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A nurse is reinforcing teaching with a client who has a new prescription for amoxicillin. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication with an antacid.
- B. I might have diarrhea while taking this medication.
- C. I need to refrigerate this medication.
- D. I can stop taking this medication if I feel better.
Correct Answer: B
Rationale: Amoxicillin can cause diarrhea, showing understanding. Antacids aren't needed, refrigeration depends on form, and stopping early risks resistance.
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A nurse is reinforcing teaching with a client who has a new prescription for venlafaxine. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication with food.
- B. I might have headaches while taking this medication.
- C. I need to avoid caffeine.
- D. I can expect my mood to improve right away.
Correct Answer: B
Rationale: Venlafaxine can cause headaches, showing understanding. Food enhances absorption, caffeine isn't restricted, and mood improvement takes weeks.
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take?
- A. Check the client's blood glucose levels regularly.
- B. Administer TPN through a peripheral IV line.
- C. Change the TPN bag every 48 hr.
- D. Monitor the client's blood pressure every 4 hr.
Correct Answer: A
Rationale: TPN's high glucose content requires regular blood glucose monitoring to prevent hyperglycemia. It's given centrally, bags change every 24 hours, and blood pressure isn't specific.
A nurse is caring for a client who has bulimia nervosa. Which of the following actions should the nurse take first?
- A. Observe the client during and after meals.
- B. Suggest that the client assist with meal planning.
- C. Instruct the client about effective coping strategies.
- D. Refer the client to a support group for clients who have eating disorders.
Correct Answer: A
Rationale: Observing during and after meals monitors for purging behaviors, a priority for safety in bulimia. Meal planning, coping strategies, and support groups follow after ensuring immediate safety.
A nurse is reinforcing teaching with a client who has a new prescription for omeprazole. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication at bedtime.
- B. I might need to take this medication for several weeks.
- C. I can take this medication with an antacid if I have heartburn.
- D. I should stop taking this medication if I feel better.
Correct Answer: B
Rationale: Omeprazole often requires weeks of treatment for full effect, showing understanding. It's taken before meals, antacids don't enhance it, and stopping early risks relapse.
A nurse is collecting data for a client who is receiving enteral tube feedings. The nurse should identify that which of the following findings is a manifestation of fluid overload?
- A. Weight loss
- B. Decreased blood pressure
- C. Decreased skin turgor
- D. Crackles heard in the lungs
Correct Answer: D
Rationale: Crackles in the lungs indicate pulmonary edema from fluid overload. Weight loss, low blood pressure, or poor skin turgor suggest dehydration, not overload.