Nokea
A nurse is reinforcing teaching with a client who is scheduled for a bronchoscopy. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will need to fast for 6 to 8 hours before the procedure.
- B. I can drive myself home after the procedure.
- C. I will receive general anesthesia during the procedure.
- D. I should avoid gargling after the procedure.
Correct Answer: A
Rationale: Fasting for 6 to 8 hours before a bronchoscopy reduces the risk of aspiration during the procedure.
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A nurse is caring for a client who has a new prescription for amlodipine. Which of the following adverse effects should the nurse monitor for?
- A. Peripheral edema
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Amlodipine, a calcium channel blocker, commonly causes peripheral edema due to vasodilation.
A nurse is caring for a client who has a new prescription for venlafaxine. Which of the following adverse effects should the nurse monitor for?
- A. Hypertension
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Venlafaxine, an SNRI, can cause hypertension by increasing norepinephrine levels, requiring monitoring.
A nurse is caring for a client who has a new diagnosis of polycystic ovary syndrome (PCOS). Which of the following findings should the nurse expect?
- A. Irregular periods
- B. Weight loss
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Irregular periods are a common symptom of PCOS due to hormonal imbalances affecting ovulation.
A nurse is reinforcing teaching with a client who has a new prescription for a hydrocortisone suppository. Which of the following instructions should the nurse include?
- A. Insert the suppository after a bowel movement.
- B. Store the suppository at room temperature.
- C. Use the suppository twice daily for 1 month.
- D. Lie on your back for 30 minutes after insertion.
Correct Answer: A
Rationale: Inserting the hydrocortisone suppository after a bowel movement ensures better retention and effectiveness.
A nurse is reinforcing teaching with a client who has a new prescription for a fentanyl patch. Which of the following instructions should the nurse include?
- A. Apply the patch to the same site each time.
- B. Remove the patch after 24 hours.
- C. Apply the patch to broken skin.
- D. Dispose of the patch in a sharps container.
Correct Answer: D
Rationale: Disposing of the fentanyl patch in a sharps container or per facility protocol prevents accidental exposure to the potent opioid.