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A nurse is reinforcing teaching with a client who has a new prescription for pantoprazole. Which of the following statements should the nurse include?
- A. Take this medication at bedtime.
- B. You might have 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 relapse.
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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 caring for a client who is postoperative following a cholecystectomy. Which of the following findings should the nurse report to the provider?
- A. The client reports shoulder pain.
- B. The client's temperature is 38.2°C (100.8°F).
- C. The client has not had a bowel movement since surgery.
- D. The client's incision is intact with slight redness.
Correct Answer: B
Rationale: A temperature of 38.2°C suggests infection, requiring reporting. Shoulder pain is referred pain, no bowel movement is expected, and slight redness is normal.
A nurse is collecting data from a client who has thrombocytopenia. The nurse should identify which of the following findings increases the client's risk for injury.
- A. Wears a face mask around others
- B. Sleeps 8 to 10 hr per night
- C. Uses a firm bristled toothbrush
- D. Increased intake of green, leafy vegetables
Correct Answer: C
Rationale: A firm-bristled toothbrush risks gum bleeding in thrombocytopenia. Masks, sleep, or vegetables don't increase injury risk.
A nurse is reinforcing teaching with a client who has a new prescription for duloxetine. Which of the following statements should the nurse include?
- A. You should take this medication in the morning.
- B. You might experience nausea while taking this medication.
- C. You need to avoid sunlight while taking this medication.
- D. You can stop taking this medication as soon as you feel better.
Correct Answer: B
Rationale: Duloxetine can cause nausea, a common side effect. Timing is flexible, sunlight avoidance isn't needed, and abrupt stopping risks withdrawal.
A nurse is reinforcing teaching with a client who has a new prescription for lisinopril. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication with food.
- B. I might need to check my blood pressure regularly.
- C. I can stop taking this medication if I feel better.
- D. I should avoid getting up quickly from sitting.
Correct Answer: B,D
Rationale: Lisinopril requires blood pressure monitoring and caution with position changes due to hypotension risk. Food isn't required, and stopping abruptly is unsafe.