Correct Answer: D

Rationale: Absence of breath sounds on the affected side is a critical finding that may indicate a pneumothorax, lung collapse, or chest tube malfunction, requiring immediate reporting to the provider.
Choice A is incorrect because tidaling (fluctuations) in the water seal chamber is a normal finding, indicating the chest tube is functioning and the lung is re-expanding.
Choice B is incorrect because continuous bubbling in the suction control chamber is expected when suction is applied, as it regulates the amount of suction.
Choice C is incorrect because drainage of 50 mL/hr is within the expected range for the first 24-48 hours post-thoracotomy and does not require immediate reporting unless excessive (>100 mL/hr).

Correct Answer: A

Rationale: Methylergonovine is a medication that causes uterine contractions to control postpartum hemorrhage. It is contraindicated in clients with hypertension because it can cause vasoconstriction and elevate blood pressure, increasing the risk of stroke or heart attack.
Choice B is wrong because migraine headaches are not a contraindication for methylergonovine, although the medication may exacerbate headaches in some clients.
Choice C is wrong because asthma is not a contraindication for methylergonovine, as it does not affect the respiratory system directly.
Choice D is wrong because diabetes mellitus is not a contraindication for methylergonovine, as it does not affect blood glucose levels or insulin requirements.

Correct Answer: B

Rationale: Administering eye drops as prescribed (e.g., antibiotics, corticosteroids) is essential to prevent infection, reduce inflammation, and promote healing after cataract surgery.
Choice A is incorrect because the client should avoid sleeping on the operative side to prevent pressure on the eye, which could increase intraocular pressure or dislodge the lens implant.
Choice C is incorrect because reading small print should be avoided for several days post-surgery to prevent eye strain; large print or no reading is recommended.
Choice D is incorrect because bending at the waist increases intraocular pressure and should be avoided; the client should bend at the knees if necessary.

Correct Answer: B

Rationale: Monitoring for dry mouth or constipation is important with amitriptyline, a tricyclic antidepressant, as its anticholinergic effects commonly cause these side effects in fibromyalgia treatment.
Choice A is incorrect because amitriptyline is typically taken at bedtime due to its sedative effects, not in the morning.
Choice C is incorrect because amitriptyline takes weeks to provide pain relief, not immediately.
Choice D is incorrect because amitriptyline should not be discontinued abruptly, even if symptoms improve, to avoid withdrawal or relapse; it requires provider guidance.

Correct Answer: D

Rationale: Monitoring for signs of serotonin syndrome (e.g., agitation, tremors, hyperthermia) is critical with fluoxetine, an SSRI, as it increases serotonin levels, and overdose or drug interactions can cause this life-threatening condition.
Choice A is incorrect because fluoxetine is typically taken in the morning, but this is not the priority instruction compared to safety monitoring.
Choice B is incorrect because fluoxetine takes 4-6 weeks to reduce OCD symptoms, not immediate relief.
Choice C is incorrect because fluoxetine should not be discontinued abruptly, even if compulsions stop, to avoid withdrawal or relapse; it requires provider guidance.