Nokea
A nurse is reinforcing teaching with a client who is scheduled for a cardiac MRI. Which of the following instructions should the nurse include?
- A. Remove all metal objects before the procedure.
- B. Fast for 12 hours before the procedure.
- C. Expect to receive general anesthesia.
- D. Avoid drinking fluids after the procedure.
Correct Answer: A
Rationale: Removing all metal objects is essential for safety during an MRI, as magnetic fields can interact with metal.
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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 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.
A nurse is caring for a client who has a new prescription for prednisone. Which of the following adverse effects should the nurse monitor for?
- A. Hypoglycemia
- B. Weight loss
- C. Bradycardia
- D. Insomnia
Correct Answer: D
Rationale: Prednisone, a corticosteroid, can cause insomnia due to its stimulatory effect on the central nervous system.
A nurse is caring for a client who has a prescription for acetaminophen 300 mg with codeine 30 mg, 1 tablet every 3 to 4 hr. PRN for pain. The nurse inadvertently administers 2 tablets to the client. In which of the following locations should the nurse document this client care incident?
- A. Nursing care plan
- B. Controlled substance inventory record
- C. Incident report
- D. Provider's progress notes
Correct Answer: C
Rationale: Completing an incident report is correct. An incident report is used to document medication errors, allowing for review and quality improvement measures to prevent future occurrences.
A nurse is caring for a client who has a new prescription for allopurinol. Which of the following laboratory values should the nurse monitor?
- A. Uric acid
- B. Hemoglobin A1c
- C. Serum creatinine
- D. Cholesterol
Correct Answer: A
Rationale: Allopurinol reduces uric acid levels, so monitoring uric acid ensures the medication's effectiveness in treating gout.