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.
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A nurse is reinforcing discharge teaching with a client who has a prescription for antibiotic therapy. The client reports experiencing diarrhea when taking antibiotics. Which of the following foods should the nurse recommend to lessen the occurrence of diarrhea?
- A. Coffee
- B. Ice cream
- C. Apple juice
- D. Yogurt
Correct Answer: D
Rationale: Yogurt's probiotics help restore gut flora, reducing antibiotic-associated diarrhea. Coffee, ice cream, and apple juice may worsen diarrhea due to their diuretic, lactose, or sugar content.
A nurse is reinforcing teaching with a client who has a new prescription for atorvastatin. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication in the morning.
- B. I might need to have my liver function checked.
- C. I can stop taking this medication if my cholesterol improves.
- D. I should avoid drinking alcohol while taking this medication.
Correct Answer: B,D
Rationale: Atorvastatin requires liver monitoring due to hepatotoxicity risk and alcohol avoidance to reduce liver strain. It's taken at night, and stopping needs provider input.
A nurse is reinforcing teaching with a client who has a new prescription for omeprazole. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication at bedtime.
- B. I might need to take this medication for several weeks.
- C. I can take this medication with an antacid if I have heartburn.
- D. I should stop taking this medication if I feel better.
Correct Answer: B
Rationale: Omeprazole often requires weeks of treatment for full effect, showing understanding. It's taken before meals, antacids don't enhance it, and stopping early risks relapse.
A nurse is collecting data from a client who has an arm cast newly applied. Which of the following findings should the nurse report to the provider?
- A. The client reports discomfort at the cast edges.
- B. The client can wiggle their fingers freely.
- C. The cast feels warm to the touch.
- D. The client reports mild pain at the fracture site.
Correct Answer: A
Rationale: Discomfort at cast edges may indicate pressure points or improper fit, requiring immediate attention. Finger movement, warmth, and mild pain are expected.
A nurse is caring for a client who is postoperative following a total knee arthroplasty. Which of the following findings should the nurse report to the provider?
- A. The client reports mild pain at the surgical site.
- B. The client's temperature is 38.3°C (100.9°F).
- C. The client's knee is slightly swollen.
- D. The client can flex the knee 90 degrees.
Correct Answer: B
Rationale: A temperature of 38.3°C suggests infection, requiring reporting. Mild pain, slight swelling, and good flexion are expected post-arthroplasty.
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