Extract:

Question 1 of 5

A nurse is assisting with the care of a client who is receiving enteral feedings via a nasogastric tube. Which of the following actions should the nurse take?

A. Flush the tube with 10 mL of water every 8 hr.B. Monitor the client for signs of aspiration.C. Keep the head of the bed flat during feedings.D. Administer feedings at a rate of 100 mL/hr.

Correct Answer: B

Rationale: Aspiration is a risk with NG feedings, requiring monitoring (e.g., lung sounds). Flushing is more frequent, elevation is needed, and rate depends on orders.

Question 2 of 5

A nurse is assisting with the care of a client who is postoperative following a thyroidectomy. Which of the following actions should the nurse take?

A. Monitor the client for signs of hypocalcemia.B. Keep the client in a supine position for 24 hr.C. Administer a high-calcium diet immediately.D. Instruct the client to avoid speaking for 48 hr.

Correct Answer: A

Rationale: Hypocalcemia (e.g., tetany) is a risk post-thyroidectomy due to parathyroid damage, requiring monitoring. Supine isn't needed, diet adjusts later, and speaking isn't restricted.

Question 3 of 5

A nurse is caring for a client who has a new prescription for albuterol via nebulizer. Which of the following actions should the nurse take?

A. Instruct the client to take shallow breaths during the treatment.B. Monitor the client for signs of tachycardia.C. Administer the medication every 2 hr.D. Check the client's oxygen saturation prior to administration.

Correct Answer: B

Rationale: Albuterol can cause tachycardia, a side effect to monitor. Deep breaths are needed, dosing is typically 4-6 hr, and O2 sat is checked as needed.

Question 4 of 5

A nurse is reinforcing teaching with a client who has a new prescription for methotrexate. Which of the following statements should the nurse include?

A. You should take this medication with a full glass of milk.B. You might notice an increase in your energy levels.C. This medication might cause mouth sores.D. You should avoid drinking alcohol while taking this medication.

Correct Answer: C

Rationale: Methotrexate can cause mouth sores, a side effect to monitor. Milk isn't required, energy may decrease, and alcohol avoidance is true but not the focus here.

Question 5 of 5

A nurse is reinforcing teaching with a client who has a new prescription for metformin. Which of the following statements should the nurse include?

A. You should take this medication on an empty stomach.B. You might notice a metallic taste in your mouth.C. This medication might cause your skin to turn yellow.D. You should avoid eating carbohydrates while taking this medication.

Correct Answer: B

Rationale: Metformin can cause a metallic taste, a common side effect. It's taken with meals, doesn't cause jaundice, and carbs aren't restricted.