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A nurse is reinforcing teaching with a client who has a new prescription for metformin. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication on an empty stomach.
- B. I might need to check my blood sugar more often.
- C. I can stop taking this medication if I lose weight.
- D. I should avoid drinking alcohol while taking this medication.
Correct Answer: B,D
Rationale: Metformin requires frequent glucose monitoring and alcohol avoidance to prevent lactic acidosis. It's taken with food, and stopping needs provider approval.
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A nurse is reinforcing teaching with a client about the use of budesonide for asthma management. Which of the following statements by the adolescent indicates an understanding of the teaching?
- A. I will take my inhaler treatment before each meal and at bedtime.
- B. I should use my inhaler before exercising.
- C. I should use my inhaler when I have an asthma attack.
- D. I will rinse my mouth and gargle with water after each inhaler treatment.
Correct Answer: D
Rationale: Rinsing the mouth after budesonide use prevents oral thrush, a key self-care step. Budesonide isn't timed with meals, used before exercise routinely, or for acute attacks.
A nurse is caring for a client who is postoperative following a thyroidectomy. Which of the following actions should the nurse take?
- A. Monitor the client for neck swelling.
- B. Instruct the client to resume a high-iodine diet.
- C. Apply a heating pad to the surgical site.
- D. Encourage the client to speak loudly to test vocal cords.
Correct Answer: A
Rationale: Neck swelling post-thyroidectomy could indicate hematoma or edema, requiring monitoring. High-iodine diets, heating pads, and loud speaking aren't appropriate.
A nurse is reinforcing teaching with a client who has a new prescription for lisinopril. Which of the following statements should the nurse include?
- A. You should increase your intake of potassium-rich foods.
- B. You might develop a dry cough while taking this medication.
- C. You should take this medication at bedtime.
- D. You need to limit your fluid intake while taking this medication.
Correct Answer: B
Rationale: Lisinopril can cause a persistent dry cough, a common side effect. Potassium intake, bedtime dosing, or fluid limits aren't specific concerns.
A nurse is caring for a client who has a new prescription for albuterol. Which of the following client statements indicates an understanding of the teaching?
- A. I will take this medication once daily at bedtime.
- B. This medication may cause my heart to beat faster.
- C. I should avoid drinking water after using this medication.
- D. This medication will prevent me from getting asthma attacks.
Correct Answer: B
Rationale: Albuterol can cause tachycardia, a key side effect to understand. It's used as needed, not daily, hydration is unaffected, and it treats, not prevents, asthma attacks.
A nurse is caring for a client who is postoperative following a thyroidectomy. Which of the following findings should the nurse monitor for?
- A. Hypotension
- B. Hyperglycemia
- C. Hypocalcemia
- D. Bradycardia
Correct Answer: C
Rationale: Thyroidectomy risks hypoparathyroidism, leading to hypocalcemia, which can cause tetany or seizures. Hypotension, hyperglycemia, or bradycardia aren't primary concerns.