Extract:

Question 1 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 2 of 5

A nurse is reinforcing teaching to a newly licensed nurse about bowel sounds. Which of the following characteristics should the nurse use to describe hyperactive bowel sounds?

A. Sounds are high-pitchedB. Can be a result of a paralytic ileusC. Indicates decreased motilityD. Sounds are soft and at a rate of 1/min

Correct Answer: A

Rationale: Hyperactive bowel sounds are loud, high-pitched, and frequent, indicating increased motility, not decreased. They aren't linked to paralytic ileus or soft, infrequent sounds.

Question 3 of 5

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

A. You should take this medication with a high-fat meal.B. You might notice an increase in your bruising.C. This medication might cause your stools to turn green.D. You should avoid drinking grapefruit juice while taking this medication.

Correct Answer: B

Rationale: Rivaroxaban, an anticoagulant, increases bleeding risk, leading to bruising. It's taken with food (not high-fat specifically), stools may darken with bleeding, and grapefruit isn't a major concern.

Question 4 of 5

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

A. You should take this medication with a full glass of milk.B. You might notice an increase in your energy levels.C. This medication might cause you to feel drowsy.D. You should stop taking this medication if your pain resolves.

Correct Answer: C

Rationale: Buprenorphine, an opioid, can cause drowsiness, a key side effect. Milk isn't required, energy may decrease, and stopping depends on the treatment plan.

Question 5 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.