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A nurse is reinforcing teaching with a client who has a new prescription for metoprolol. Which of the following statements should the nurse include?
- A. You should take this medication with a high-fiber meal.
- B. You might experience fatigue while taking this medication.
- C. You need to avoid caffeine while taking this medication.
- D. You can stop taking this medication if your blood pressure is normal.
Correct Answer: B
Rationale: Metoprolol can cause fatigue, a common side effect to monitor. Fiber meals, caffeine avoidance, or stopping abruptly aren't recommended.
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A nurse is caring for a client who is postoperative following an appendectomy. Which of the following findings should the nurse report to the provider?
- A. The client reports pain at the incision site.
- B. The client's temperature is 38.1°C (100.5°F).
- C. The client has not had a bowel movement since surgery.
- D. The client's incision is intact with minimal drainage.
Correct Answer: B
Rationale: A temperature of 38.1°C suggests possible infection, requiring reporting. Pain, no bowel movement, or minimal drainage are expected post-appendectomy.
A nurse is caring for a client who is postoperative following a mastectomy. Which of the following actions should the nurse take?
- A. Encourage the client to perform arm exercises on the affected side.
- B. Instruct the client to keep the affected arm dependent.
- C. Apply a cold pack to the surgical site every 2 hr.
- D. Administer a diuretic to reduce arm swelling.
Correct Answer: A
Rationale: Arm exercises prevent lymphedema and promote mobility. Dependent positioning worsens swelling, cold packs aren't standard, and diuretics aren't routine.
A nurse is reinforcing teaching about disease management with a client who has GERD. Which of the following statements should the nurse make?
- A. You should lay down for 1 hour following a meal.
- B. You should eat three large meals and two snacks per day.
- C. You should only drink 2 cups of coffee per day.
- D. You should elevate the head of the bed while sleeping.
Correct Answer: D
Rationale: Elevating the bed head prevents acid reflux at night. Lying down post-meal, large meals, or coffee can worsen GERD symptoms.
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take?
- A. Check the client's blood glucose levels regularly.
- B. Administer TPN through a peripheral IV line.
- C. Change the TPN bag every 48 hr.
- D. Monitor the client's blood pressure every 4 hr.
Correct Answer: A
Rationale: TPN's high glucose content requires regular blood glucose monitoring to prevent hyperglycemia. It's given centrally, bags change every 24 hours, and blood pressure isn't specific.
A nurse is reinforcing teaching with a client who has a new prescription for enoxaparin. The nurse should identify which of the following over-the-counter products as unsafe for use with enoxaparin.
- A. Cimetidine
- B. Docusate
- C. Calcium supplement
- D. Naproxen
Correct Answer: D
Rationale: Naproxen, an NSAID, increases bleeding risk with enoxaparin, an anticoagulant. Cimetidine, docusate, and calcium supplements don't pose significant interaction risks.