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A nurse is reinforcing teaching with a client who has a new prescription for simvastatin. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication in the morning.
- B. I might have muscle pain while taking this medication.
- C. I need to avoid grapefruit juice.
- D. I should stop taking this medication if I feel dizzy.
Correct Answer: B,C
Rationale: Simvastatin can cause muscle pain and interacts with grapefruit juice, showing understanding. It's taken at night, and dizziness doesn't warrant stopping.
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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 caring for a client who has been admitted to the mental health unit. While reinforcing teaching about the client's prescribed medications, the nurse communicates truthfully about the adverse effects of the medications. Which of the following ethical concepts is the nurse exhibiting?
- A. Justice
- B. Autonomy
- C. Veracity
- D. Beneficence
Correct Answer: C
Rationale: Veracity involves truthful communication. By honestly discussing medication side effects, the nurse upholds this principle, supporting informed decision-making.
A nurse is caring for a client who is receiving a continuous IV infusion. The nurse notes that the skin around the catheter's insertion site is edematous and cool. Which of the following actions should the nurse take first?
- A. Elevate the arm.
- B. Document the infiltration.
- C. Stop the infusion.
- D. Apply a warm compress.
Correct Answer: C
Rationale: Stopping the infusion is the priority to prevent further fluid infiltration, which can cause tissue damage. Elevation, documentation, and compresses follow after halting the infusion.
A nurse is caring for a client who is receiving IV heparin. Which of the following actions should the nurse take?
- A. Monitor the client's prothrombin time (PT).
- B. Administer the heparin via IV push.
- C. Check the client's activated partial thromboplastin time (aPTT).
- D. Instruct the client to increase vitamin K intake.
Correct Answer: C
Rationale: Heparin's effect is monitored via aPTT to ensure therapeutic anticoagulation. PT is for warfarin, heparin infuses slowly, and vitamin K counteracts it.
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.