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A nurse is reinforcing teaching with a client who has a new prescription for atorvastatin. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication in the morning.
- B. I might need to have my liver function checked.
- C. I can stop taking this medication if my cholesterol improves.
- D. I should avoid drinking alcohol while taking this medication.
Correct Answer: B,D
Rationale: Atorvastatin requires liver monitoring due to hepatotoxicity risk and alcohol avoidance to reduce liver strain. It's taken at night, and stopping needs provider input.
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A nurse is caring for a client who is postoperative following a coronary artery bypass graft. Which of the following findings should the nurse report to the provider?
- A. The client reports chest discomfort.
- B. The client's temperature is 38.4°C (101.1°F).
- C. The client's incision has minimal drainage.
- D. The client's blood pressure is 130/80 mm Hg.
Correct Answer: B
Rationale: A temperature of 38.4°C suggests infection, requiring reporting. Chest discomfort, minimal drainage, and normal BP are expected or less urgent.
A nurse is reinforcing teaching with a client who has a new prescription for valsartan. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication with a high-potassium meal.
- B. I might need to check my blood pressure regularly.
- C. I need to avoid exercise.
- D. I can stop taking this medication if I feel better.
Correct Answer: B
Rationale: Valsartan requires blood pressure monitoring, showing understanding. Potassium meals, exercise avoidance, and stopping abruptly aren't appropriate.
A nurse is caring for a client in bed and begins experiencing a tonic-clonic seizure. Which of the following actions should the nurse take?
- A. Insert an oral airway into the client's mouth.
- B. Lower the side rails of the bed when the seizure begins.
- C. Measure the duration of the seizure.
- D. Restrain the client's arms and legs to prevent injury.
Correct Answer: C
Rationale: Measuring seizure duration aids in assessing severity and guiding treatment. Inserting airways, lowering rails, or restraining can cause injury or complications.
A nurse is caring for a client who is receiving IV chemotherapy. Which of the following actions should the nurse take?
- A. Monitor the client's temperature every 4 hr.
- B. Administer the chemotherapy through a peripheral IV.
- C. Check the IV site for signs of infiltration.
- D. Encourage the client to avoid handwashing.
Correct Answer: C
Rationale: Checking for infiltration prevents extravasation, critical for chemotherapy safety. Temperature monitoring is routine, central lines are preferred, and handwashing is encouraged.
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. Prepare the client for a chest x-ray to verify catheter placement.
- C. Place the client in Sims' position for catheter insertion.
- D. Use a clean technique when changing the catheter dressing.
Correct Answer: B
Rationale: A chest X-ray confirms proper central venous catheter placement, critical for safe TPN administration. Verifying solution, Sims' position, or clean technique are inappropriate.