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A nurse is reinforcing teaching with a client who has a new prescription for doxycycline. Which of the following statements should the nurse include?
- A. You should take this medication on an empty stomach.
- B. You might experience sensitivity to sunlight.
- C. You need to refrigerate this medication.
- D. You can take this medication with an antacid.
Correct Answer: B
Rationale: Doxycycline increases photosensitivity, requiring sun protection. It's taken with food to avoid upset, doesn't need refrigeration, and antacids reduce absorption.
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A nurse is caring for a client who is 2 days postoperative following an above-the-knee amputation. Which of the following actions should the nurse take to promote progression toward independence and mobility for the client?
- A. Maintain abduction of the client's residual limb with a pillow.
- B. Encourage the client to use the overbed trapeze.
- C. Caution the client to avoid a prone position while in bed.
- D. Keep a loose, absorbent dressing over the client's surgical site.
Correct Answer: B
Rationale: Using an overbed trapeze builds upper body strength, aiding independent repositioning. Abduction, avoiding prone positions, or loose dressings don't directly enhance mobility.
A nurse is caring for a client who is receiving IV chemotherapy. Which of the following actions should the nurse take?
- A. Monitor the client's temperature every 4 hr.
- B. Administer the chemotherapy through a peripheral IV.
- C. Check the IV site for signs of infiltration.
- D. Encourage the client to avoid handwashing.
Correct Answer: C
Rationale: Checking for infiltration prevents extravasation, critical for chemotherapy safety. Temperature monitoring is routine, central lines are preferred, and handwashing is encouraged.
A nurse is caring for a client who is postoperative following a mastectomy. Which of the following actions should the nurse take?
- A. Encourage the client to perform arm exercises on the affected side.
- B. Instruct the client to keep the affected arm dependent.
- C. Apply a cold pack to the surgical site every 2 hr.
- D. Administer a diuretic to reduce arm swelling.
Correct Answer: A
Rationale: Arm exercises prevent lymphedema and promote mobility. Dependent positioning worsens swelling, cold packs aren't standard, and diuretics aren't routine.
A nurse is caring for a client who is postoperative following a hip replacement. Which of the following actions should the nurse take?
- A. Place an abduction pillow between the client's legs.
- B. Instruct the client to bend at the hip when sitting.
- C. Apply a warm compress to the surgical site.
- D. Encourage the client to cross their legs when seated.
Correct Answer: A
Rationale: An abduction pillow prevents dislocation by maintaining hip alignment. Bending, warm compresses, and leg crossing increase dislocation risk.
A nurse is assisting with preparing a client who is to have a central venous catheter inserted for the administration of total parenteral nutrition (TPN. Which of the following actions should the nurse take?
- A. Verify the amount of TPN solution the client is receiving every 4 hr.
- B. Prepare the client for a chest x-ray to verify catheter placement.
- C. Place the client in Sims' position for catheter insertion.
- D. Use a clean technique when changing the catheter dressing.
Correct Answer: B
Rationale: A chest X-ray confirms proper central venous catheter placement, critical for safe TPN administration. Verifying solution, Sims' position, or clean technique are inappropriate.