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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.
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A nurse is reinforcing teaching with a client who is scheduled for a sigmoidoscopy. Which of the following instructions should the nurse include?
- A. Fast for 12 hours before the procedure.
- B. Use an enema the evening before.
- C. Expect general anesthesia.
- D. Avoid drinking fluids after the procedure.
Correct Answer: B
Rationale: Using an enema the evening before a sigmoidoscopy clears the lower colon for a clear view during the procedure.
A nurse is reinforcing teaching with a client who is scheduled for an exercise stress test. Which of the following instructions should the nurse include?
- A. Eat a large meal before the test.
- B. Wear comfortable shoes.
- C. Take a sedative before the test.
- D. Avoid drinking water during the test.
Correct Answer: B
Rationale: Wearing comfortable shoes ensures safety and ease during the physical activity required for an exercise stress test.
A nurse is reinforcing teaching with a client who has a new prescription for insulin glargine. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will take this insulin before meals.
- B. I will rotate injection sites.
- C. I will shake the vial before drawing up the insulin.
- D. I will store the insulin in the freezer.
Correct Answer: B
Rationale: Rotating injection sites prevents lipodystrophy and ensures consistent insulin absorption.
A nurse is caring for a client who delivered a newborn by cesarean birth 1 day ago. The client requests nonpharmacological interventions to manage pain when changing positions. Which of the following responses should the nurse make?
- A. You should use patterned-paced breathing when changing positions.
- B. You should change positions as little as possible.
- C. You can splint the incision with a pillow when changing positions.
- D. You can apply counterpressure to your back with each position change.
Correct Answer: C
Rationale: Splinting the incision with a pillow is correct. Holding a pillow firmly against the incision while changing positions provides support, reduces strain on the abdominal muscles, and minimizes pain during movement.
A nurse is caring for a client who is receiving oxygen therapy via nasal cannula. Which of the following actions should the nurse take?
- A. Apply petroleum jelly to the nares.
- B. Secure the cannula with tape on the forehead.
- C. Check the nares for irritation.
- D. Increase the flow rate if the client reports dryness.
Correct Answer: C
Rationale: Checking the nares for irritation ensures early detection of skin breakdown from prolonged cannula use.