Nokea
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.
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A nurse is caring for a client who has a new prescription for metformin. Which of the following laboratory values should the nurse monitor?
- A. Blood glucose
- B. Hemoglobin
- C. Serum creatinine
- D. Cholesterol
Correct Answer: C
Rationale: Metformin can affect kidney function, so monitoring serum creatinine is essential to assess renal clearance and prevent lactic acidosis.
A nurse is caring for a client who has a new prescription for apixaban. Which of the following adverse effects should the nurse monitor for?
- A. Bleeding
- B. Weight gain
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Apixaban, an anticoagulant, increases bleeding risk, which requires careful monitoring.
A nurse is caring for a client who has a new diagnosis of glaucoma. Which of the following findings should the nurse expect?
- A. Blurred vision
- B. Weight loss
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Blurred vision is a common symptom of glaucoma due to increased intraocular pressure affecting the optic nerve.
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 caring for a client who adheres to kosher dietary practices. Which of the following foods should the nurse plan to offer the client?
- A. Chicken sandwich
- B. Cheeseburger
- C. Shrimp and french fries
- D. Bacon and eggs
Correct Answer: A
Rationale: Chicken sandwich is correct. In kosher dietary practices, poultry such as chicken is allowed, as long as it is prepared according to kosher guidelines. It is permissible for a client who follows kosher dietary practices to have a chicken sandwich, provided the bread and other ingredients are also kosher.