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A nurse is reinforcing teaching with a client who has a new prescription for pantoprazole. Which of the following instructions should the nurse include?
- A. Take this medication at bedtime.
- B. You might experience diarrhea while taking this medication.
- C. You need to take this medication with an antacid.
- D. You should stop taking this medication if your symptoms improve.
Correct Answer: B
Rationale: Pantoprazole can cause diarrhea, a side effect to monitor. It's taken before meals, antacids aren't needed, and stopping early risks symptom recurrence.
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A nurse is caring for a client who is postoperative following a lumbar puncture. Which of the following actions should the nurse take?
- A. Encourage the client to lie flat for 2 to 4 hr.
- B. Instruct the client to limit fluid intake.
- C. Apply a warm compress to the puncture site.
- D. Monitor the client's temperature every 8 hr.
Correct Answer: A
Rationale: Lying flat prevents post-lumbar puncture headache by reducing CSF leakage. Fluid restriction is unnecessary, warm compresses aren't standard, and temperature checks are more frequent if infection is suspected.
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 teaching with a client who has a new prescription for gabapentin. Which of the following statements should the nurse include?
- A. You should take this medication with a high-fat meal.
- B. You might feel drowsy while taking this medication.
- C. You need to avoid alcohol while taking this medication.
- D. You can stop taking this medication as soon as your symptoms improve.
Correct Answer: B
Rationale: Gabapentin can cause drowsiness, requiring caution. Food intake is flexible, alcohol avoidance is prudent but secondary, and abrupt stopping risks symptom recurrence.
A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following statements by the client indicates an understanding of the teaching?
- A. I can take aspirin for a headache.
- B. I might need to have my blood tested regularly.
- C. I should increase my intake of green leafy vegetables.
- D. I can stop taking this medication once my clot dissolves.
Correct Answer: B
Rationale: Warfarin requires regular INR monitoring to ensure therapeutic levels. Aspirin increases bleeding risk, leafy greens affect efficacy, and stopping risks recurrence.
A nurse is reinforcing teaching with a client who has hypertension and a new prescription for hydrochlorothiazide. Which of the following instructions should the nurse include?
- A. Increase your intake of potassium-rich foods.
- B. Take the medication at bedtime.
- C. Monitor for leg cramps.
- D. Limit your fluid intake to 1 liter daily.
Correct Answer: C
Rationale: Hydrochlorothiazide can cause hypokalemia, leading to leg cramps, which should be monitored. Potassium intake may need adjustment, it's taken in the morning, and fluid limits aren't standard.