PN Adult Medical Surgical 2023

Extract:

Question 1 of 5

A nurse is caring for a client who has a prescription for propranolol for the treatment of atrial fibrillation. Which of the following actions should the nurse take?

A. Administer the medication with an antacid. B. Instruct the client to expect increased hair growth. C. Withhold the medication if the systolic blood pressure is less than 90 mm Hg D. Request a dosage increase if the apical heart rate is less than 60/min. E. Monitor for weight gain. F. Check respiratory rate. G. Administer with food.

Correct Answer: C

Rationale: Propranolol, a beta-blocker, should be withheld if BP is low to avoid hypotension; antacids don't interact, and hair growth isn't an effect.

Question 2 of 5

A nurse is assisting with the plan of care for an older adult client who has a new prescription for transdermal clonidine. Which of the following information should the nurse include in the plan of care?

A. Advise the client about increased dry mouth. B. Monitor the client for weight loss. C. Inform the client of the adverse effect of diarrhea. D. Check the client for increased hypopigmentation under the patch. E. Monitor for hypertension. F. Advise about insomnia. G. Check for tachycardia.

Correct Answer: A

Rationale: Dry mouth is a common side effect of clonidine; diarrhea and hypopigmentation aren't typical.

Question 3 of 5

A nurse is caring for a client who is postoperative following a right radical mastectomy. Which of the following actions should the nurse take to prevent the development of lymphedema?

A. Obtain blood pressure readings using the client's right arm. B. Limit range-of-motion exercises with the affected arm. C. Keep both arms below the level of the client's heart. D. Use the client's left arm to obtain blood samples. E. Elevate the right arm. F. Apply compression bandages. G. Avoid tight clothing.

Correct Answer: D

Rationale: Using the left arm prevents trauma to the right side, reducing lymphedema risk; BP on the affected arm increases risk.

Question 4 of 5

A nurse is reinforcing teaching with an older adult client who is postoperative following a transurethral resection of the prostate. Which of the following statements should the nurse include in the teaching?

A. You should take ibuprofen for discomfort. B. You should wait 6 weeks before resuming sexual intercourse. C. You may tub bathe until the catheter is removed. D. You may drive after 1 week. E. Avoid drinking water. F. Expect bright red urine indefinitely. G. Ignore bladder spasms.

Correct Answer: B

Rationale: Waiting 6 weeks allows healing; ibuprofen may increase bleeding, tub baths risk infection, and driving depends on recovery.

Question 5 of 5

A nurse is reinforcing teaching with a client who has heart failure and a new prescription for furosemide. The nurse should instruct the client to monitor for which of the following adverse effects?

A. Rhinitis B. Metallic taste C. Ringing in ears D. Agitation E. Weight gain F. Dry cough G. Blurred vision

Correct Answer: C

Rationale: Ringing in ears (tinnitus) is a sign of furosemide ototoxicity; rhinitis and metallic taste aren't typical.

PN Adult Medical Surgical 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN