Extract:

Question 1 of 5

A nurse is assisting with the care of a client who is receiving a continuous IV infusion of furosemide. Which of the following actions should the nurse take?

A. Monitor the client's electrolyte levels daily.B. Change the IV site every 24 hr.C. Administer the infusion at a rate of 100 mL/hr.D. Flush the IV line with heparin every 4 hr.

Correct Answer: A

Rationale: Furosemide causes electrolyte loss (e.g., potassium), requiring daily monitoring. Site changes are less frequent, rate depends on orders, and heparin isn't routine.

Question 2 of 5

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

A. You should take this medication on an empty stomach.B. You might notice an improvement in your mood within 2 days.C. This medication might cause you to feel drowsy.D. You should avoid eating tyramine-rich foods while taking this medication.

Correct Answer: C

Rationale: Sertraline, an SSRI, can cause drowsiness, a common side effect. It's taken with or without food, mood improves in weeks, and tyramine restriction is for MAOIs.

Question 3 of 5

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

A. You should take this medication at bedtime.B. You might notice a headache when you start this medication.C. This medication might cause your skin to turn blue.D. You should take this medication with a full glass of milk.

Correct Answer: B

Rationale: Isosorbide mononitrate commonly causes headaches due to vasodilation, a side effect that may lessen over time. It's taken in the morning, skin color isn't affected, and milk isn't required.

Question 4 of 5

A nurse is reinforcing teaching with a client who is postoperative following an appendectomy and is being discharged home. Which of the following statements should the nurse include?

A. You can resume a regular diet immediately.B. You should avoid lifting objects heavier than 10 pounds for the next 2 weeks.C. You might notice bright red blood in your stool for the next few days.D. You should change your surgical dressing once per week.

Correct Answer: B

Rationale: Avoiding heavy lifting prevents strain on the surgical site for healing. A gradual diet, minimal bleeding, and more frequent dressing changes are expected.

Question 5 of 5

A nurse is caring for a client who has a prescription for oxycodone 5 mg PO every 4 hr PRN for pain. Which of the following actions should the nurse take?

A. Administer the medication with a glass of grapefruit juice.B. Monitor the client for signs of respiratory depression.C. Instruct the client to take the medication daily at bedtime.D. Check the client's blood glucose level prior to administration.

Correct Answer: B

Rationale: Oxycodone risks respiratory depression, requiring monitoring. Grapefruit isn't relevant, it's PRN not daily, and glucose isn't affected.