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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 by the client indicates an understanding of the teaching?
- A. I will take this insulin before meals.
- B. I will rotate injection sites.
- C. I will shake the vial before drawing up the insulin.
- D. I will store the insulin in the freezer.
Correct Answer: B
Rationale: Rotating injection sites prevents lipodystrophy and ensures consistent insulin absorption.
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A nurse is reinforcing teaching with a client who is scheduled for a tilt-table test. Which of the following instructions should the nurse include?
- A. Fast for 4 hours before the test.
- B. Wear tight-fitting clothing.
- C. Take a sedative before the test.
- D. Avoid drinking fluids during the test.
Correct Answer: A
Rationale: Fasting for 4 hours before a tilt-table test reduces the risk of nausea or vomiting during positional changes.
A nurse is reinforcing teaching with a client who has a new prescription for lisinopril. Which of the following adverse effects should the nurse include?
- A. Dry cough
- B. Weight gain
- C. Tinnitus
- D. Hypoglycemia
Correct Answer: A
Rationale: Lisinopril, an ACE inhibitor, can cause a dry cough due to increased bradykinin levels, a common side effect.
A nurse is reinforcing teaching with a client who has a new prescription for a lidocaine patch. Which of the following instructions should the nurse include?
- A. Apply the patch to broken skin.
- B. Remove the patch after 12 hours.
- C. Apply multiple patches at once.
- D. Leave the patch on for 24 hours.
Correct Answer: B
Rationale: Removing the lidocaine patch after 12 hours prevents excessive absorption and reduces the risk of side effects.
A nurse is reinforcing teaching with a client who is scheduled for a Holter monitor. Which of the following instructions should the nurse include?
- A. Avoid showering while wearing the monitor.
- B. Exercise more than usual during the test.
- C. Remove the monitor before sleeping.
- D. Keep a diary of activities.
Correct Answer: D
Rationale: Keeping a diary of activities helps correlate symptoms with heart rhythm changes recorded by the Holter monitor.
A nurse is reinforcing teaching with a client who has a new prescription for levothyroxine. Which of the following laboratory tests should the nurse monitor?
- A. Thyroid-stimulating hormone (TSH)
- B. Hemoglobin A1c
- C. Serum creatinine
- D. Platelet count
Correct Answer: A
Rationale: Monitoring TSH levels assesses the effectiveness of levothyroxine in regulating thyroid function.