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A nurse is reinforcing teaching with a client who has a new prescription for levofloxacin. Which of the following instructions should the nurse include?
- A. Take this medication with an antacid to prevent stomach upset.
- B. You might experience 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 tendonitis or rupture, a serious side effect. Antacids reduce absorption, refrigeration isn't needed, and hydration is encouraged.
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A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. Which of the following actions should the nurse take?
- A. Monitor the client's urine output every 4 hr.
- B. Irrigate the catheter with sterile water every 2 hr.
- C. Check the catheter tubing for blood clots.
- D. Administer an antibiotic prophylactically.
Correct Answer: C
Rationale: Checking for clots ensures catheter patency, critical for irrigation. Output monitoring is secondary, manual irrigation isn't routine, and antibiotics depend on orders.
A nurse is reinforcing teaching with a client who has a new prescription for atorvastatin. Which of the following statements should the nurse include?
- A. You should take this medication in the morning.
- B. You might experience muscle pain while taking this medication.
- C. You need to avoid eating grapefruit while taking this medication.
- D. You should stop taking this medication if you feel dizzy.
Correct Answer: B
Rationale: Atorvastatin can cause myopathy, so muscle pain should be monitored. It's taken at night, grapefruit interaction is minimal, and dizziness doesn't warrant stopping.
A nurse is reinforcing teaching with a client who has a new prescription for fluoxetine. Which of the following statements should the nurse include?
- A. You should take this medication at bedtime.
- B. You might experience weight loss while taking this medication.
- C. You need to avoid tyramine-rich foods while taking this medication.
- D. You can expect symptom improvement within 24 hours.
Correct Answer: A
Rationale: Fluoxetine is often taken at bedtime to minimize daytime side effects like agitation. Weight changes vary, tyramine isn't a concern, and effects take 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 caring for a client who is postoperative following a coronary artery bypass graft. Which of the following actions should the nurse take?
- A. Encourage the client to cough and deep breathe every 2 hr.
- B. Instruct the client to avoid using their arms for support.
- C. Apply a warm compress to the chest incision.
- D. Allow the client to resume a high-sodium diet.
Correct Answer: A
Rationale: Coughing and deep breathing prevent atelectasis and pneumonia. Arm use is encouraged with guidance, warm compresses risk infection, and sodium is restricted.