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A nurse is reinforcing teaching with a client who is scheduled for a mammogram. Which of the following instructions should the nurse include?
- A. Wear deodorant on the day of the procedure.
- B. Avoid caffeine for 24 hours before the procedure.
- C. Schedule the procedure during your menstrual period.
- D. Do not wear jewelry during the procedure.
Correct Answer: D
Rationale: Not wearing jewelry during a mammogram prevents interference with the imaging and ensures accurate results.
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A nurse is caring for a client who has a new diagnosis of Addison's disease. Which of the following findings should the nurse expect?
- A. Hypotension
- B. Weight gain
- C. Hyperglycemia
- D. Tinnitus
Correct Answer: A
Rationale: Hypotension is common in Addison's disease due to decreased cortisol and aldosterone levels affecting blood pressure regulation.
A nurse is caring for a client who is receiving a blood transfusion. Which of the following actions should the nurse take first if a transfusion reaction is suspected?
- A. Stop the transfusion.
- B. Notify the provider.
- C. Increase the infusion rate.
- D. Administer an antihistamine.
Correct Answer: A
Rationale: Stopping the transfusion is the first action to prevent further harm if a transfusion reaction is suspected.
A nurse is reinforcing teaching about hand hygiene with a newly licensed nurse. Which of the following information should the nurse include in the teaching?
- A. Use hot water to wash hands.
- B. Apply friction to hands for 10 seconds.
- C. Dry hands starting from forearm to fingers.
- D. Interlace the fingers while rubbing hands together.
Correct Answer: D
Rationale: Interlacing the fingers while rubbing hands together is correct. Interlacing the fingers and rubbing them together ensures that all surfaces of the hands, including between the fingers, are properly cleaned. This method is recommended in the CDC hand hygiene guidelines for thorough washing.
A nurse is caring for a client who has a new prescription for varenicline. Which of the following adverse effects should the nurse monitor for?
- A. Mood changes
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Varenicline, used for smoking cessation, can cause mood changes, including depression or agitation, requiring monitoring.
A nurse is reinforcing teaching with a client who has a new prescription for hydrocortisone cream. Which of the following instructions should the nurse include?
- A. Apply a thick layer to the affected area.
- B. Cover the area with an occlusive dressing.
- C. Apply the cream to open wounds.
- D. Use the cream sparingly.
Correct Answer: D
Rationale: Using hydrocortisone cream sparingly minimizes systemic absorption and reduces the risk of side effects like skin thinning.