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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.
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A nurse is caring for a client who has a new diagnosis of polycystic ovary syndrome (PCOS). Which of the following findings should the nurse expect?
- A. Irregular periods
- B. Weight loss
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Irregular periods are a common symptom of PCOS due to hormonal imbalances affecting ovulation.
A nurse is caring for a client who has a new diagnosis of Bell's palsy. Which of the following findings should the nurse expect?
- A. Facial drooping
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Facial drooping, typically unilateral, is a hallmark symptom of Bell's palsy due to facial nerve paralysis.
A nurse is reinforcing teaching with a client who has a new diagnosis of hypothyroidism. Which of the following findings should the nurse expect?
- A. Fatigue
- B. Weight loss
- C. Tachycardia
- D. Heat intolerance
Correct Answer: A
Rationale: Fatigue is a common symptom of hypothyroidism due to a slowed metabolism from decreased thyroid hormone production.
A nurse is reinforcing teaching with a client who has a new prescription for citalopram. Which of the following adverse effects should the nurse include?
- A. Insomnia
- B. Bradycardia
- C. Hypotension
- D. Weight loss
Correct Answer: A
Rationale: Citalopram, an SSRI, 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 a nicotine nasal spray. Which of the following instructions should the nurse include?
- A. Use the spray every 2 hours.
- B. Avoid using it for more than 6 months.
- C. Inhale deeply after spraying.
- D. Store the spray in the refrigerator.
Correct Answer: B
Rationale: Avoiding use of nicotine nasal spray for more than 6 months prevents dependency and supports smoking cessation.