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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 have an appetite while taking this medication.
- C. I should take this medication at the same time every day.
- D. I might need a higher dose of this medication when I am older.
Correct Answer: C
Rationale: Taking levothyroxine at the same time every day ensures consistent blood levels, optimizing its effectiveness in treating hypothyroidism.
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A nurse is reinforcing teaching with a client who has a new prescription for a budesonide inhaler. Which of the following instructions should the nurse include?
- A. Rinse your mouth after use.
- B. Use it as needed for shortness of breath.
- C. Take it twice daily.
- D. Shake the inhaler before use.
Correct Answer: A
Rationale: Rinsing the mouth after using a budesonide inhaler prevents oral thrush, a common side effect of inhaled corticosteroids.
A nurse is caring for a client who has a new diagnosis of achalasia. Which of the following findings should the nurse expect?
- A. Dysphagia
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Dysphagia, difficulty swallowing, is a hallmark symptom of achalasia due to esophageal motility issues.
A nurse is collecting data from a client who is at 32 weeks of gestation and is experiencing preterm labor. Which of the following findings should the nurse expect?
- A. The client reports a tightening of her abdomen.
- B. The client reports increased urinary output.
- C. The client reports a temperature of 38.9°C (102°F).
- D. The client reports seeing bright red blood.
Correct Answer: A
Rationale: A tightening of the abdomen indicates uterine contractions, a hallmark of preterm labor, which the nurse should expect at 32 weeks of gestation.
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.
A nurse is caring for a client who has a new prescription for spironolactone. Which of the following laboratory values should the nurse monitor?
- A. Potassium
- B. Hemoglobin
- C. Cholesterol
- D. Albumin
Correct Answer: A
Rationale: Spironolactone, a potassium-sparing diuretic, can cause hyperkalemia, so monitoring potassium levels is critical.