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A nurse is reinforcing teaching with a client who has a new prescription for escitalopram. Which of the following statements should the nurse include?
- A. You should take this medication in the morning.
- B. You might experience sweating while taking this medication.
- C. You need to avoid dairy products while taking this medication.
- D. You can expect immediate relief from your symptoms.
Correct Answer: B
Rationale: Escitalopram can cause sweating, a side effect to anticipate. Timing is flexible, dairy isn't restricted, and relief takes weeks.
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A nurse is caring for a client who is postoperative following a femoral-popliteal bypass. Which of the following actions should the nurse take?
- A. Check the client's pedal pulses every 2 hr.
- B. Instruct the client to keep the affected leg in a dependent position.
- C. Apply a warm compress to the surgical site.
- D. Encourage the client to cross their legs when seated.
Correct Answer: A
Rationale: Checking pedal pulses assesses circulation, critical post-bypass. Dependent positioning risks swelling, warm compresses aren't standard, and leg crossing impairs flow.
A nurse is caring for a client who is receiving a continuous IV infusion. The nurse notes that the skin around the catheter's insertion site is edematous and cool. Which of the following actions should the nurse take first?
- A. Elevate the arm.
- B. Document the infiltration.
- C. Stop the infusion.
- D. Apply a warm compress.
Correct Answer: C
Rationale: Stopping the infusion is the priority to prevent further fluid infiltration, which can cause tissue damage. Elevation, documentation, and compresses follow after halting the infusion.
A nurse is reinforcing teaching with a client who has a new prescription for lisinopril. Which of the following statements should the nurse include?
- A. You should increase your intake of potassium-rich foods.
- B. You might develop a dry cough while taking this medication.
- C. You should take this medication at bedtime.
- D. You need to limit your fluid intake while taking this medication.
Correct Answer: B
Rationale: Lisinopril can cause a persistent dry cough, a common side effect. Potassium intake, bedtime dosing, or fluid limits aren't specific concerns.
A nurse is reinforcing teaching with a client who has a new prescription for amitriptyline. Which of the following statements should the nurse include in the teaching?
- A. You might experience weight loss while taking this medication.
- B. You should expect to have increased energy within a few days.
- C. You might feel drowsy, so avoid driving until you know how this medication affects you.
- D. You can stop taking this medication as soon as your symptoms improve.
Correct Answer: C
Rationale: Amitriptyline can cause drowsiness, so avoiding driving is prudent. Weight gain, not loss, is common, effects take weeks, and abrupt stopping risks relapse.
A nurse is reinforcing teaching with a client who has a new prescription for esomeprazole. Which of the following statements should the nurse include?
- A. You should take this medication at bedtime.
- B. You might experience headache while taking this medication.
- C. You need to avoid dairy products while taking this medication.
- D. You can take this medication with an antacid for best results.
Correct Answer: B
Rationale: Esomeprazole can cause headaches, a side effect to monitor. It's taken before meals, dairy isn't restricted, and antacids don't enhance efficacy.