Extract:

Question 1 of 5

A nurse is caring for a client who follows a kosher diet. Which of the following menu items should the nurse include on the tray?

A. Clam chowderB. Shrimp saladC. Roasted salmonD. Pulled pork sandwich

Correct Answer: C

Rationale: Kosher dietary laws prohibit shellfish (clams, shrimp) and pork, but allow fish with fins and scales like salmon. Roasted salmon is the only compliant option.

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 valsartan. Which of the following statements should the nurse include?

A. You should take this medication with a high-fat meal.B. You might notice swelling of your lips or face.C. This medication might cause your urine to turn green.D. You should report a persistent cough to your provider.

Correct Answer: B

Rationale: Valsartan can cause angioedema (swelling), requiring reporting. It's taken without regard to meals, doesn't change urine color, and cough is less common than with ACE inhibitors.

Question 4 of 5

A nurse is collecting data from a client who has a long leg cast on his left leg. Which of the following findings is the priority?

A. Ecchymosis on the inner left thighB. One fingerbreadth of space between the cast and the skinC. Diminished pulses on the affected extremityD. Client report of muscle spasms of the left leg

Correct Answer: C

Rationale: Diminished pulses indicate potential circulatory compromise, a priority requiring immediate intervention. Ecchymosis may resolve, space is normal, and spasms are less urgent.

Question 5 of 5

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

A. You should take this medication at bedtime.B. You might notice an increase in your potassium levels.C. This medication might cause you to feel dizzy.D. You should avoid drinking orange juice while taking this medication.

Correct Answer: C

Rationale: Hydrochlorothiazide can cause dizziness due to fluid loss or low BP. It's taken in the morning, decreases potassium, and orange juice is fine.