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A nurse is reinforcing teaching with a client who has a new prescription for gabapentin. Which of the following statements should the nurse include?
- A. You should take this medication with a high-fat meal.
- B. You might feel drowsy while taking this medication.
- C. You need to avoid alcohol while taking this medication.
- D. You can stop taking this medication as soon as your symptoms improve.
Correct Answer: B
Rationale: Gabapentin can cause drowsiness, requiring caution. Food intake is flexible, alcohol avoidance is prudent but secondary, and abrupt stopping risks symptom recurrence.
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A nurse is caring for a client who is postoperative following a hysterectomy. Which of the following findings should the nurse report to the provider?
- A. The client reports mild vaginal bleeding.
- B. The client's temperature is 38.6°C (101.5°F).
- C. The client has not voided in 6 hr.
- D. The client's incision is intact with minimal drainage.
Correct Answer: B
Rationale: A temperature of 38.6°C suggests infection, requiring reporting. Mild bleeding, delayed voiding, and minimal drainage are expected or less urgent.
A nurse is caring for a client who has a new prescription for furosemide. Which of the following laboratory values should the nurse monitor?
- A. Sodium
- B. Calcium
- C. Potassium
- D. Magnesium
Correct Answer: C
Rationale: Furosemide can cause hypokalemia, so potassium levels must be monitored. Sodium, calcium, or magnesium aren't primarily affected.
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 caring for a client who is receiving IV heparin. Which of the following findings should the nurse report to the provider?
- A. The client reports mild bruising.
- B. The client's aPTT is 90 seconds.
- C. The client's blood pressure is 122/80 mm Hg.
- D. The client's urine output is 40 mL/hr.
Correct Answer: B
Rationale: An aPTT of 90 seconds (above therapeutic range of 60-80) suggests excessive anticoagulation, requiring reporting. Bruising, normal BP, and urine output are less urgent.
A nurse is caring for a client who is postoperative following a knee arthroscopy. Which of the following actions should the nurse take?
- A. Apply a warm compress to the surgical site.
- B. Elevate the client's leg.
- C. Encourage the client to bear weight immediately.
- D. Administer a stool softener daily.
Correct Answer: B
Rationale: Elevating the leg reduces swelling and promotes recovery. Warm compresses risk inflammation, early weight-bearing may harm, and stool softeners aren't routine.