Extract:

Question 1 of 5

A client with a history of epilepsy is prescribed carbamazepine (Tegretol). Which side effect should the nurse teach the client to report?

Correct Answer: C

Rationale: A rash may indicate a serious hypersensitivity reaction to carbamazepine, such as Stevens-Johnson syndrome, requiring immediate reporting.

Question 2 of 5

The nurse is discussing safety and accident prevention with the mother of a 9-month-old. The teaching has been effective when the mother states which of the following?

A. I make sure that I keep my cleaning supplies locked up.' B. Sometimes she plays in the bathroom when I'm cleaning in there.' C. Occasionally she gets under the chair and plays with the telephone cord.' D. I've found that those child-protective cabinet locks don't work very well.'

Correct Answer: A

Rationale: Keeping cleaning supplies locked up indicates effective teaching on safety, as it prevents the child from accessing hazardous substances.

Question 3 of 5

A client with a history of type 2 diabetes is prescribed pioglitazone (Actos). The nurse should monitor the client for which of the following adverse effects?

A. Weight gain. B. Hypoglycemia. C. Bradycardia. D. Hypotension.

Correct Answer: A

Rationale: Pioglitazone can cause weight gain due to fluid retention.

Question 4 of 5

Which of the following diet instructions are appropriate when teaching a client in the early stages of cirrhosis about nutritional needs? Select all that apply.

A. Limit your caloric intake so that you don't become overweight.' B. An adequate intake of protein is important to your health.' C. I encourage you to eat small, frequent meals.' D. Restrict your fluid intake to 1,000 mL/day.' E. Limit your alcohol intake to one glass of wine daily.'

Correct Answer: B,C

Rationale: Adequate protein supports liver repair, and small, frequent meals reduce metabolic stress in early cirrhosis. Alcohol should be avoided, and fluid restriction is not typically needed early on.

Question 5 of 5

A client has just been diagnosed with right leg venous thromboembolism (VTE). Which interventions should the nurse implement? Select all that apply.

A. Ice packs to the right leg B. Elevation of the right leg C. Hourly calf measurements D. Vigorous range of motion to the right leg E. Reposition the client carefully at regular intervals

Correct Answer: B,E

Rationale: Treatment for deep vein embolism (DVE) may require bed rest with repositioning of the client carefully at regular intervals, leg elevation, and application of warm moist heat to the affected leg. The client may have calf measurements prescribed once per shift or once per day, but they would not be obtained hourly. Option 1 is incorrect because heat, not cold, may be prescribed. Option 4 is dangerous to the client because vigorous activity after clot formation can cause pulmonary embolus.