A nurse is reinforcing teaching with a client who is postoperative following a laparoscopic cholecystectomy. Which of the following statements by the client indicates an understanding of the teaching?
- A. I can resume my usual diet tomorrow.
- B. I should avoid lifting heavy objects for 4 to 6 weeks.
- C. I will need to return for suture removal in 7 days.
- D. I can shower after 7 days.
Correct Answer: B
Rationale: Avoiding heavy lifting for 4 to 6 weeks prevents strain on the surgical site, promoting healing after a laparoscopic cholecystectomy.
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A nurse is caring for a client who has a new diagnosis of trigeminal neuralgia. Which of the following findings should the nurse expect?
- A. Facial pain
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Facial pain, often severe and shock-like, is a hallmark symptom of trigeminal neuralgia affecting the trigeminal nerve.
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 reinforcing teaching with a client who is scheduled for an electroencephalogram (EEG). Which of the following instructions should the nurse include?
- A. Avoid caffeine before the procedure.
- B. Take your antiseizure medication as prescribed.
- C. Wash your hair after the procedure.
- D. Expect to be sedated during the procedure.
Correct Answer: A
Rationale: Avoiding caffeine before an EEG prevents stimulation that could alter brain wave patterns and affect results.
A nurse is reinforcing teaching with a client who is scheduled for a transesophageal echocardiogram (TEE). Which of the following instructions should the nurse include?
- A. You will need to fast for 6 hours before the procedure.
- B. You can drive yourself home after the procedure.
- C. You will receive general anesthesia during the procedure.
- D. You should avoid drinking water after the procedure.
Correct Answer: A
Rationale: Fasting for 6 hours before a TEE reduces the risk of aspiration during the procedure, which involves sedation.
A nurse is caring for a client who has a new prescription for digoxin. Which of the following laboratory values should the nurse monitor?
- A. Potassium
- B. Hemoglobin
- C. Cholesterol
- D. Albumin
Correct Answer: A
Rationale: Digoxin toxicity risk increases with hypokalemia, so monitoring potassium levels is critical to ensure safety.
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