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A nurse is reinforcing teaching with a client who has a new prescription for a vaginal estrogen cream. Which of the following instructions should the nurse include?
- A. Apply the cream to the external genitalia.
- B. Use the cream daily for 3 months.
- C. Insert the applicator deeply into the vagina.
- D. Store the cream at room temperature.
Correct Answer: C
Rationale: Inserting the applicator deeply into the vagina ensures the estrogen cream is delivered effectively to treat vaginal atrophy.
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A nurse is reinforcing teaching with a client who has a new prescription for a clonazepam. Which of the following adverse effects should the nurse include?
- A. Drowsiness
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Clonazepam, a benzodiazepine, commonly causes drowsiness, which can affect safety and coordination.
A nurse is caring for a client who has a new prescription for lamotrigine. Which of the following adverse effects should the nurse monitor for?
- A. Skin rash
- B. Weight gain
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Lamotrigine, an anticonvulsant, can cause a skin rash, which may indicate a serious reaction like Stevens-Johnson syndrome.
A nurse is caring for an adolescent who states, 'I joined the track and field team, so I won't argue with my brothers anymore.' The nurse should identify that the client is using which of the following defense mechanisms?
- A. Denial
- B. Sublimation
- C. Regression
- D. Repression
Correct Answer: B
Rationale: Sublimation is correct. Sublimation is the process of channeling unacceptable impulses (such as frustration or aggression) into socially acceptable activities (such as sports or creative pursuits). By joining the track and field team instead of arguing with his brothers, the adolescent is redirecting energy into a positive outlet.
A nurse is assisting with preparing a client who is to have a central venous catheter inserted for the administration of total parenteral nutrition (TPN). Which of the following actions should the nurse take?
- A. Verify the amount of TPN solution the client is receiving every 4 hr.
- B. Place the client in Sims' position for catheter insertion
- C. Use clean technique when changing the catheter dressing
- D. Prepare the client for a chest x-ray to verify catheter placement
Correct Answer: D
Rationale: Preparing the client for a chest x-ray to verify catheter placement is correct. A chest x-ray is required to confirm correct catheter placement before TPN administration to ensure the catheter tip is in the superior vena cava and to rule out complications like pneumothorax.
A nurse is reinforcing teaching with a client who is scheduled for a pulmonary function test. Which of the following instructions should the nurse include?
- A. Avoid smoking for 6 to 8 hours before the test.
- B. Take a bronchodilator before the test.
- C. Wear tight-fitting clothing.
- D. Eat a large meal before the test.
Correct Answer: A
Rationale: Avoiding smoking for 6 to 8 hours before a pulmonary function test ensures accurate measurement of lung function.