Extract:

Question 1 of 5

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

A. Instruct the client to take the medication with a glass of grapefruit juice.B. Monitor the client for signs of hypotension.C. Administer the medication via rapid IV push.D. Check the client's blood glucose level prior to administration.

Correct Answer: B

Rationale: Carvedilol, a beta-blocker, can cause hypotension, requiring monitoring (e.g., BP checks). Grapefruit isn't advised, it's oral or slow IV, and glucose isn't affected.

Question 2 of 5

A nurse is caring for a client who has paranoid schizophrenia and believes that they are being followed by FBI agents who are pretending to be psychiatric staff. Which of the following responses should the nurse make?

A. The psychiatric staff is not FBI. They are here to help you.B. This must be very frightening for you. Let's talk more about it.C. What makes you think the staff is following you?D. Why do you feel the staff is the FBI?

Correct Answer: B

Rationale: Acknowledging the client's fears with empathy ('This must be very frightening for you') validates their feelings and builds trust, encouraging further discussion. Denying beliefs outright or questioning them confrontationally can increase distrust and defensiveness.

Question 3 of 5

A nurse is caring for a client who has an indwelling catheter with a urinary drainage system. Which of the following actions should the nurse take?

A. Coil the tubing on the bed above the collection bag.B. Instruct the client to hold the drainage bag at waist height when ambulating.C. Collect a sterile specimen from the urinary drainage bag.D. Secure the tubing with adhesive tape to the lower abdomen

Correct Answer: D

Rationale: Securing tubing to the abdomen prevents tugging and maintains flow, reducing infection risk. Coiling above the bag, holding at waist, or sampling from the bag increase infection risk.

Question 4 of 5

A nurse is assisting with the care of a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take?

A. Check the client's blood glucose level every 12 hr.B. Change the IV tubing every 72 hr.C. Monitor the client's weight weekly.D. Administer the TPN solution at room temperature.

Correct Answer: A

Rationale: TPN's high glucose content requires frequent blood sugar checks (e.g., every 4-6 hr, but 12 hr is minimum). Tubing changes are every 24 hr, weight is daily, and it's given at room temp.

Question 5 of 5

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

A. You should stop taking this medication if you develop a headache.B. You might notice an increase in your appetite while taking this medication.C. This medication might cause your skin to turn blue.D. You should take this medication on an empty stomach.

Correct Answer: B

Rationale: Prednisone increases appetite due to corticosteroid effects. Headaches don't warrant stopping, skin doesn't turn blue, and it's taken with food to prevent GI upset.