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A nurse is reinforcing teaching with a client who has a new prescription for lisinopril. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication with food.
- B. I might need to check my blood pressure regularly.
- C. I can stop taking this medication if I feel better.
- D. I should avoid getting up quickly from sitting.
Correct Answer: B,D
Rationale: Lisinopril requires blood pressure monitoring and caution with position changes due to hypotension risk. Food isn't required, and stopping abruptly is unsafe.
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A nurse is caring for a client who is postoperative following a total knee arthroplasty. Which of the following findings should the nurse report to the provider?
- A. The client reports mild pain at the surgical site.
- B. The client's temperature is 38.3°C (100.9°F).
- C. The client's knee is slightly swollen.
- D. The client can flex the knee 90 degrees.
Correct Answer: B
Rationale: A temperature of 38.3°C suggests infection, requiring reporting. Mild pain, slight swelling, and good flexion are expected post-arthroplasty.
A nurse is caring for a client who is postoperative following a femoral-popliteal bypass. Which of the following actions should the nurse take?
- A. Check the client's pedal pulses every 2 hr.
- B. Instruct the client to keep the affected leg in a dependent position.
- C. Apply a warm compress to the surgical site.
- D. Encourage the client to cross their legs when seated.
Correct Answer: A
Rationale: Checking pedal pulses assesses circulation, critical post-bypass. Dependent positioning risks swelling, warm compresses aren't standard, and leg crossing impairs flow.
A nurse is caring for a client who is postoperative following a cesarean birth. Which of the following actions should the nurse take?
- A. Encourage the client to ambulate within 24 hr.
- B. Instruct the client to avoid coughing.
- C. Apply a cold pack to the incision site.
- D. Administer a laxative every 2 hr.
Correct Answer: A
Rationale: Ambulation within 24 hours prevents thromboembolism and aids recovery. Coughing supports lung function, cold packs aren't standard, and laxatives aren't given that frequently.
A nurse is reinforcing teaching with a client who has a new prescription for metformin. Which of the following statements should the nurse include?
- A. Take this medication on an empty stomach.
- B. You might have a metallic taste while taking this medication.
- C. You need to limit your protein intake.
- D. You should stop taking this medication if you feel shaky.
Correct Answer: B
Rationale: Metformin can cause a metallic taste, a side effect to anticipate. It's taken with meals, protein limits aren't needed, and shakiness requires glucose, not stopping.
A nurse is reinforcing teaching with a client who has a new prescription for atorvastatin. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication in the morning.
- B. I might need to have my liver function checked.
- C. I can stop taking this medication if my cholesterol improves.
- D. I should avoid drinking alcohol while taking this medication.
Correct Answer: B,D
Rationale: Atorvastatin requires liver monitoring due to hepatotoxicity risk and alcohol avoidance to reduce liver strain. It's taken at night, and stopping needs provider input.