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A nurse is reinforcing teaching with a client who has a new prescription for valsartan. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication with a high-potassium meal.
- B. I might need to check my blood pressure regularly.
- C. I need to avoid exercise.
- D. I can stop taking this medication if I feel better.
Correct Answer: B
Rationale: Valsartan requires blood pressure monitoring, showing understanding. Potassium meals, exercise avoidance, and stopping abruptly aren't appropriate.
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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 doxycycline. Which of the following instructions should the nurse include?
- A. Take this medication with an antacid.
- B. You might need to wear sunscreen while taking this medication.
- C. You need to refrigerate this medication.
- D. You should stop taking this medication if you feel better.
Correct Answer: B
Rationale: Doxycycline increases photosensitivity, requiring sunscreen. Antacids reduce absorption, refrigeration isn't needed, and stopping early risks resistance.
A nurse is caring for a client who is receiving IV vancomycin. Which of the following findings should the nurse report to the provider?
- A. The client reports mild itching.
- B. The client's urine output is 40 mL/hr.
- C. The client's infusion site is red and warm.
- D. The client's blood pressure is 130/80 mm Hg.
Correct Answer: C
Rationale: Redness and warmth at the infusion site suggest phlebitis or infiltration, requiring reporting. Itching, normal urine output, and stable BP are less concerning.
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 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.