for 4 to 6 hours after a lumbar puncture prevents cerebrospinal fluid leakage and reduces headache risk.
A nurse is caring for a client who has a new prescription for enoxaparin. Which of the following laboratory values should the nurse monitor?
- A. Platelet count
- B. Blood urea nitrogen
- C. Serum albumin
- D. Cholesterol
Correct Answer: A
Rationale: Enoxaparin, a low-molecular-weight heparin, can cause thrombocytopenia, so platelet count monitoring is essential.
A nurse is reinforcing teaching with a client who is scheduled for a tilt-table test. Which of the following instructions should the nurse include?
- A. Fast for 4 hours before the test.
- B. Wear tight-fitting clothing.
- C. Take a sedative before the test.
- D. Avoid drinking fluids during the test.
Correct Answer: A
Rationale: Fasting for 4 hours before a tilt-table test reduces the risk of nausea or vomiting during positional changes.
A nurse is reinforcing teaching with a client who has a new prescription for a fentanyl patch. Which of the following instructions should the nurse include?
- A. Apply the patch to the same site each time.
- B. Remove the patch after 24 hours.
- C. Apply the patch to broken skin.
- D. Dispose of the patch in a sharps container.
Correct Answer: D
Rationale: Disposing of the fentanyl patch in a sharps container or per facility protocol prevents accidental exposure to the potent opioid.
A nurse is caring for a client who has a new prescription for oxybutynin. Which of the following adverse effects should the nurse monitor for?
- A. Dry mouth
- B. Weight gain
- C. Hyperglycemia
- D. Tinnitus
Correct Answer: A
Rationale: Oxybutynin, an anticholinergic, commonly causes dry mouth due to reduced salivary production.