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A nurse is reinforcing teaching with a client who is scheduled for a Holter monitor. Which of the following instructions should the nurse include?
- A. Avoid showering while wearing the monitor.
- B. Exercise more than usual during the test.
- C. Remove the monitor before sleeping.
- D. Keep a diary of activities.
Correct Answer: D
Rationale: Keeping a diary of activities helps correlate symptoms with heart rhythm changes recorded by the Holter monitor.
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A nurse is caring for a client who is receiving oxygen therapy via nasal cannula. Which of the following actions should the nurse take?
- A. Apply petroleum jelly to the nares.
- B. Secure the cannula with tape on the forehead.
- C. Check the nares for irritation.
- D. Increase the flow rate if the client reports dryness.
Correct Answer: C
Rationale: Checking the nares for irritation ensures early detection of skin breakdown from prolonged cannula use.
A nurse is reinforcing teaching with a client who has a new prescription for a vaginal estrogen cream. Which of the following instructions should the nurse include?
- A. Apply the cream to the external genitalia.
- B. Use the cream daily for 3 months.
- C. Insert the applicator deeply into the vagina.
- D. Store the cream at room temperature.
Correct Answer: C
Rationale: Inserting the applicator deeply into the vagina ensures the estrogen cream is delivered effectively to treat vaginal atrophy.
A nurse is reinforcing teaching with a client who has a new prescription for a nitroglycerin sublingual tablet. Which of the following instructions should the nurse include?
- A. Swallow the tablet with water.
- B. Take the tablet every 10 minutes for chest pain.
- C. Store the tablets in a dark container.
- D. Keep the tablet under the tongue for 2 hours.
Correct Answer: C
Rationale: Storing nitroglycerin tablets in a dark container protects them from light, which can degrade the medication.
A nurse is reinforcing teaching with a client who is scheduled for an exercise stress test. Which of the following instructions should the nurse include?
- A. Eat a large meal before the test.
- B. Wear comfortable shoes.
- C. Take a sedative before the test.
- D. Avoid drinking water during the test.
Correct Answer: B
Rationale: Wearing comfortable shoes ensures safety and ease during the physical activity required for an exercise stress test.
A nurse is reinforcing teaching with a client who is scheduled for a lumbar puncture. Which of the following instructions should the nurse include?
- A. Avoid eating after midnight before the procedure.
- B. Lie flat for 4 to 6 hours after the procedure.
- C. Expect general anesthesia during the procedure.
- D. Avoid drinking fluids for 12 hours before the procedure.
Correct Answer: B
Rationale: Lying flat for 4 to 6 hours after a lumbar puncture prevents cerebrospinal fluid leakage and reduces headache risk.