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A nurse is reinforcing teaching with a client who has a new prescription for levothyroxine. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication with a meal to avoid stomach upset.
- B. I might not notice the effects of this medication for several weeks.
- C. I will need to decrease my intake of green, leafy vegetables.
- D. I can take an antacid with this medication if I get heartburn.
Correct Answer: B
Rationale: Levothyroxine's effects take weeks to manifest, reflecting proper understanding. It's taken on an empty stomach, diet doesn't need altering, and antacids can interfere.
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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.
A nurse is caring for a client who is postoperative following a TURP. Which of the following findings should the nurse report to the provider?
- A. The client reports a frequent urge to urinate.
- B. The client's urine is pink-tinged.
- C. The client's bladder irrigation fluid is clear.
- D. The client's urine output contains large clots.
Correct Answer: D
Rationale: Large clots in urine suggest hemorrhage, requiring immediate reporting. Urge to urinate, pink-tinged urine, and clear irrigation fluid are expected post-TURP.
A nurse is caring for a client who is receiving a blood transfusion. Which of the following actions should the nurse take if a transfusion reaction is suspected?
- A. Increase the infusion rate.
- B. Administer diphenhydramine.
- C. Stop the transfusion.
- D. Elevate the client's legs.
Correct Answer: C
Rationale: Stopping the transfusion prevents further reaction. Increasing the rate worsens it, diphenhydramine is secondary, and leg elevation is unrelated.
A nurse is reinforcing teaching with a client who has a new prescription for duloxetine. Which of the following statements should the nurse include?
- A. You should take this medication in the morning.
- B. You might experience nausea while taking this medication.
- C. You need to avoid sunlight while taking this medication.
- D. You can stop taking this medication as soon as you feel better.
Correct Answer: B
Rationale: Duloxetine can cause nausea, a common side effect. Timing is flexible, sunlight avoidance isn't needed, and abrupt stopping risks withdrawal.
A nurse is reinforcing teaching with a client who has a new prescription for prednisone. Which of the following instructions should the nurse include?
- A. You should take this medication on an empty stomach.
- B. You might experience weight gain while taking this medication.
- C. You can stop taking this medication as soon as your symptoms improve.
- D. You need to avoid eating dairy products while taking this medication.
Correct Answer: B
Rationale: Prednisone can cause weight gain due to fluid retention and appetite increase. It's taken with food, tapered gradually, and dairy isn't restricted.