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A nurse is reinforcing teaching with a client who has a new prescription for lorazepam. Which of the following instructions should the nurse include?
- A. You should take this medication in the morning.
- B. You might experience dizziness while taking this medication.
- C. You need to increase your fluid intake while taking this medication.
- D. You can take this medication with an antacid.
Correct Answer: B
Rationale: Lorazepam can cause dizziness, a key safety concern. Timing is flexible, fluid increase isn't needed, and antacids don't interact significantly.
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A nurse is reinforcing teaching with a client who has a new prescription for simvastatin. 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 have muscle pain while taking this medication.
- C. I need to avoid grapefruit juice.
- D. I should stop taking this medication if I feel dizzy.
Correct Answer: B,C
Rationale: Simvastatin can cause muscle pain and interacts with grapefruit juice, showing understanding. It's taken at night, and dizziness doesn't warrant stopping.
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 lumbar puncture. Which of the following actions should the nurse take?
- A. Encourage the client to lie flat for 2 to 4 hr.
- B. Instruct the client to limit fluid intake.
- C. Apply a warm compress to the puncture site.
- D. Monitor the client's temperature every 8 hr.
Correct Answer: A
Rationale: Lying flat prevents post-lumbar puncture headache by reducing CSF leakage. Fluid restriction is unnecessary, warm compresses aren't standard, and temperature checks are more frequent if infection is suspected.
A nurse is caring for a client who has a new prescription for furosemide. Which of the following laboratory values should the nurse monitor?
- A. Sodium
- B. Calcium
- C. Potassium
- D. Magnesium
Correct Answer: C
Rationale: Furosemide can cause hypokalemia, so potassium levels must be monitored. Sodium, calcium, or magnesium aren't primarily affected.
A nurse is caring for a client who is 12 hr postpartum and has deep vein thrombosis of the left leg. The client is receiving anticoagulant therapy. Which of the following actions should the nurse take?
- A. Apply an ice pack to the affected extremity for 20 min every 2 hr.
- B. Administer aspirin for pain.
- C. Massage the affected extremity every 4 hr.
- D. Initiate bed rest.
Correct Answer: D
Rationale: Bed rest prevents clot dislodgement, reducing pulmonary embolism risk. Ice, aspirin, or massage could increase bleeding or dislodge the clot, worsening the condition.