Nokea
A patient with major depressive disorder is prescribed fluoxetine (Prozac). Which of the following instructions should the nurse include?
- A. Take this medication at bedtime.
- B. Avoid drinking grapefruit juice.
- C. It may take several weeks to feel the full effect.
- D. Stop taking the medication if you feel better.
Correct Answer: C
Rationale: Fluoxetine’s full effect takes 4–6 weeks, and patients must continue it to maintain benefits. Bedtime dosing is not standard, grapefruit juice is irrelevant, and stopping early risks relapse.
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A 35-year-old male has been an insulin-dependent diabetic for five years and now is unable to urinate.
Which of the following would you most likely suspect?
- A. Atherosclerosis
- B. Diabetic neuropathy
- C. Autonomic neuropathy
- D. Somatic neuropathy
Correct Answer: C
Rationale: Autonomic neuropathy can impair bladder function, causing urinary retention in long-term diabetes.
Following Nitroglycerin patch application
An expected outcome experienced by the client would be one of the following:
- A. Elevated blood pressure
- B. Tachycardia
- C. Tingling sensation
- D. Increased urine output
Correct Answer: B
Rationale: Nitroglycerin may cause reflex tachycardia as a compensatory response to vasodilation.
Liquid iron preparation
Liquid iron preparation, which of the following directions would be appropriate for the nurse to teach?
- A. Administer at least one hour before meals.
- B. Inform the patient about the loose stools.
- C. Liquid iron must be taken with a straw.
- D. Avoid juices with iron.
Correct Answer: C
Rationale: Using a straw prevents tooth staining from liquid iron.
The nurse is caring for a person who is admitted with progressive amyotrophic lateral sclerosis (ALS). What nursing care measure should the nurse expect to be ordered for this client?
- A. Change dressing daily
- B. Monitor IV fluids
- C. Insert indwelling catheter
- D. Chest physical therapy (PT) qid
Correct Answer: D
Rationale: ALS causes respiratory muscle weakness; chest PT helps clear secretions, preventing pneumonia. Dressings, fluids, or catheters are not primary.
A postoperative client is to be discharged today. She will need to change her dressing daily. Which statement she makes indicates that she understands the process?
- A. I will wash my hands before and after I change the dressing.'
- B. I can touch the dressings with my hands if I only touch the edges.'
- C. I should clean the area around the incision by moving the swab toward it.'
- D. I can put the old dressings directly in the waste basket.'
Correct Answer: A
Rationale: Hand washing before and after dressing changes prevents infection, reflecting proper understanding. Touching dressings, cleaning toward the incision, or improper disposal increase infection risk.