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A nurse is reinforcing teaching with a client who is scheduled for a renal biopsy. Which of the following instructions should the nurse include?
- A. Fast for 12 hours before the procedure.
- B. Lie flat for 6 hours after the procedure.
- C. Expect general anesthesia.
- D. Avoid urinating after the procedure.
Correct Answer: B
Rationale: Lying flat for 6 hours after a renal biopsy prevents bleeding complications at the biopsy site.
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A nurse is caring for a client who has a new prescription for isosorbide mononitrate. Which of the following adverse effects should the nurse monitor for?
- A. Headache
- B. Weight gain
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Isosorbide mononitrate, a nitrate, commonly causes headaches due to vasodilation, especially when starting therapy.
A nurse is reinforcing teaching with a new mother about facility security measures. Which of the following statements by the mother indicates an understanding of the teaching?
- A. I will carry my baby to the nursery.
- B. I will have an identification band that matches the one my baby wears.
- C. I can remove my security band to give to a family member.
- D. I can take my baby to the lobby to visit family.
Correct Answer: B
Rationale: Having an identification band that matches the baby's band is correct. Hospital security protocols require that the mother and baby wear matching identification bands to ensure the right baby is with the right parent and prevent infant abduction or misidentification.
A nurse is reinforcing teaching with a client who has a new prescription for albuterol. Which of the following adverse effects should the nurse include?
- A. Tremors
- B. Bradycardia
- C. Hypoglycemia
- D. Constipation
Correct Answer: A
Rationale: Albuterol, a beta-agonist, can cause tremors as a common side effect due to its stimulatory effect on the nervous system.
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 assisting with a community health program for caregivers of clients who have Alzheimer's disease. Which of the following information should the nurse include?
- A. Limit the number of choices for the client.
- B. Use written signs to assist the client with locating the bathroom.
- C. Provide a stimulating environment for the client.
- D. Use confrontation to manage the client's behavior.
Correct Answer: A
Rationale: Limiting the number of choices for the client is correct. Clients with Alzheimer's disease can become overwhelmed by too many options. Offering simple choices, such as 'Would you like tea or juice?' instead of an open-ended question, helps reduce confusion and frustration.