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A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should sleep flat in bed at night.
- B. I should eat three large meals a day.
- C. I should avoid drinking decaffeinated coffee.
- D. I should remain upright after eating.
Correct Answer: D
Rationale: Remaining upright after eating reduces acid reflux by preventing stomach contents from flowing back into the esophagus, aiding in GERD management.
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A nurse is caring for a client who has a new diagnosis of pancreatitis. Which of the following findings should the nurse expect?
- A. Epigastric pain
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Epigastric pain is a hallmark symptom of pancreatitis due to inflammation of the pancreas.
A nurse is caring for a client who has a new diagnosis of Bell's palsy. Which of the following findings should the nurse expect?
- A. Facial drooping
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Facial drooping, typically unilateral, is a hallmark symptom of Bell's palsy due to facial nerve paralysis.
A nurse is caring for a client who has a prescription for NPH insulin 10 units and regular insulin 15 units subcutaneously. After injecting 10 units of air into the NPH insulin vial, which of the following actions should the nurse take next?
- A. Inject 15 units of air into the regular insulin vial.
- B. Place the cap over the needle.
- C. Verify the dosage with another nurse.
- D. Withdraw 10 units of NPH insulin.
Correct Answer: A
Rationale: Injecting 15 units of air into the regular insulin vial is correct. When drawing up two types of insulin, the nurse should first inject air into the NPH (cloudy) insulin vial without withdrawing the medication. Then, the nurse should inject air into the regular (clear) insulin vial before withdrawing the regular insulin. This prevents contamination and maintains proper insulin mixing procedures.
A nurse is caring for a client who has a new diagnosis of heart failure. Which of the following findings should the nurse expect?
- A. Orthopnea
- B. Bradycardia
- C. Weight loss
- D. Hypotension
Correct Answer: A
Rationale: Orthopnea, difficulty breathing when lying flat, is common in heart failure due to fluid accumulation in the lungs.
A nurse is reinforcing teaching with a client who is scheduled for a cardiac catheterization. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will need to stay flat for 24 hours after the procedure.
- B. I can eat a full meal right before the procedure.
- C. I will receive contrast dye during the procedure.
- D. I should avoid drinking fluids for 12 hours after the procedure.
Correct Answer: C
Rationale: Contrast dye is used during cardiac catheterization to visualize the coronary arteries, and the client should understand this aspect of the procedure.