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A nurse is reinforcing teaching with a client who has a new prescription for omeprazole. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication at bedtime.
- B. I might need to take this medication for several weeks.
- C. I can take this medication with an antacid if I have heartburn.
- D. I should stop taking this medication if I feel better.
Correct Answer: B
Rationale: Omeprazole often requires weeks of treatment for full effect, showing understanding. It's taken before meals, antacids don't enhance it, and stopping early risks relapse.
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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 to prevent aspiration?
- A. Flush the tube with 30 mL of sterile water every 4 hr.
- B. Place the client in a supine position during feeding.
- C. Check for gastric residual volume every 4 hr.
- D. Keep the head of the bed elevated to at least 30 degrees.
Correct Answer: D
Rationale: Elevating the bed to 30-45 degrees reduces aspiration risk by promoting proper digestion. Flushing maintains patency, supine position increases risk, and residual checks monitor tolerance.
A nurse is caring for a client who is postoperative following a mastectomy. Which of the following actions should the nurse take to promote arm mobility?
- A. Encourage the client to perform deep breathing exercises.
- B. Instruct the client to avoid using the affected arm for 6 weeks.
- C. Teach the client to perform range-of-motion exercises daily.
- D. Apply a compression bandage to the affected arm.
Correct Answer: C
Rationale: Daily range-of-motion exercises prevent stiffness and promote mobility. Breathing exercises, arm avoidance, or compression don't target mobility.
A nurse is reinforcing teaching with new parents about car seat safety. Which of the following instructions should the nurse include?
- A. Keep the airbag on if the car seat is in the front seat.
- B. Position the car seat at a 90° angle.
- C. Put a small cushion under the newborn's head for support.
- D. Place the shoulder harnesses at the level of the infant's shoulders.
Correct Answer: D
Rationale: Shoulder harnesses at shoulder level ensure a secure fit, enhancing safety. Airbags should be off for front-seat car seats, the angle should be 45°, and cushions can disrupt proper positioning.
A nurse is reinforcing teaching with a client who has a new prescription for tramadol. Which of the following instructions should the nurse include?
- A. Take this medication with food to prevent nausea.
- B. You might experience constipation while taking this medication.
- C. You should avoid driving until you know how this medication affects you.
- D. You can increase the dose if your pain persists.
Correct Answer: B,C
Rationale: Tramadol can cause constipation, and its sedative effects warrant avoiding driving initially. Food may help nausea but isn't required, and dose increases need provider approval.
A nurse is reinforcing teaching with a client who has a new prescription for omeprazole. Which of the following instructions should the nurse include?
- A. Take this medication at bedtime.
- B. You might need to take this medication for up to 8 weeks.
- C. Stop taking this medication if you experience heartburn.
- D. Take this medication with an antacid for best results.
Correct Answer: B
Rationale: Omeprazole may require 4-8 weeks for full effect in treating conditions like GERD. It's taken before meals, not bedtime, stopping for heartburn is incorrect, and antacids don't enhance it.