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A nurse is reinforcing teaching with new parents about car seat safety. Which of the following instructions should the nurse include?
- A. Keep the airbag on if the car seat is in the front seat.
- B. Position the car seat at a 90° angle.
- C. Put a small cushion under the newborn's head for support.
- D. Place the shoulder harnesses at the level of the infant's shoulders.
Correct Answer: D
Rationale: Shoulder harnesses at shoulder level ensure a secure fit, enhancing safety. Airbags should be off for front-seat car seats, the angle should be 45°, and cushions can disrupt proper positioning.
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A nurse is caring for a client who is receiving IV vancomycin. Which of the following findings should the nurse report to the provider?
- A. The client reports mild itching.
- B. The client's urine output is 40 mL/hr.
- C. The client's infusion site is red and warm.
- D. The client's blood pressure is 130/80 mm Hg.
Correct Answer: C
Rationale: Redness and warmth at the infusion site suggest phlebitis or infiltration, requiring reporting. Itching, normal urine output, and stable BP are less concerning.
A nurse is reinforcing teaching with a client who has a new prescription for insulin glargine. Which of the following statements should the nurse include?
- A. You should take this insulin at mealtimes.
- B. You might experience weight loss while taking this insulin.
- C. This insulin provides a steady release over 24 hours.
- D. You need to shake the vial before drawing up the insulin.
Correct Answer: C
Rationale: Insulin glargine provides basal coverage for 24 hours, taken daily. It's not meal-timed, may cause weight gain, and shaking is unnecessary.
A nurse is reinforcing teaching with a client who has a new prescription for escitalopram. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication at bedtime.
- B. I might sweat more while taking this medication.
- C. I need to avoid dairy products.
- D. I can expect my symptoms to go away right away.
Correct Answer: B
Rationale: Escitalopram can cause sweating, showing understanding. Timing is flexible, dairy isn't restricted, and symptom relief takes weeks.
A nurse is reinforcing teaching with a client about advanced directives. Which of the following information should the nurse include?
- A. Your health care surrogate will make decisions on your behalf if you are unable.
- B. Once you have completed a living will, it cannot be changed.
- C. You will need an attorney to appoint a health care surrogate.
- D. You should appoint a family member as your health care surrogate.
Correct Answer: A
Rationale: A health care surrogate makes decisions if the client is incapacitated, ensuring their wishes are followed. Living wills can be changed, attorneys aren't required, and surrogates need not be family.
A nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin sublingual tablets. Which of the following statements should the nurse include?
- A. Take one tablet every 10 min for chest pain.
- B. You might feel a headache after taking this medication.
- C. Swallow the tablet with water for best results.
- D. Store the tablets in a clear plastic bag.
Correct Answer: B
Rationale: Nitroglycerin often causes headaches due to vasodilation. It's taken every 5 minutes, dissolved under the tongue, and stored in a dark, airtight container.