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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. Take this medication with a high-fiber meal.
- B. You might feel tired while taking this medication.
- C. You need to avoid caffeine.
- D. You can stop taking this medication if your pulse is normal.
Correct Answer: B
Rationale: Metoprolol can cause fatigue, a side effect to anticipate. Fiber meals, caffeine avoidance, and stopping based on pulse aren't recommended.
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A nurse is reinforcing teaching with a client who has a new prescription for gabapentin. Which of the following statements should the nurse include?
- A. You should take this medication with a high-fat meal.
- B. You might feel drowsy while taking this medication.
- C. You need to avoid alcohol while taking this medication.
- D. You can stop taking this medication as soon as your symptoms improve.
Correct Answer: B
Rationale: Gabapentin can cause drowsiness, requiring caution. Food intake is flexible, alcohol avoidance is prudent but secondary, and abrupt stopping risks symptom recurrence.
A nurse is reinforcing teaching with a client who has a new prescription for amoxicillin. Which of the following instructions should the nurse include?
- A. Take this medication with an antacid to prevent stomach upset.
- B. You might experience diarrhea 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: Amoxicillin can cause diarrhea, a common side effect. Antacids aren't needed, refrigeration depends on form, and stopping early risks resistance.
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.
A nurse is reinforcing teaching with a client who is scheduled for a colonoscopy. Which of the following statements should the nurse include?
- A. You will be given a sedative during the procedure.
- B. You can eat a light breakfast the morning of the procedure.
- C. You will need to maintain a clear liquid diet for 3 days prior to the procedure.
- D. You will need to take an antibiotic before the procedure.
Correct Answer: A
Rationale: A sedative is used to ensure comfort during a colonoscopy. Clear liquids are required only 1-2 days prior, no food is allowed the morning of, and antibiotics aren't standard.
A nurse is caring for a client who is receiving IV chemotherapy. Which of the following findings should the nurse report to the provider?
- A. The client reports mild fatigue.
- B. The client's IV site is cool and swollen.
- C. The client's urine output is 200 mL over 4 hr.
- D. The client's temperature is 37.2°C (99°F).
Correct Answer: B
Rationale: A cool, swollen IV site suggests extravasation, a chemotherapy emergency requiring immediate reporting. Fatigue, urine output, and mild fever are less urgent.