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A nurse is reinforcing teaching with a client who has a new prescription for lisinopril. Which of the following adverse effects should the nurse include?
- A. Dry cough
- B. Weight gain
- C. Tinnitus
- D. Hypoglycemia
Correct Answer: A
Rationale: Lisinopril, an ACE inhibitor, can cause a dry cough due to increased bradykinin levels, a common side effect.
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A nurse is reinforcing teaching with a client who is scheduled for a cystoscopy. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will need to fast for 12 hours before the procedure.
- B. I may have pink-tinged urine after the procedure.
- C. I will receive general anesthesia during the procedure.
- D. I should avoid urinating for 6 hours after the procedure.
Correct Answer: B
Rationale: Pink-tinged urine is expected after a cystoscopy due to minor irritation of the bladder lining.
A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following foods should the nurse instruct the client to limit?
- A. Broccoli
- B. Apples
- C. Chicken
- D. Rice
Correct Answer: A
Rationale: Broccoli is high in vitamin K, which can interfere with warfarin's anticoagulant effect, so intake should be limited and consistent.
A nurse is reinforcing teaching with a client who has a new prescription for a medicated foot powder. Which of the following instructions should the nurse include?
- A. Apply the powder to wet feet.
- B. Use the powder twice a week.
- C. Apply a thick layer between the toes.
- D. Wear socks after applying the powder.
Correct Answer: D
Rationale: Wearing socks after applying medicated foot powder helps keep the medication in place and prevents spreading.
A nurse is caring for a client who has a new diagnosis of osteoporosis. Which of the following dietary recommendations should the nurse make?
- A. Increase calcium intake.
- B. Limit protein intake.
- C. Avoid whole grains.
- D. Reduce vitamin D intake.
Correct Answer: A
Rationale: Increasing calcium intake supports bone health and helps prevent further bone loss in osteoporosis.
A nurse in an acute care facility is assisting with the development of an in-service about reducing environmental stressors to improve clients' sleep. Which of the following instructions should the nurse include?
- A. Turn on overhead lights briefly when checking IV lines.
- B. Open curtains between clients in semiprivate rooms.
- C. Wear shoes with rubber soles.
- D. Conduct change-of-shift report near the clients' rooms.
Correct Answer: C
Rationale: Wearing shoes with rubber soles is correct. Rubber-soled shoes reduce noise from footsteps, minimizing disturbances in client rooms and creating a quieter environment that promotes sleep.