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The nurse is reviewing the medical record of a client who has a new prescription for zolpidem. Which of the following findings should the nurse identify as a potential contraindication for this medication?
- A. History of migraines
- B. Current use of sertraline
- C. Seasonal allergies
- D. History of sleepwalking
Correct Answer: D
Rationale: Zolpidem can exacerbate sleepwalking, making it a contraindication. Migraines, sertraline, or allergies don't pose significant risks with zolpidem.
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A nurse is reinforcing teaching with a client who has a new prescription for simvastatin. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication in the morning.
- B. I might have muscle pain while taking this medication.
- C. I need to avoid grapefruit juice.
- D. I should stop taking this medication if I feel dizzy.
Correct Answer: B,C
Rationale: Simvastatin can cause muscle pain and interacts with grapefruit juice, showing understanding. It's taken at night, and dizziness doesn't warrant stopping.
A nurse is reinforcing teaching with a client who has a new prescription for albuterol. Which of the following instructions should the nurse include?
- A. Take this medication every morning.
- B. You might experience a rapid heartbeat.
- C. You need to rinse your mouth after using this medication.
- D. You should use this medication to prevent asthma attacks.
Correct Answer: B
Rationale: Albuterol can cause tachycardia, a side effect to anticipate. It's used as needed, not daily, mouth rinsing is for steroids, and it treats, not prevents, attacks.
A nurse on a pediatric unit is caring for a toddler who has poor dietary intake. Which of the following actions should the nurse take first?
- A. Obtain the child's dietary history.
- B. Offer the child nutritious snacks between meals.
- C. Encourage the family to be with the child during mealtimes.
- D. Instruct the family to praise the child when they eat.
Correct Answer: A
Rationale: Obtaining a dietary history identifies patterns and causes of poor intake, guiding subsequent interventions like snacks or family involvement.
A nurse is reinforcing teaching with a client who has a new prescription for pantoprazole. Which of the following statements should the nurse include?
- A. Take this medication at bedtime.
- B. You might have diarrhea while taking this medication.
- C. You need to take this medication with an antacid.
- D. You should stop taking this medication if your symptoms improve.
Correct Answer: B
Rationale: Pantoprazole can cause diarrhea, a side effect to monitor. It's taken before meals, antacids aren't needed, and stopping early risks relapse.
A nurse is reinforcing discharge teaching with the caregiver of a client who has a dependent personality disorder. Which of the following instructions should the nurse include in the teaching?
- A. Limit the client's social interactions.
- B. Encourage the client to be assertive.
- C. Assume responsibility for making the client's decisions.
- D. Maintain a verbal no-harm contract with the client.
Correct Answer: B
Rationale: Encouraging assertiveness promotes independence, countering dependency tendencies. Limiting interactions or making decisions for the client reinforces dependence, and no-harm contracts are unrelated.