Nokea
A nurse is reinforcing teaching with a client who has a new prescription for enoxaparin. The nurse should identify which of the following over-the-counter products as unsafe for use with enoxaparin.
- A. Cimetidine
- B. Docusate
- C. Calcium supplement
- D. Naproxen
Correct Answer: D
Rationale: Naproxen, an NSAID, increases bleeding risk with enoxaparin, an anticoagulant. Cimetidine, docusate, and calcium supplements don't pose significant interaction risks.
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A nurse is caring for a client who is receiving IV gentamicin. Which of the following findings should the nurse report to the provider?
- A. The client reports mild nausea.
- B. The client's urine output is 30 mL/hr.
- C. The client's hearing has decreased.
- D. The client's blood pressure is 120/78 mm Hg.
Correct Answer: C
Rationale: Decreased hearing suggests ototoxicity, a serious gentamicin side effect requiring reporting. Nausea, low urine output, and normal BP are less urgent.
A nurse is reinforcing teaching with a client who has a new prescription for valsartan. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication with a high-potassium meal.
- B. I might need to check my blood pressure regularly.
- C. I need to avoid exercise.
- D. I can stop taking this medication if I feel better.
Correct Answer: B
Rationale: Valsartan requires blood pressure monitoring, showing understanding. Potassium meals, exercise avoidance, and stopping abruptly aren't appropriate.
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 begins to bathe a newly admitted client who reports that they have not had anything to eat that day. The nurse interrupts the bath and obtains a healthy meal for the client. This action by the nurse is an example of which of the following?
- A. Countertransference
- B. Boundary crossing
- C. Promoting trust
- D. Veracity
Correct Answer: C
Rationale: Providing a meal addresses the client's immediate need, fostering trust and rapport. This action reflects responsiveness, not countertransference, boundary crossing, or truthfulness.
A nurse is reinforcing teaching with a client who has a new prescription for fluoxetine. Which of the following statements should the nurse include?
- A. You should take this medication at bedtime.
- B. You might experience weight loss while taking this medication.
- C. You need to avoid tyramine-rich foods while taking this medication.
- D. You can expect symptom improvement within 24 hours.
Correct Answer: A
Rationale: Fluoxetine is often taken at bedtime to minimize daytime side effects like agitation. Weight changes vary, tyramine isn't a concern, and effects take weeks.