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A nurse is reinforcing teaching with a client who is scheduled for a thyroid scan. Which of the following instructions should the nurse include?
- A. Avoid iodine-rich foods for 2 weeks before the scan.
- B. Fast for 12 hours before the scan.
- C. Expect to receive general anesthesia.
- D. Remove all jewelry after the scan.
Correct Answer: A
Rationale: Avoiding iodine-rich foods for 2 weeks before a thyroid scan ensures accurate uptake of the radioactive tracer.
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A nurse is reinforcing teaching with a client who is postoperative following a laparoscopic cholecystectomy. Which of the following statements by the client indicates an understanding of the teaching?
- A. I can resume my usual diet tomorrow.
- B. I should avoid lifting heavy objects for 4 to 6 weeks.
- C. I will need to return for suture removal in 7 days.
- D. I can shower after 7 days.
Correct Answer: B
Rationale: Avoiding heavy lifting for 4 to 6 weeks prevents strain on the surgical site, promoting healing after a laparoscopic cholecystectomy.
A nurse is caring for a client who has a new diagnosis of Sjögren's syndrome. Which of the following findings should the nurse expect?
- A. Dry eyes
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Dry eyes are a hallmark symptom of Sjögren's syndrome due to decreased tear production from autoimmune gland dysfunction.
A nurse is caring for a client who has a new prescription for sumatriptan. Which of the following adverse effects should the nurse monitor for?
- A. Chest pain
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Sumatriptan, a triptan, can cause chest pain or tightness, which may indicate vasoconstriction and requires monitoring.
A nurse is caring for a client who has a new prescription for tamsulosin. Which of the following adverse effects should the nurse monitor for?
- A. Orthostatic hypotension
- B. Weight gain
- C. Hyperglycemia
- D. Tinnitus
Correct Answer: A
Rationale: Tamsulosin, an alpha-blocker, can cause orthostatic hypotension due to vasodilation, especially with the first dose.
A nurse overhears two assistive personnel discussing a client's medical history in the hallway. Which of the following actions should the nurse take first?
- A. Report the incident to the charge nurse.
- B. Tell the staff members to stop their discussion.
- C. Participate in an in-service about client confidentiality.
- D. Speak to the staff members in private about client confidentiality.
Correct Answer: B
Rationale: Telling the staff members to stop their discussion is correct. The nurse should immediately address the situation by asking the APs to stop discussing the client's medical history in the hallway to protect client confidentiality. This is the most immediate and effective action in ensuring the client's privacy is respected.