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A nurse is reinforcing teaching with a client who is scheduled for an esophageal manometry. Which of the following instructions should the nurse include?
- A. Fast for 6 hours before the procedure.
- B. Avoid drinking water after the procedure.
- C. Expect general anesthesia.
- D. Take a sedative before the test.
Correct Answer: A
Rationale: Fasting for 6 hours before an esophageal manometry ensures accurate measurement of esophageal pressure without interference from food or liquid.
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A nurse is reinforcing teaching with a client who has a new prescription for clopidogrel. Which of the following adverse effects should the nurse include?
- A. Bleeding
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Clopidogrel, an antiplatelet medication, increases bleeding risk, which the client should monitor for.
A nurse is collecting data from a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following findings should the nurse report to the provider?
- A. Fasting blood glucose 110 mg/dL
- B. Fruity breath odor
- C. Blood pressure 132/82 mm Hg
- D. Numbness in the feet
Correct Answer: D
Rationale: Numbness in the feet suggests peripheral neuropathy, a complication of diabetes that requires prompt reporting to the provider for further evaluation.
A nurse is reinforcing teaching with a client who has a new prescription for a transdermal nitroglycerin patch. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will apply the patch to my back.
- B. I will leave the patch on for 24 hours.
- C. I will rotate the application sites.
- D. I will apply a new patch if I have chest pain.
Correct Answer: C
Rationale: Rotating application sites prevents skin irritation and ensures consistent absorption of nitroglycerin from the transdermal patch.
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 citalopram. Which of the following adverse effects should the nurse include?
- A. Insomnia
- B. Bradycardia
- C. Hypotension
- D. Weight loss
Correct Answer: A
Rationale: Citalopram, an SSRI, can cause insomnia due to its stimulatory effect on the central nervous system.