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A nurse is reinforcing teaching with a client who has a new prescription for venlafaxine. Which of the following statements should the nurse include?
- A. You should take this medication with food.
- B. You might experience headaches while taking this medication.
- C. You need to avoid caffeine while taking this medication.
- D. You can expect symptom relief within 24 hours.
Correct Answer: B
Rationale: Venlafaxine can cause headaches, a common side effect. Food enhances absorption, caffeine isn't restricted, and relief takes weeks.
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A nurse is reinforcing teaching with a client who has a new prescription for metoprolol. Which of the following statements should the nurse include?
- A. Take this medication with a high-fiber meal.
- B. You might feel tired while taking this medication.
- C. You need to avoid caffeine.
- D. You can stop taking this medication if your pulse is normal.
Correct Answer: B
Rationale: Metoprolol can cause fatigue, a side effect to anticipate. Fiber meals, caffeine avoidance, and stopping based on pulse aren't recommended.
A nurse is caring for a client who has bulimia nervosa. Which of the following actions should the nurse take first?
- A. Observe the client during and after meals.
- B. Suggest that the client assist with meal planning.
- C. Instruct the client about effective coping strategies.
- D. Refer the client to a support group for clients who have eating disorders.
Correct Answer: A
Rationale: Observing during and after meals monitors for purging behaviors, a priority for safety in bulimia. Meal planning, coping strategies, and support groups follow after ensuring immediate safety.
A nurse is assisting with preparing a client who is to have a central venous catheter inserted for the administration of total parenteral nutrition (TPN. Which of the following actions should the nurse take?
- A. Verify the amount of TPN solution the client is receiving every 4 hr.
- B. Prepare the client for a chest x-ray to verify catheter placement.
- C. Place the client in Sims' position for catheter insertion.
- D. Use a clean technique when changing the catheter dressing.
Correct Answer: B
Rationale: A chest X-ray confirms proper central venous catheter placement, critical for safe TPN administration. Verifying solution, Sims' position, or clean technique are inappropriate.
A nurse is reinforcing teaching with a client about the use of budesonide for asthma management. Which of the following statements by the adolescent indicates an understanding of the teaching?
- A. I will take my inhaler treatment before each meal and at bedtime.
- B. I should use my inhaler before exercising.
- C. I should use my inhaler when I have an asthma attack.
- D. I will rinse my mouth and gargle with water after each inhaler treatment.
Correct Answer: D
Rationale: Rinsing the mouth after budesonide use prevents oral thrush, a key self-care step. Budesonide isn't timed with meals, used before exercise routinely, or for acute attacks.
A nurse is reinforcing teaching with a client who has a new prescription for enoxaparin. The nurse should identify which of the following over-the-counter products as unsafe for use with enoxaparin.
- A. Cimetidine
- B. Docusate
- C. Calcium supplement
- D. Naproxen
Correct Answer: D
Rationale: Naproxen, an NSAID, increases bleeding risk with enoxaparin, an anticoagulant. Cimetidine, docusate, and calcium supplements don't pose significant interaction risks.