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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.
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A nurse is reinforcing teaching with a client who is scheduled for a HIDA scan. Which of the following instructions should the nurse include?
- A. Fast for 4 hours before the scan.
- B. Avoid dairy products after the scan.
- C. Expect general anesthesia.
- D. Remove all clothing during the scan.
Correct Answer: A
Rationale: Fasting for 4 hours before a HIDA scan ensures accurate imaging of gallbladder function.
A nurse is caring for a client who has a new diagnosis of sarcoidosis. Which of the following findings should the nurse expect?
- A. Lung nodules
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Lung nodules are a common finding in sarcoidosis due to granuloma formation in the lungs.
A nurse is reinforcing teaching with a client who has a new prescription for a contraceptive patch. Which of the following instructions should the nurse include?
- A. Apply the patch to the same site each week.
- B. Change the patch every 2 weeks.
- C. Apply the patch to the lower abdomen.
- D. Store the patch in the refrigerator.
Correct Answer: C
Rationale: Applying the contraceptive patch to the lower abdomen (or other recommended sites) ensures effective hormone delivery.
A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should sleep flat in bed at night.
- B. I should eat three large meals a day.
- C. I should avoid drinking decaffeinated coffee.
- D. I should remain upright after eating.
Correct Answer: D
Rationale: Remaining upright after eating reduces acid reflux by preventing stomach contents from flowing back into the esophagus, aiding in GERD management.
A nurse is administering pancrelipase to a child who has cystic fibrosis. Which of the following outcomes should the nurse expect as a therapeutic effect of the treatment?
- A. Reduced fat in the stools
- B. Decreased sodium excretion
- C. Improved respiratory function
- D. Improved absorption of vitamins B and C
Correct Answer: A
Rationale: Reduced fat in the stools is correct. Pancrelipase is an enzyme replacement therapy that helps improve digestion and absorption of fats and proteins in individuals with cystic fibrosis. This treatment is especially important for those with pancreatic insufficiency, as it helps prevent the steatorrhea (fatty stools) commonly seen in these patients.