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A nurse is reinforcing teaching with a client who has a new prescription for prednisone. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication on an empty stomach.
- B. I might need to take this medication for several weeks.
- C. I can stop taking this medication if I feel better.
- D. I should avoid getting vaccinated while taking this medication.
Correct Answer: B
Rationale: Prednisone often requires weeks of treatment for efficacy, reflecting understanding. It's taken with food, stopping abruptly risks adrenal crisis, and vaccines need provider guidance.
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A nurse is collecting data for a client who is receiving enteral tube feedings. The nurse should identify that which of the following findings is a manifestation of fluid overload?
- A. Weight loss
- B. Decreased blood pressure
- C. Decreased skin turgor
- D. Crackles heard in the lungs
Correct Answer: D
Rationale: Crackles in the lungs indicate pulmonary edema from fluid overload. Weight loss, low blood pressure, or poor skin turgor suggest dehydration, not overload.
A nurse is caring for a client who is postoperative following a cesarean birth. Which of the following findings should the nurse report to the provider?
- A. The client reports pain at the incision site.
- B. The client's temperature is 38.5°C (101.3°F).
- C. The client has not voided in 6 hr.
- D. The client's lochia is moderate.
Correct Answer: B
Rationale: A temperature of 38.5°C suggests infection, requiring reporting. Pain, delayed voiding, and moderate lochia are expected or less urgent.
A nurse is reinforcing teaching with a client who has a new prescription for sertraline. Which of the following statements should the nurse include?
- A. You should take this medication in the morning.
- B. You might experience insomnia while taking this medication.
- C. You need to avoid caffeine while taking this medication.
- D. You should expect immediate improvement in your symptoms.
Correct Answer: B
Rationale: Sertraline can cause insomnia, a key side effect to anticipate. It's taken flexibly, caffeine isn't restricted, and effects take weeks.
A nurse is caring for a client who is receiving chemotherapy. Which of the following actions should the nurse take?
- A. Encourage the client to eat raw fruits and vegetables.
- B. Monitor the client's white blood cell count.
- C. Administer an antipyretic every 4 hr.
- D. Instruct the client to avoid handwashing.
Correct Answer: B
Rationale: Monitoring WBC count detects neutropenia, critical for infection prevention. Raw produce risks infection, antipyretics aren't routine, and handwashing is essential.
A nurse is reinforcing teaching with a client who has a new prescription for lorazepam. Which of the following instructions should the nurse include?
- A. You should take this medication in the morning.
- B. You might experience dizziness while taking this medication.
- C. You need to increase your fluid intake while taking this medication.
- D. You can take this medication with an antacid.
Correct Answer: B
Rationale: Lorazepam can cause dizziness, a key safety concern. Timing is flexible, fluid increase isn't needed, and antacids don't interact significantly.