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A nurse is reinforcing teaching with a client who has a new prescription for hydrochlorothiazide. Which of the following instructions should the nurse include?
- A. Take this medication at bedtime.
- B. You might experience dizziness when standing up.
- C. You need to limit your potassium intake.
- D. You should stop taking this medication if you feel better.
Correct Answer: B
Rationale: Hydrochlorothiazide can cause orthostatic hypotension, leading to dizziness. It's taken in the morning, potassium may need supplementation, and stopping risks rebound hypertension.
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A nurse is caring for a client who is postoperative following an appendectomy. Which of the following findings should the nurse report to the provider?
- A. The client reports pain at the incision site.
- B. The client's temperature is 38.1°C (100.5°F).
- C. The client has not had a bowel movement since surgery.
- D. The client's incision is intact with minimal drainage.
Correct Answer: B
Rationale: A temperature of 38.1°C suggests possible infection, requiring reporting. Pain, no bowel movement, or minimal drainage are expected post-appendectomy.
A nurse is reinforcing teaching with a client who is about to undergo electroconvulsive therapy. The nurse should explain to the client which of the following adverse reactions can occur following the procedure.
- A. Tingling of the scalp
- B. Voice alteration
- C. Neck pain
- D. Temporary memory loss
Correct Answer: D
Rationale: Temporary memory loss is a common side effect of ECT, often resolving post-treatment. Tingling, voice changes, or neck pain are not typically associated with ECT.
A nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin sublingual tablets. Which of the following instructions should the nurse include?
- A. Keep the tablets in a dark, airtight container.
- B. Take one tablet every 15 min for chest pain.
- C. You might feel a tingling sensation under your tongue.
- D. You should swallow the tablet with water.
Correct Answer: C
Rationale: Nitroglycerin causes a tingling sensation, indicating absorption. Tablets are kept in dark containers, taken every 5 minutes for pain, and not swallowed.
A nurse on a pediatric unit is caring for a toddler who has poor dietary intake. Which of the following actions should the nurse take first?
- A. Obtain the child's dietary history.
- B. Offer the child nutritious snacks between meals.
- C. Encourage the family to be with the child during mealtimes.
- D. Instruct the family to praise the child when they eat.
Correct Answer: A
Rationale: Obtaining a dietary history identifies patterns and causes of poor intake, guiding subsequent interventions like snacks or family involvement.
A nurse is caring for a client who is postoperative following a cholecystectomy. Which of the following actions should the nurse take to promote comfort?
- A. Encourage the client to ambulate every 2 hr.
- B. Offer the client a high-fat meal.
- C. Apply a heating pad to the client's abdomen.
- D. Provide the client with a pillow to splint the incision during coughing.
Correct Answer: D
Rationale: Splinting the incision with a pillow reduces pain during coughing. Ambulation aids recovery but isn't comfort-focused, high-fat meals are avoided, and heating pads risk complications.