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A nurse is reinforcing teaching with a client who has a new prescription for methotrexate. Which of the following laboratory values should the nurse monitor?
- A. Liver function tests
- B. Hemoglobin A1c
- C. Serum creatinine
- D. Cholesterol
Correct Answer: A
Rationale: Methotrexate can cause hepatotoxicity, so monitoring liver function tests is essential to detect potential liver damage.
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A nurse is reinforcing teaching with a client who has a new prescription for a vaginal estrogen cream. Which of the following instructions should the nurse include?
- A. Apply the cream to the external genitalia.
- B. Use the cream daily for 3 months.
- C. Insert the applicator deeply into the vagina.
- D. Store the cream at room temperature.
Correct Answer: C
Rationale: Inserting the applicator deeply into the vagina ensures the estrogen cream is delivered effectively to treat vaginal atrophy.
A nurse is reinforcing teaching with a client who has a new prescription for albuterol. Which of the following adverse effects should the nurse include?
- A. Tremors
- B. Bradycardia
- C. Hypoglycemia
- D. Constipation
Correct Answer: A
Rationale: Albuterol, a beta-agonist, can cause tremors as a common side effect due to its stimulatory effect on the nervous system.
A nurse is reinforcing teaching with a client who is scheduled for a nerve conduction study. Which of the following instructions should the nurse include?
- A. Avoid caffeine before the study.
- B. Remove all jewelry before the study.
- C. Expect sedation during the study.
- D. Fast for 8 hours before the study.
Correct Answer: B
Rationale: Removing all jewelry before a nerve conduction study prevents interference with the electrical signals measured.
A nurse is reinforcing teaching with a client who is scheduled for a urodynamic study. Which of the following instructions should the nurse include?
- A. Fast for 8 hours before the study.
- B. Avoid urinating before the study.
- C. Expect general anesthesia.
- D. Remove all jewelry before the study.
Correct Answer: B
Rationale: Avoiding urination before a urodynamic study ensures the bladder is full, allowing accurate assessment of bladder function.
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.