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A nurse is reinforcing teaching with a client who has a new prescription for losartan. Which of the following instructions should the nurse include?
- A. Take this medication with a high-potassium meal.
- B. You might feel dizzy when standing up quickly.
- C. You need to limit your exercise.
- D. You should take this medication at bedtime.
Correct Answer: B
Rationale: Losartan can cause orthostatic hypotension, leading to dizziness. Potassium meals, exercise limits, and bedtime dosing aren't necessary.
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A nurse is reinforcing teaching with a client who has a new prescription for doxycycline. Which of the following instructions should the nurse include?
- A. Take this medication with an antacid.
- B. You might need to wear sunscreen while taking this medication.
- C. You need to refrigerate this medication.
- D. You should stop taking this medication if you feel better.
Correct Answer: B
Rationale: Doxycycline increases photosensitivity, requiring sunscreen. Antacids reduce absorption, refrigeration isn't needed, and stopping early risks resistance.
A nurse is caring for a client who is receiving continuous enteral feeding. Which of the following actions should the nurse take?
- A. Check gastric residual volume every 4 hr.
- B. Flush the tube with water every 12 hr.
- C. Position the client supine during feeding.
- D. Change the feeding bag every 48 hr.
Correct Answer: A
Rationale: Checking residual volume every 4 hours assesses tolerance, preventing aspiration. Flushing is more frequent, supine positioning risks aspiration, and bags change every 24 hours.
A nurse is reinforcing teaching with a client who has a new prescription for fluoxetine. Which of the following statements should the nurse include?
- A. You should take this medication at bedtime.
- B. You might experience weight loss while taking this medication.
- C. You need to avoid tyramine-rich foods while taking this medication.
- D. You can expect symptom improvement within 24 hours.
Correct Answer: A
Rationale: Fluoxetine is often taken at bedtime to minimize daytime side effects like agitation. Weight changes vary, tyramine isn't a concern, and effects take weeks.
A nurse is reinforcing teaching with a client who has bipolar disorder and a new prescription for lithium. Which of the following instructions should the nurse include in the teaching?
- A. Increase intake of foods high in potassium.
- B. Maintain a consistent sodium intake.
- C. Limit daily exercise to 30 min.
- D. Take the medication on an empty stomach.
Correct Answer: B
Rationale: Consistent sodium intake prevents lithium toxicity or reduced efficacy. Potassium, exercise limits, or empty stomach administration aren't necessary.
A nurse is collecting data from a client who has thrombocytopenia. The nurse should identify which of the following findings increases the client's risk for injury.
- A. Wears a face mask around others
- B. Sleeps 8 to 10 hr per night
- C. Uses a firm bristled toothbrush
- D. Increased intake of green, leafy vegetables
Correct Answer: C
Rationale: A firm-bristled toothbrush risks gum bleeding in thrombocytopenia. Masks, sleep, or vegetables don't increase injury risk.