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A nurse is reinforcing teaching with a client who has a new prescription for esomeprazole. Which of the following instructions should the nurse include?
- A. Take this medication at bedtime.
- B. You might have a headache while taking this medication.
- C. You need to avoid dairy products.
- D. You can take this medication with an antacid.
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 it.
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A nurse is caring for a client who is postoperative following a mastectomy. Which of the following actions should the nurse take to promote arm mobility?
- A. Encourage the client to perform deep breathing exercises.
- B. Instruct the client to avoid using the affected arm for 6 weeks.
- C. Teach the client to perform range-of-motion exercises daily.
- D. Apply a compression bandage to the affected arm.
Correct Answer: C
Rationale: Daily range-of-motion exercises prevent stiffness and promote mobility. Breathing exercises, arm avoidance, or compression don't target mobility.
A nurse is reinforcing teaching with a client who has a new prescription for prednisone. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication on an empty stomach.
- B. I might need to take this medication for several weeks.
- C. I can stop taking this medication if I feel better.
- D. I should avoid getting vaccinated while taking this medication.
Correct Answer: B
Rationale: Prednisone often requires weeks of treatment for efficacy, reflecting understanding. It's taken with food, stopping abruptly risks adrenal crisis, and vaccines need provider guidance.
A nurse is reinforcing teaching with a client who has a new prescription for valsartan. Which of the following statements should the nurse include?
- A. You should take this medication with a high-potassium meal.
- B. You might experience a cough while taking this medication.
- C. You need to avoid exercise while taking this medication.
- D. You can take this medication at any time of day.
Correct Answer: D
Rationale: Valsartan's timing is flexible, aiding compliance. Potassium meals, cough (less common than with ACE inhibitors), or exercise limits aren't primary concerns.
A nurse is caring for a client who has end-stage kidney disease. The client has decided to stop dialysis treatment. Which of the following actions should the nurse take?
- A. Tell the client she should discuss this decision with her family.
- B. Support the client's decision to stop the treatment.
- C. Discuss alternative treatment methods with the client.
- D. Ask the facility chaplain to visit the client.
Correct Answer: B
Rationale: Supporting the client's decision respects autonomy, a core ethical principle. Discussing with family, alternatives, or involving a chaplain are secondary to honoring the client's choice.
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.