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A nurse is reinforcing teaching with a client who has a new prescription for lisinopril. Which of the following statements should the nurse include?
- A. You should increase your intake of potassium-rich foods.
- B. You might develop a dry cough while taking this medication.
- C. You should take this medication at bedtime.
- D. You need to limit your fluid intake while taking this medication.
Correct Answer: B
Rationale: Lisinopril can cause a persistent dry cough, a common side effect. Potassium intake, bedtime dosing, or fluid limits aren't specific concerns.
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A nurse is caring for a client who is receiving IV fluids. Which of the following findings indicates the client is experiencing fluid overload?
- A. The client's blood pressure is 110/70 mm Hg.
- B. The client's respiratory rate is 24 breaths/min.
- C. The client reports feeling thirsty.
- D. The client's neck veins are distended.
Correct Answer: D
Rationale: Distended neck veins indicate fluid overload, reflecting increased venous pressure. Normal BP, mild tachypnea, or thirst don't specifically signal overload.
A nurse is assisting with a community health program for caregivers of clients who have Alzheimer's disease. Which of the following information should the nurse include?
- A. Use confrontation to manage the client's behavior.
- B. Limit the number of choices for the client.
- C. Provide a stimulating environment for the client.
- D. Use written signs to assist the client with locating the bathroom.
Correct Answer: B,D
Rationale: Limiting choices reduces confusion, and signs aid navigation. Confrontation increases agitation, and overstimulation can overwhelm clients with Alzheimer's.
A nurse is reinforcing teaching with a client who has gout and a new prescription for allopurinol. Which of the following statements should the nurse include?
- A. You should limit your intake of vitamin C.
- B. You might experience a skin rash while taking this medication.
- C. You can take this medication with an antacid to reduce stomach upset.
- D. You should avoid drinking coffee while taking this medication.
Correct Answer: B
Rationale: Allopurinol can cause rashes, a potential sign of serious reactions. Vitamin C, antacids, or coffee don't significantly interact with allopurinol.
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.
A nurse is caring for a client who has a new diagnosis of diabetes mellitus and is refusing to learn how to self-administer Insulin. Which of the following responses should the nurse make?
- A. Why don't you want to learn how to give yourself your medication?
- B. I'd like to hear your thoughts about giving yourself this medication.
- C. Have you considered how your decision to refuse medication will affect your family?
- D. You will suffer serious health issues if you don't take your medication.
Correct Answer: B
Rationale: Inviting the client to share thoughts encourages open communication and respects their perspective, facilitating understanding of barriers to learning.