A nurse is reinforcing teaching with a client's family about home oxygen use via nasal cannula. Which of the following statements by a family member indicates an understanding of the teaching?
- A. We will frequently check the top of his ears for sores.
- B. We can turn the oxygen up to 10 when he has trouble breathing.
- C. We can use petroleum jelly to keep his nares moist.
- D. We will need to remove the nasal cannula when he is eating.
Correct Answer: A
Rationale: Frequently checking the top of the ears for sores is correct. The nasal cannula tubing can cause pressure injuries behind the ears over time. The family should check for redness or sores and use protective padding or adjust the tubing as needed.
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A nurse is reinforcing teaching with a client who has a new prescription for insulin glargine. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will take this insulin before meals.
- B. I will rotate injection sites.
- C. I will shake the vial before drawing up the insulin.
- D. I will store the insulin in the freezer.
Correct Answer: B
Rationale: Rotating injection sites prevents lipodystrophy and ensures consistent insulin absorption.
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 reinforcing teaching with a client who is scheduled for a sigmoidoscopy. Which of the following instructions should the nurse include?
- A. Fast for 12 hours before the procedure.
- B. Use an enema the evening before.
- C. Expect general anesthesia.
- D. Avoid drinking fluids after the procedure.
Correct Answer: B
Rationale: Using an enema the evening before a sigmoidoscopy clears the lower colon for a clear view during the procedure.
A nurse is caring for a client who has a new prescription for clonidine. Which of the following adverse effects should the nurse monitor for?
- A. Dry mouth
- B. Weight gain
- C. Hyperglycemia
- D. Tinnitus
Correct Answer: A
Rationale: Clonidine, an alpha-2 agonist, commonly causes dry mouth due to decreased salivary production.
A nurse is reinforcing teaching with a client who has a new prescription for a nicotine nasal spray. Which of the following instructions should the nurse include?
- A. Use the spray every 2 hours.
- B. Avoid using it for more than 6 months.
- C. Inhale deeply after spraying.
- D. Store the spray in the refrigerator.
Correct Answer: B
Rationale: Avoiding use of nicotine nasal spray for more than 6 months prevents dependency and supports smoking cessation.
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