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Question 1 of 5

The nurse is caring for a client with staphylococcus epidermidis. The client is on a vancomycin IV. What nursing consideration should the nurse be aware of regarding this medication?

Correct Answer: C

Rationale: Vancomycin requires monitoring trough levels (drawn before a dose) to ensure therapeutic efficacy and prevent toxicity.

Question 2 of 5

The nurse is visiting a home health client with osteoporosis. The client has a new prescription for alendronate (Fosamax). Which instruction should be given to the client?

Correct Answer: C

Rationale: Alendronate should be taken with water only to ensure proper absorption and minimize esophageal irritation.

Question 3 of 5

An elderly client with glaucoma is scheduled for a cholecystectomy. Which medication order should the nurse question?

Correct Answer: C

Rationale: Atropine is contraindicated in glaucoma as it can increase intraocular pressure, worsening the condition.

Question 4 of 5

Cataracts result in opacity of the crystalline lens. Which of the following best explains the functions of the lens?

Correct Answer: C

Rationale: The lens focuses light rays onto the retina to produce a clear image.

Question 5 of 5

The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?

Correct Answer: A

Rationale: The biceps reflex is elicited by placing the thumb on the biceps tendon in the antecubital space and tapping it with a reflex hammer.

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A 62-year-old female with osteoarthritis asks the nurse how she can ease her pain and discomfort. The nurse should include which of the following in the discharge plan for the client? Select all that apply.
The nurse is caring for a COPD client who is discharged on p.o. Theophylline. Which of the following statements by the client would indicate a correct understanding of discharge instructions?
A teenage girl is brought to the outpatient psychiatric clinic for treatment of anxiety and depression. How should the nurse best evaluate the client's risk for suicide?

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