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A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following over-the-counter medications should the nurse identify as safe for use with warfarin?
- A. Docusate
- B. Ibuprofen
- C. Aspirin
- D. Omeprazole
Correct Answer: A
Rationale: Docusate is correct. Docusate is a stool softener, and it does not have a significant effect on blood clotting. Therefore, it is considered safe for use with warfarin, which requires careful monitoring to avoid interactions that may increase bleeding risks.
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A nurse is reinforcing teaching with a client who is scheduled for a renal biopsy. Which of the following instructions should the nurse include?
- A. Fast for 12 hours before the procedure.
- B. Lie flat for 6 hours after the procedure.
- C. Expect general anesthesia.
- D. Avoid urinating after the procedure.
Correct Answer: B
Rationale: Lying flat for 6 hours after a renal biopsy prevents bleeding complications at the biopsy site.
A nurse is caring for a client who has a new diagnosis of peripheral artery disease. Which of the following findings should the nurse expect?
- A. Intermittent claudication
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Intermittent claudication, pain in the legs during activity, is a common symptom of peripheral artery disease due to reduced blood flow.
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.
A nurse is reinforcing teaching with a client who has a new prescription for a clonidine patch. Which of the following instructions should the nurse include?
- A. Apply the patch to the same site each week.
- B. Remove the patch after 12 hours.
- C. Apply the patch to the upper arm.
- D. Leave the patch on for 48 hours.
Correct Answer: C
Rationale: Applying the clonidine patch to the upper arm (or other recommended sites) ensures effective delivery of the medication.
A nurse is caring for a client who has a new diagnosis of osteoporosis. Which of the following dietary recommendations should the nurse make?
- A. Increase calcium intake.
- B. Limit protein intake.
- C. Avoid whole grains.
- D. Reduce vitamin D intake.
Correct Answer: A
Rationale: Increasing calcium intake supports bone health and helps prevent further bone loss in osteoporosis.