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A nurse is reinforcing teaching with a client who has a new prescription for duloxetine. Which of the following statements should the nurse include?
- A. You should take this medication in the morning.
- B. You might experience nausea while taking this medication.
- C. You need to avoid sunlight while taking this medication.
- D. You can stop taking this medication as soon as you feel better.
Correct Answer: B
Rationale: Duloxetine can cause nausea, a common side effect. Timing is flexible, sunlight avoidance isn't needed, and abrupt stopping risks withdrawal.
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A nurse is caring for a client who reports he has headaches after taking chewable isosorbide dinitrate. Which of the following statements should the nurse make?
- A. The headaches should decrease as you get used to the medication.
- B. Swallow the tablet whole to minimize your headaches.
- C. You should take the medication on an empty stomach to prevent a headache.
- D. You can discontinue the medication until the headache goes away.
Correct Answer: A
Rationale: Headaches from isosorbide dinitrate often diminish over time as the body adjusts. Swallowing whole, taking on an empty stomach, or discontinuing aren't recommended.
A nurse is caring for a client who is postoperative following a spinal fusion. Which of the following actions should the nurse take?
- A. Encourage the client to ambulate with a back brace.
- B. Instruct the client to twist at the waist when turning.
- C. Apply a heating pad to the surgical site.
- D. Allow the client to sit for 2 hr at a time.
Correct Answer: A
Rationale: A back brace supports ambulation, promoting stability. Twisting risks injury, heating pads may increase swelling, and prolonged sitting strains the spine.
A nurse is caring for a client who is postoperative following a lumbar laminectomy. Which of the following actions should the nurse take?
- A. Encourage the client to ambulate with a straight back.
- B. Instruct the client to avoid turning at the waist.
- C. Allow the client to sit in a chair for 2 hr at a time.
- D. Apply a heating pad to the surgical site.
Correct Answer: B
Rationale: Avoiding waist turning prevents strain on the surgical site. Ambulation should allow natural posture, prolonged sitting risks stiffness, and heating pads may increase swelling.
A nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin sublingual tablets. Which of the following statements should the nurse include?
- A. Take one tablet every 10 min for chest pain.
- B. You might feel a headache after taking this medication.
- C. Swallow the tablet with water for best results.
- D. Store the tablets in a clear plastic bag.
Correct Answer: B
Rationale: Nitroglycerin often causes headaches due to vasodilation. It's taken every 5 minutes, dissolved under the tongue, and stored in a dark, airtight container.
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.