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A nurse is reinforcing teaching with a client who has a new prescription for hydrocortisone cream. Which of the following instructions should the nurse include?
- A. Apply a thick layer to the affected area.
- B. Cover the area with an occlusive dressing.
- C. Apply the cream to open wounds.
- D. Use the cream sparingly.
Correct Answer: D
Rationale: Using hydrocortisone cream sparingly minimizes systemic absorption and reduces the risk of side effects like skin thinning.
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A nurse is caring for a client who has a new prescription for bupropion. Which of the following adverse effects should the nurse monitor for?
- A. Insomnia
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Bupropion, an antidepressant, can cause insomnia due to its stimulatory effect on the central nervous system.
A nurse is reinforcing teaching with a client who is scheduled for a transesophageal echocardiogram (TEE). Which of the following instructions should the nurse include?
- A. You will need to fast for 6 hours before the procedure.
- B. You can drive yourself home after the procedure.
- C. You will receive general anesthesia during the procedure.
- D. You should avoid drinking water after the procedure.
Correct Answer: A
Rationale: Fasting for 6 hours before a TEE reduces the risk of aspiration during the procedure, which involves sedation.
A nurse is caring for a client who has a new prescription for lamotrigine. Which of the following adverse effects should the nurse monitor for?
- A. Skin rash
- B. Weight gain
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Lamotrigine, an anticonvulsant, can cause a skin rash, which may indicate a serious reaction like Stevens-Johnson syndrome.
A nurse is reinforcing teaching with a client who is scheduled for a sigmoidoscopy. Which of the following instructions should the nurse include?
- A. Fast for 12 hours before the procedure.
- B. Use an enema the evening before.
- C. Expect general anesthesia.
- D. Avoid drinking fluids after the procedure.
Correct Answer: B
Rationale: Using an enema the evening before a sigmoidoscopy clears the lower colon for a clear view during the procedure.
A nurse is providing preoperative care to a client who reports he has no one at home to help him after his outpatient surgery. Which of the following actions should the nurse take?
- A. Assist with a referral to a home health care agency.
- B. Call the provider about admitting the client to the facility overnight.
- C. Give the client a list of home care assistants to contact.
- D. Contact the next of kin to assist the client at home.
Correct Answer: A
Rationale: Assist with a referral to a home health care agency is correct. If the client has no one to assist them at home after surgery, a home health care agency can provide the necessary support. This is a proactive solution to ensure the client has assistance for postoperative recovery, including monitoring for complications, assistance with mobility, and other care needs.