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A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following foods should the nurse instruct the client to limit?
- A. Broccoli
- B. Apples
- C. Chicken
- D. Rice
Correct Answer: A
Rationale: Broccoli is high in vitamin K, which can interfere with warfarin's anticoagulant effect, so intake should be limited and consistent.
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A nurse is caring for a client who has Clostridium difficile. When applying a cover gown, which of the following techniques should the nurse use?
- A. Tie the gown with the gloves on.
- B. Tuck the glove cuffs under the gown sleeves.
- C. Apply the gown before the gloves.
- D. Push the gown sleeves up to the elbows.
Correct Answer: C
Rationale: Applying the gown before the gloves is correct. According to infection control guidelines, the gown should be worn first, followed by gloves. This technique ensures that the gown covers the sleeves properly and that the gloves are overlapping the gown cuffs, reducing the risk of contamination.
A nurse is reinforcing teaching with a client who has a new prescription for a transdermal nitroglycerin patch. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will apply the patch to my back.
- B. I will leave the patch on for 24 hours.
- C. I will rotate the application sites.
- D. I will apply a new patch if I have chest pain.
Correct Answer: C
Rationale: Rotating application sites prevents skin irritation and ensures consistent absorption of nitroglycerin from the transdermal patch.
A nurse is caring for a client who has a new prescription for lamotrigine. Which of the following adverse effects should the nurse monitor for?
- A. Skin rash
- B. Weight gain
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Lamotrigine, an anticonvulsant, can cause a skin rash, which may indicate a serious reaction like Stevens-Johnson syndrome.
A nurse is caring for a client who has a new prescription for furosemide. Which of the following laboratory values should the nurse monitor?
- A. Potassium
- B. Hemoglobin
- C. Cholesterol
- D. Albumin
Correct Answer: A
Rationale: Furosemide, a loop diuretic, can cause hypokalemia, so monitoring potassium levels is essential to prevent complications like arrhythmias.
A nurse is reinforcing teaching with a client who is scheduled for a nerve conduction study. Which of the following instructions should the nurse include?
- A. Avoid caffeine before the study.
- B. Remove all jewelry before the study.
- C. Expect sedation during the study.
- D. Fast for 8 hours before the study.
Correct Answer: B
Rationale: Removing all jewelry before a nerve conduction study prevents interference with the electrical signals measured.