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A nurse is reinforcing teaching with a client who has a new prescription for clopidogrel. Which of the following adverse effects should the nurse include?
- A. Bleeding
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Clopidogrel, an antiplatelet medication, increases bleeding risk, which the client should monitor for.
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A nurse is caring for a client who has a new prescription for lamotrigine. Which of the following adverse effects should the nurse monitor for?
- A. Skin rash
- B. Weight gain
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Lamotrigine, an anticonvulsant, can cause a skin rash, which may indicate a serious reaction like Stevens-Johnson syndrome.
A nurse is collecting data from a client who is taking an oral contraceptive. Which of the following findings is a contraindication for the use of oral contraceptives?
- A. Headaches with aura
- B. History of mononucleosis 1 year ago.
- C. Irregular menstrual cycles
- D. Gastroesophageal reflux disease.
Correct Answer: A
Rationale: Headaches with aura is correct. Headaches with aura, a warning sign that can precede a migraine, are a contraindication for the use of oral contraceptives. This is because oral contraceptives increase the risk of stroke, especially in women who experience migraines with aura.
A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following actions should the nurse take?
- A. Check the tube cuff pressure every 8 hours.
- B. Suction the tube every 4 hours.
- C. Reposition the tube every 12 hours.
- D. Clean the tube with alcohol-based solution.
Correct Answer: A
Rationale: Checking the tube cuff pressure every 8 hours ensures it remains within a safe range to prevent tracheal damage or air leaks.
A nurse is reinforcing teaching with a client who has a new prescription for doxycycline. Which of the following instructions should the nurse include?
- A. Take the medication with milk.
- B. Lie down for 30 minutes after taking it.
- C. Take it on an empty stomach.
- D. Avoid sun exposure.
Correct Answer: D
Rationale: Avoiding sun exposure is critical with doxycycline, as it can cause photosensitivity, leading to severe sunburn.
A nurse is collecting data from a 9-year-old child during a well-child visit. Which of the following findings should the nurse expect?
- A. Expresses conflict over independence and control
- B. Demonstrates self-centered thinking
- C. Displays emotional detachment from parents
- D. Grasps concept of cause-and-effect
Correct Answer: D
Rationale: Grasping the concept of cause-and-effect is correct. At this stage, children develop logical thinking and an understanding of consequences, allowing them to recognize how actions lead to specific outcomes.