Extract:

Question 1 of 5

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

A. Instruct the client to take the medication daily regardless of need.B. Monitor the client for signs of drowsiness.C. Administer the medication with a high-fat meal.D. Check the client's respiratory rate prior to administration.

Correct Answer: B

Rationale: Clonazepam causes drowsiness, requiring monitoring. It's as prescribed (not always daily), taken without regard to meals, and respiratory checks aren't primary.

Question 2 of 5

A nurse is caring for a client who has dementia. Which of the following findings should the nurse expect?

A. Memory loss that disrupts ADLsB. CatatoniaC. IllusionsD. Pressured speech

Correct Answer: A

Rationale: Dementia typically involves memory loss severe enough to disrupt activities of daily living (ADLs), unlike catatonia, illusions, or pressured speech, which aren't defining features.

Question 3 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 4 of 5

A nurse is assisting with the care of a client who is receiving a blood transfusion. Which of the following actions should the nurse take?

A. Prime the administration set with dextrose 5% in water.B. Monitor the client's temperature every hour during the transfusion.C. Administer the transfusion over 6 hr.D. Check the client's blood type on the medical record only.

Correct Answer: B

Rationale: Monitoring temperature hourly detects transfusion reactions early. Dextrose damages blood cells, 2-4 hours is standard, and dual verification of blood type is required.

Question 5 of 5

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

A. Instruct the client to take the medication daily regardless of need.B. Monitor the client for signs of drowsiness.C. Administer the medication with a high-fat meal.D. Check the client's respiratory rate prior to administration.

Correct Answer: B

Rationale: Clonazepam causes drowsiness, requiring monitoring. It's as prescribed (not always daily), taken without regard to meals, and respiratory checks aren't primary.