Extract:

Question 1 of 5

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

A. Instruct the client to increase potassium-rich foods.B. Monitor the client for signs of hyperkalemia.C. Administer the medication via rapid IV push.D. Check the client's blood glucose level prior to administration.

Correct Answer: B

Rationale: Spironolactone, a potassium-sparing diuretic, risks hyperkalemia, requiring monitoring (e.g., potassium levels). Potassium intake should be limited, it's oral, and glucose isn't affected.

Question 2 of 5

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

A. Administer the medication into the client's deltoid muscle.B. Massage the injection site after administration.C. Instruct the client to expect bright red blood in their stools.D. Administer the medication into subcutaneous tissue.

Correct Answer: D

Rationale: Enoxaparin is injected into subcutaneous tissue (e.g., abdomen), not muscle. Massaging increases bleeding risk, and red stools aren't expectedâ€”bruising is more common.

Question 3 of 5

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

A. You should take this medication with a glass of grapefruit juice.B. You might notice an increase in your respiratory rate.C. This medication might cause constipation.D. You should avoid driving until you know how this medication affects you.

Correct Answer: C

Rationale: Oxycodone commonly causes constipation, requiring monitoring or prophylaxis. Grapefruit isn't relevant, respiration decreases, and driving caution is true but not the focus here.

Question 4 of 5

A nurse is caring for a client who has a prescription for dalteparin. Which of the following actions should the nurse take?

A. Administer the medication into the client's deltoid muscle.B. Monitor the client for signs of bleeding.C. Massage the injection site after administration.D. Administer the medication orally with food.

Correct Answer: B

Rationale: Dalteparin, an anticoagulant, increases bleeding risk, requiring monitoring (e.g., bruising). It's subcutaneous (not IM), massaging increases bleeding, and it's not oral.

Question 5 of 5

A nurse is reinforcing teaching with a client who has a new prescription for tamsulosin. 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 blood pressure.C. This medication might cause you to feel dizzy.D. You should report any weight gain to your provider.

Correct Answer: C

Rationale: Tamsulosin can cause orthostatic hypotension, leading to dizziness, especially after the first dose. It's often taken at night, lowers BP, and weight gain isn't typical.