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A nurse is reinforcing teaching with a client who has a new prescription for bupropion. Which of the following statements should the nurse include?
- A. Take this medication at bedtime.
- B. You might have dry mouth while taking this medication.
- C. You need to avoid tyramine-rich foods.
- D. You can expect immediate mood improvement.
Correct Answer: B
Rationale: Bupropion can cause dry mouth, a side effect to monitor. It's taken in the morning, tyramine isn't a concern, and mood improvement takes weeks.
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A nurse is caring for a client who has a new prescription for digoxin. Which of the following actions should the nurse take?
- A. Check the client's potassium level.
- B. Administer the medication with a high-fiber meal.
- C. Instruct the client to take the medication at bedtime.
- D. Monitor the client's blood pressure every 4 hr.
Correct Answer: A
Rationale: Digoxin toxicity risks increase with hypokalemia, so potassium monitoring is essential. Fiber meals, bedtime dosing, or routine blood pressure checks aren't specific.
A nurse is reinforcing teaching with a client who is scheduled for a colonoscopy. Which of the following statements should the nurse include?
- A. You will be given a sedative during the procedure.
- B. You can eat a light breakfast the morning of the procedure.
- C. You will need to maintain a clear liquid diet for 3 days prior to the procedure.
- D. You will need to take an antibiotic before the procedure.
Correct Answer: A
Rationale: A sedative is used to ensure comfort during a colonoscopy. Clear liquids are required only 1-2 days prior, no food is allowed the morning of, and antibiotics aren't standard.
A nurse is reinforcing teaching with a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include?
- A. Take this medication in the morning.
- B. You might experience muscle pain while taking this medication.
- C. You need to avoid grapefruit juice while taking this medication.
- D. You should stop taking this medication if you feel dizzy.
Correct Answer: B,C
Rationale: Simvastatin can cause myopathy (muscle pain) and interacts with grapefruit juice, increasing toxicity risk. It's taken at night, and dizziness doesn't warrant stopping.
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.
A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following findings should the nurse report to the provider?
- A. The client's oxygen saturation is 95%.
- B. The client's cuff pressure is 35 cm H2O.
- C. The client's respiratory rate is 16 breaths/min.
- D. The client's temperature is 37.1°C (98.8°F).
Correct Answer: B
Rationale: A cuff pressure of 35 cm H2O (above 20-30 cm H2O) risks tracheal damage, requiring reporting. Normal saturation, respiratory rate, and temperature are unremarkable.