Nokea
A nurse is reinforcing teaching with a client who has a new prescription for metformin. Which of the following adverse effects should the nurse include?
- A. Weight gain
- B. Metallic taste
- C. Hypotension
- D. Hyperglycemia
Correct Answer: B
Rationale: Metformin can cause a metallic taste, a common side effect that the client should be aware of when starting the medication.
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A nurse is caring for a client who is receiving a blood transfusion. Which of the following actions should the nurse take first if a transfusion reaction is suspected?
- A. Stop the transfusion.
- B. Notify the provider.
- C. Increase the infusion rate.
- D. Administer an antihistamine.
Correct Answer: A
Rationale: Stopping the transfusion is the first action to prevent further harm if a transfusion reaction is suspected.
A nurse is collecting data from a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following findings should the nurse report to the provider?
- A. Fasting blood glucose 110 mg/dL
- B. Fruity breath odor
- C. Blood pressure 132/82 mm Hg
- D. Numbness in the feet
Correct Answer: D
Rationale: Numbness in the feet suggests peripheral neuropathy, a complication of diabetes that requires prompt reporting to the provider for further evaluation.
A nurse is caring for a client who has a new prescription for bupropion. Which of the following adverse effects should the nurse monitor for?
- A. Insomnia
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Bupropion, an antidepressant, can cause insomnia due to its stimulatory effect on the central nervous system.
A nurse is caring for a client who has a new diagnosis of fibromyalgia. Which of the following findings should the nurse expect?
- A. Chronic pain
- B. Weight loss
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Chronic pain, often widespread, is a hallmark symptom of fibromyalgia affecting muscles and joints.
A nurse is assisting with the care of a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?
- A. Check gastric residual volume every 8 hours.
- B. Flush the tube with cold water every 4 hours.
- C. Position the client flat during feeding.
- D. Change the feeding bag every 72 hours.
Correct Answer: C
Rationale: Positioning the client with the head of the bed elevated during feeding reduces the risk of aspiration, a critical safety measure.