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A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following statements by the client indicates an understanding of the teaching?
- A. I can take aspirin for a headache.
- B. I might need to have my blood tested regularly.
- C. I should increase my intake of green leafy vegetables.
- D. I can stop taking this medication once my clot dissolves.
Correct Answer: B
Rationale: Warfarin requires regular INR monitoring to ensure therapeutic levels. Aspirin increases bleeding risk, leafy greens affect efficacy, and stopping risks recurrence.
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A nurse is reinforcing teaching with a client who has a new prescription for insulin glargine. Which of the following statements should the nurse include?
- A. You should take this insulin at mealtimes.
- B. You might experience weight loss while taking this insulin.
- C. This insulin provides a steady release over 24 hours.
- D. You need to shake the vial before drawing up the insulin.
Correct Answer: C
Rationale: Insulin glargine provides basal coverage for 24 hours, taken daily. It's not meal-timed, may cause weight gain, and shaking is unnecessary.
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.
A nurse is reinforcing teaching with a client who has a new prescription for atorvastatin. 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 need to have my liver function checked.
- C. I can stop taking this medication if my cholesterol improves.
- D. I should avoid drinking alcohol while taking this medication.
Correct Answer: B,D
Rationale: Atorvastatin requires liver monitoring due to hepatotoxicity risk and alcohol avoidance to reduce liver strain. It's taken at night, and stopping needs provider input.
A nurse in a mental health facility is caring for a client who expresses anxiety about exercising in the outdoor courtyard. The nurse promises to walk with the client in the courtyard each day. Which of the following ethical principles is the nurse demonstrating?
- A. Justice
- B. Fidelity
- C. Autonomy
- D. Nonmaleficence
Correct Answer: B
Rationale: Fidelity involves keeping promises and maintaining trust. By committing to walk with the client, the nurse upholds this principle, fostering a supportive relationship.
A nurse is caring for a client who is receiving IV fluids. Which of the following findings indicates the client is experiencing fluid overload?
- A. The client's blood pressure is 110/70 mm Hg.
- B. The client's respiratory rate is 24 breaths/min.
- C. The client reports feeling thirsty.
- D. The client's neck veins are distended.
Correct Answer: D
Rationale: Distended neck veins indicate fluid overload, reflecting increased venous pressure. Normal BP, mild tachypnea, or thirst don't specifically signal overload.