Nokea
A nurse is reinforcing teaching with a client who has a new prescription for atorvastatin. Which of the following adverse effects should the nurse include?
- A. Muscle pain
- B. Weight gain
- C. Hypoglycemia
- D. Tinnitus
Correct Answer: A
Rationale: Atorvastatin, a statin, can cause muscle pain (myalgia), a common side effect that may indicate myopathy.
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A nurse is caring for a client who has a new diagnosis of achalasia. Which of the following findings should the nurse expect?
- A. Dysphagia
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Dysphagia, difficulty swallowing, is a hallmark symptom of achalasia due to esophageal motility issues.
A nurse is caring for a client who is receiving chemotherapy. Which of the following laboratory values should the nurse monitor?
- A. White blood cell count
- B. Blood urea nitrogen
- C. Serum albumin
- D. Cholesterol
Correct Answer: A
Rationale: Chemotherapy can cause leukopenia, so monitoring white blood cell count is essential to assess infection risk.
A nurse is reinforcing teaching with a client who is scheduled for a bronchoscopy. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will need to fast for 6 to 8 hours before the procedure.
- B. I can drive myself home after the procedure.
- C. I will receive general anesthesia during the procedure.
- D. I should avoid gargling after the procedure.
Correct Answer: A
Rationale: Fasting for 6 to 8 hours before a bronchoscopy reduces the risk of aspiration during the procedure.
A nurse is reinforcing discharge teaching with a client who states, 'I don't feel confident driving to my follow-up appointments.' The nurse should obtain a referral for which of the following members of the health care team?
- A. Physical therapist
- B. Primary care provider
- C. Occupational therapist
- D. Social worker
Correct Answer: D
Rationale: Referring to a social worker is correct. Social workers help clients identify resources, such as transportation services, to ensure they can attend medical appointments and access necessary care.
A nurse is reinforcing teaching with a client who has a new prescription for levothyroxine. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication with a meal to avoid stomach upset.
- B. I might not have an appetite while taking this medication.
- C. I should take this medication at the same time every day.
- D. I might need a higher dose of this medication when I am older.
Correct Answer: C
Rationale: Taking levothyroxine at the same time every day ensures consistent blood levels, optimizing its effectiveness in treating hypothyroidism.