A nurse is reinforcing teaching with a client who has a new prescription for fluoxetine. 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 lose weight while taking this medication.
- C. I need to avoid tyramine-rich foods.
- D. I can expect my mood to improve right away.
Correct Answer: A
Rationale: Fluoxetine is taken in the morning to avoid insomnia, showing understanding. Weight changes vary, tyramine isn't a concern, and mood improvement takes weeks.
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A nurse at an outpatient clinic receives a call from a client who reports experiencing syncope after starting a new prescription for enalapril. Which of the following instructions should the nurse give the client?
- A. Increase dietary potassium.
- B. Withhold the medication if the pulse rate is less than 60/min.
- C. Decrease daily fluid intake.
- D. Rise slowly from a sitting position to a standing position.
Correct Answer: D
Rationale: Enalapril can cause hypotension, leading to syncope. Rising slowly prevents sudden blood pressure drops. Potassium, pulse-based withholding, or fluid reduction aren't directly related.
A nurse is caring for a client who has schizophrenia and is taking an antipsychotic medication. Which of the following screening tools should the nurse use to identify tardive dyskinesia?
- A. Patient Health questionnaire 9
- B. Mental Status Examination
- C. Brief Psychiatric Rating Scale
- D. Abnormal Involuntary Movement Scale
Correct Answer: D
Rationale: The AIMS is designed to detect tardive dyskinesia, a side effect of antipsychotics. Other tools assess depression, cognition, or general psychiatric symptoms.
A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for metformin. Which of the following instructions should the nurse include?
- A. Take this medication on an empty stomach.
- B. You might experience a metallic taste in your mouth.
- C. You should stop taking this medication if you feel shaky.
- D. You need to limit your protein intake while taking this medication.
Correct Answer: B
Rationale: Metformin can cause a metallic taste, a common side effect to anticipate. It's taken with meals, shakiness requires glucose, and protein limits aren't needed.
A nurse is collecting data from a client who is 1 day postoperative following a transurethral resection of the prostate. Which of the following findings should the nurse report to the provider?
- A. Urine output of 300 ml over 8 hr.
- B. Occasional small clots in the urine
- C. Dark red urine
- D. Frequent urge to urinate
Correct Answer: C
Rationale: Dark red urine may indicate hemorrhage, a serious complication requiring immediate reporting. Urine output of 300 mL over 8 hours is adequate, small clots are expected, and frequent urge to urinate is common post-procedure.
A nurse is caring for a client who has a new prescription for albuterol. Which of the following client statements indicates an understanding of the teaching?
- A. I will take this medication once daily at bedtime.
- B. This medication may cause my heart to beat faster.
- C. I should avoid drinking water after using this medication.
- D. This medication will prevent me from getting asthma attacks.
Correct Answer: B
Rationale: Albuterol can cause tachycardia, a key side effect to understand. It's used as needed, not daily, hydration is unaffected, and it treats, not prevents, asthma attacks.
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