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A nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin sublingual tablets. Which of the following statements should the nurse include?
- A. Take one tablet every 10 min for chest pain.
- B. You might feel a headache after taking this medication.
- C. Swallow the tablet with water for best results.
- D. Store the tablets in a clear plastic bag.
Correct Answer: B
Rationale: Nitroglycerin often causes headaches due to vasodilation. It's taken every 5 minutes, dissolved under the tongue, and stored in a dark, airtight container.
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A nurse is caring for a client who is receiving IV fluids. Which of the following findings indicates the client is experiencing fluid overload?
- A. The client's blood pressure is 110/70 mm Hg.
- B. The client's respiratory rate is 24 breaths/min.
- C. The client reports feeling thirsty.
- D. The client's neck veins are distended.
Correct Answer: D
Rationale: Distended neck veins indicate fluid overload, reflecting increased venous pressure. Normal BP, mild tachypnea, or thirst don't specifically signal overload.
A nurse is caring for a client who is postoperative following a bowel resection. Which of the following findings should the nurse report to the provider?
- A. The client reports mild abdominal discomfort.
- B. The client's bowel sounds are hypoactive.
- C. The client's incision is red and warm to the touch.
- D. The client has passed flatus.
Correct Answer: C
Rationale: Redness and warmth at the incision suggest infection, requiring prompt reporting. Mild discomfort, hypoactive sounds, and flatus are expected post-resection.
A nurse is reinforcing discharge teaching with a client who has a prescription for antibiotic therapy. The client reports experiencing diarrhea when taking antibiotics. Which of the following foods should the nurse recommend to lessen the occurrence of diarrhea?
- A. Coffee
- B. Ice cream
- C. Apple juice
- D. Yogurt
Correct Answer: D
Rationale: Yogurt's probiotics help restore gut flora, reducing antibiotic-associated diarrhea. Coffee, ice cream, and apple juice may worsen diarrhea due to their diuretic, lactose, or sugar content.
A nurse is reinforcing teaching with a client who has a new prescription for gabapentin. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication with a high-fat meal.
- B. I might feel sleepy while taking this medication.
- C. I need to avoid sunlight while taking this medication.
- D. I can stop taking this medication as soon as my pain goes away.
Correct Answer: B
Rationale: Gabapentin can cause drowsiness, reflecting understanding. Food intake is flexible, sunlight isn't a concern, and stopping needs tapering.
A nurse is reinforcing teaching with a client who has a new prescription for losartan. Which of the following statements should the nurse include?
- A. You should take this medication with a high-potassium meal.
- B. You might experience dizziness while taking this medication.
- C. You need to limit your exercise while taking this medication.
- D. You can take this medication at any time of day.
Correct Answer: B
Rationale: Losartan can cause dizziness due to blood pressure lowering, a key safety concern. Potassium meals, exercise limits, or flexible timing aren't primary considerations.