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A nurse is reinforcing teaching with a client who has a new prescription for sertraline. Which of the following adverse effects should the nurse include?
- A. Weight gain
- B. Bradycardia
- C. Hypotension
- D. Tinnitus
Correct Answer: A
Rationale: Sertraline, an SSRI, can cause weight gain as a side effect due to changes in appetite or metabolism.
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A nurse is caring for a client who has a new prescription for zolpidem. Which of the following adverse effects should the nurse monitor for?
- A. Drowsiness
- B. Weight gain
- C. Hyperglycemia
- D. Tinnitus
Correct Answer: A
Rationale: Zolpidem, a sedative-hypnotic, commonly causes drowsiness, which can affect safety and coordination.
A nurse is reinforcing teaching with a client who has a new prescription for doxycycline. Which of the following instructions should the nurse include?
- A. Take the medication with milk.
- B. Lie down for 30 minutes after taking it.
- C. Take it on an empty stomach.
- D. Avoid sun exposure.
Correct Answer: D
Rationale: Avoiding sun exposure is critical with doxycycline, as it can cause photosensitivity, leading to severe sunburn.
A nurse is caring for a client who is postoperative following abdominal surgery and has a wound evisceration. Which of the following actions should the nurse take?
- A. Cover the wound with sterile, saline-soaked gauze.
- B. Hold gentle, direct pressure on the protruding organ.
- C. Place the client's knees in an extended position.
- D. Raise the head of the bed to a 45° angle.
Correct Answer: A
Rationale: Covering the wound with sterile, saline-soaked gauze is correct. Evisceration occurs when abdominal contents protrude through a surgical wound. To prevent drying and further tissue damage, the nurse should immediately cover the exposed organs with sterile gauze moistened with saline to maintain moisture and reduce infection risk.
A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should sleep flat in bed at night.
- B. I should eat three large meals a day.
- C. I should avoid drinking decaffeinated coffee.
- D. I should remain upright after eating.
Correct Answer: D
Rationale: Remaining upright after eating reduces acid reflux by preventing stomach contents from flowing back into the esophagus, aiding in GERD management.
A nurse is caring for a client who is receiving a blood transfusion. Which of the following actions should the nurse take first if a transfusion reaction is suspected?
- A. Stop the transfusion.
- B. Notify the provider.
- C. Increase the infusion rate.
- D. Administer an antihistamine.
Correct Answer: A
Rationale: Stopping the transfusion is the first action to prevent further harm if a transfusion reaction is suspected.