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A nurse is reinforcing teaching with a client who has a new prescription for loratadine. Which of the following statements should the nurse include?
- A. You should take this medication at bedtime if it causes drowsiness.
- B. You might notice an increase in your appetite.
- C. This medication might cause your skin to turn yellow.
- D. You should stop taking this medication if your symptoms improve.
Correct Answer: A
Rationale: Loratadine may cause mild drowsiness, so bedtime dosing is an option if needed. Appetite and skin color aren't affected, and stopping depends on symptom duration.
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A nurse is caring for a client who has a prescription for hydralazine. Which of the following actions should the nurse take?
- A. Administer the medication via rapid IV push.
- B. Monitor the client for signs of hypotension.
- C. Dilute the medication in dextrose 5% in water.
- D. Instruct the client to take the medication once per week.
Correct Answer: B
Rationale: Hydralazine can cause hypotension, requiring BP monitoring. It's given slowly IV or oral, diluted in saline if IV, and dosed as prescribed, not weekly.
A nurse is caring for a client who has a prescription for vancomycin IV. Which of the following actions should the nurse take?
- A. Administer the medication over 10 minutes.
- B. Monitor the client for signs of ototoxicity.
- C. Dilute the medication in dextrose 5% in water.
- D. Check the client's temperature prior to administration.
Correct Answer: B
Rationale: Vancomycin can cause ototoxicity (hearing loss), requiring monitoring. It's given over 60+ minutes, diluted in saline, and temp checks aren't specific to it.
A nurse is reinforcing teaching with a client who has a new prescription for clopidogrel. Which of the following statements should the nurse include?
- A. You should take this medication with a high-fat meal.
- B. You might notice an increase in your bruising.
- C. This medication might cause your stools to turn black.
- D. You should avoid drinking grapefruit juice while taking this medication.
Correct Answer: B
Rationale: Clopidogrel increases bleeding risk, leading to more bruising. It's taken regardless of meals, black stools signal GI bleeding (not typical), and grapefruit isn't a concern.
A nurse is assisting with the care of a client who is postoperative following a cholecystectomy. Which of the following actions should the nurse take?
- A. Monitor the client's incision site every 8 hr.
- B. Encourage the client to remain in a supine position.
- C. Instruct the client to splint the incision when coughing.
- D. Administer a PRN laxative 12 hr postoperative.
Correct Answer: C
Rationale: Splinting the incision reduces pain and strain during coughing post-cholecystectomy. Monitoring should be more frequent, ambulation is encouraged, and laxatives depend on need.
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of heparin. Which of the following actions should the nurse take?
- A. Monitor the client's aPTT every 12 hr.
- B. Change the IV site every 24 hr.
- C. Administer the infusion at a rate of 50 mL/hr.
- D. Flush the IV line with dextrose 5% in water every 4 hr.
Correct Answer: A
Rationale: Heparin requires aPTT monitoring (e.g., every 6-12 hr) to ensure therapeutic levels. Site changes are less frequent, rate depends on orders, and saline is used, not dextrose.