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A nurse is reinforcing teaching with a client who has a new prescription for insulin glargine. Which of the following statements should the nurse include?
- A. You should take this insulin at mealtimes.
- B. You might experience weight loss while taking this insulin.
- C. This insulin provides a steady release over 24 hours.
- D. You need to shake the vial before drawing up the insulin.
Correct Answer: C
Rationale: Insulin glargine provides basal coverage for 24 hours, taken daily. It's not meal-timed, may cause weight gain, and shaking is unnecessary.
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A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following findings should the nurse report to the provider?
- A. The client's blood glucose is 120 mg/dL.
- B. The client's temperature is 38.3°C (100.9°F).
- C. The client's weight increased by 0.5 kg overnight.
- D. The client reports mild discomfort at the IV site.
Correct Answer: B
Rationale: A temperature of 38.3°C suggests infection, possibly catheter-related, requiring reporting. Normal glucose, slight weight gain, and mild discomfort are less urgent.
A nurse is reinforcing teaching with a client who has a new prescription for citalopram. Which of the following instructions should the nurse include?
- A. Take this medication at bedtime.
- B. You might have dry mouth while taking this medication.
- C. You need to avoid tyramine-rich foods.
- D. You can expect your mood to improve right away.
Correct Answer: B
Rationale: Citalopram can cause dry mouth, a side effect to anticipate. Timing is flexible, tyramine isn't a concern, and mood improvement takes weeks.
A nurse is caring for a client who is receiving continuous enteral feeding. Which of the following actions should the nurse take?
- A. Check gastric residual volume every 4 hr.
- B. Flush the tube with water every 12 hr.
- C. Position the client supine during feeding.
- D. Change the feeding bag every 48 hr.
Correct Answer: A
Rationale: Checking residual volume every 4 hours assesses tolerance, preventing aspiration. Flushing is more frequent, supine positioning risks aspiration, and bags change every 24 hours.
A nurse is reinforcing teaching with a client who has a new prescription for levofloxacin. Which of the following statements should the nurse include?
- A. Take this medication with an antacid.
- B. You might have tendon pain while taking this medication.
- C. You need to refrigerate this medication.
- D. You should avoid drinking water after taking this medication.
Correct Answer: B
Rationale: Levofloxacin can cause tendon pain or rupture, a serious side effect. Antacids reduce absorption, refrigeration isn't needed, and hydration is encouraged.
A nurse is reinforcing teaching with a client who has a new prescription for bupropion. Which of the following statements should the nurse include?
- A. You should take this medication at bedtime.
- B. You might experience dry mouth while taking this medication.
- C. You need to avoid tyramine-rich foods while taking this medication.
- D. You can expect immediate improvement in your mood.
Correct Answer: B
Rationale: Bupropion can cause dry mouth, a common side effect. It's taken in the morning, tyramine isn't a concern, and mood improvement takes weeks.