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A nurse is reinforcing teaching with a client who has a new prescription for montelukast. Which of the following statements should the nurse include?
- A. You should take this medication in the evening.
- B. You might experience weight gain while taking this medication.
- C. You need to limit your fluid intake while taking this medication.
- D. You can take this medication with an antacid.
Correct Answer: A
Rationale: Montelukast is taken in the evening for asthma control. Weight gain, fluid limits, or antacids aren't significant concerns.
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A nurse is caring for a client who is receiving IV fluids. Which of the following actions should the nurse take to prevent infection?
- A. Change the IV tubing every 24 hr.
- B. Clean the IV insertion site with alcohol before insertion.
- C. Monitor the IV site for redness or swelling.
- D. Use a new IV catheter for each attempt.
Correct Answer: C
Rationale: Monitoring for redness or swelling detects infection early. Tubing changes are every 72-96 hours, alcohol is standard, and new catheters are used per attempt.
A nurse is caring for a client who is postoperative following a bowel resection. Which of the following actions should the nurse take?
- A. Encourage the client to ambulate as tolerated.
- B. Instruct the client to avoid coughing.
- C. Apply a warm compress to the incision site.
- D. Administer a diuretic every 4 hr.
Correct Answer: A
Rationale: Ambulation prevents complications like ileus and thromboembolism. Coughing aids lung function, warm compresses risk infection, and diuretics aren't routine.
A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following actions should the nurse take to prevent dislocation?
- A. Place a wedge pillow between the client's legs.
- B. Encourage the client to sit in a recliner.
- C. Allow the client to cross their legs when seated.
- D. Instruct the client to bend at the waist when picking up objects.
Correct Answer: A
Rationale: A wedge pillow maintains abduction, preventing hip dislocation. Recliners, leg crossing, or bending at the waist increase dislocation risk.
A nurse is reinforcing teaching with a client who has a new prescription for furosemide. Which of the following instructions should the nurse include?
- A. Take this medication at bedtime.
- B. You might need to eat more potassium-rich foods.
- C. You need to limit your fluid intake.
- D. You should stop taking this medication if you feel dizzy.
Correct Answer: B
Rationale: Furosemide causes potassium loss, so increasing intake helps prevent hypokalemia. It's taken in the morning, fluid limits aren't standard, and dizziness needs evaluation.
A nurse is reinforcing dietary teaching with a client whose pre-pregnancy BMI was 30.5. The nurse should include which of the following is an acceptable weight gain for this client?
- A. 16 lb
- B. 32 lb
- C. 24 lb
- D. 8 lb
Correct Answer: A
Rationale: For a BMI of 30.5 (obese), a weight gain of 11-20 pounds is recommended. 16 pounds falls within this range, supporting healthy pregnancy outcomes without excess gain.