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A nurse is reinforcing teaching with a client who has a new prescription for clopidogrel. Which of the following instructions should the nurse include?
- A. You can take this medication with or without food.
- B. You should avoid eating citrus fruits.
- C. You need to increase your intake of calcium.
- D. You should take this medication at bedtime.
Correct Answer: A
Rationale: Clopidogrel's administration is flexible with food, enhancing compliance. Citrus, calcium, or bedtime dosing aren't specific requirements.
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A nurse is caring for a client who is 12 hr postpartum and has deep vein thrombosis of the left leg. The client is receiving anticoagulant therapy. Which of the following actions should the nurse take?
- A. Apply an ice pack to the affected extremity for 20 min every 2 hr.
- B. Administer aspirin for pain.
- C. Massage the affected extremity every 4 hr.
- D. Initiate bed rest.
Correct Answer: D
Rationale: Bed rest prevents clot dislodgement, reducing pulmonary embolism risk. Ice, aspirin, or massage could increase bleeding or dislodge the clot, worsening the condition.
A nurse is caring for a client who is receiving IV fluids. Which of the following actions should the nurse take to prevent phlebitis?
- A. Change the IV site every 72 to 96 hr.
- B. Massage the IV site gently every 4 hr.
- C. Apply a cold compress to the IV site.
- D. Use a large-gauge catheter for fluid administration.
Correct Answer: A
Rationale: Changing the IV site every 72-96 hours reduces infection and phlebitis risk. Massaging, cold compresses, or large catheters don't prevent phlebitis.
A nurse is reinforcing teaching with a client who has a new prescription for montelukast. Which of the following statements should the nurse include?
- A. You should take this medication in the evening.
- B. You might experience weight gain while taking this medication.
- C. You need to limit your fluid intake while taking this medication.
- D. You can take this medication with an antacid.
Correct Answer: A
Rationale: Montelukast is taken in the evening for asthma control. Weight gain, fluid limits, or antacids aren't significant concerns.
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 reinforcing dietary teaching with a client whose pre-pregnancy BMI was 30.5. The nurse should include which of the following is an acceptable weight gain for this client?
- A. 16 lb
- B. 32 lb
- C. 24 lb
- D. 8 lb
Correct Answer: A
Rationale: For a BMI of 30.5 (obese), a weight gain of 11-20 pounds is recommended. 16 pounds falls within this range, supporting healthy pregnancy outcomes without excess gain.