Extract:

Question 1 of 5

A nurse is caring for a client who has a prescription for lorazepam 0.5 mg PO PRN for anxiety. Which of the following actions should the nurse take?

A. Administer the medication with a glass of grapefruit juice.B. Monitor the client for signs of drowsiness.C. Instruct the client to take the medication daily at bedtime.D. Check the client's blood pressure prior to administration.

Correct Answer: B

Rationale: Lorazepam causes drowsiness, a key side effect to monitor. Grapefruit isn't relevant, it's PRN not daily, and BP isn't directly affected.

Question 2 of 5

A nurse is assisting with the care of a client who is receiving a continuous IV infusion of furosemide. Which of the following actions should the nurse take?

A. Monitor the client's electrolyte levels daily.B. Change the IV site every 24 hr.C. Administer the infusion at a rate of 100 mL/hr.D. Flush the IV line with heparin every 4 hr.

Correct Answer: A

Rationale: Furosemide causes electrolyte loss (e.g., potassium), requiring daily monitoring. Site changes are less frequent, rate depends on orders, and heparin isn't routine.

Question 3 of 5

A nurse is caring for a client who has a new prescription for phenytoin. Which of the following findings should the nurse identify as an adverse effect of the medication?

A. Increased appetiteB. Gingival hyperplasiaC. Improved seizure controlD. Weight loss

Correct Answer: B

Rationale: Phenytoin commonly causes gingival hyperplasia, a notable side effect. Appetite and weight aren't typically affected, and seizure control is the goal, not an adverse effect.

Question 4 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 5 of 5

A nurse is assisting with the care of a client who is postoperative following a total hip arthroplasty. Which of the following actions should the nurse take?

A. Place the client in a prone position.B. Monitor the client for signs of dislocation.C. Instruct the client to keep the affected leg in a dependent position.D. Apply a cold compress to the surgical site every 4 hr.

Correct Answer: B

Rationale: Dislocation is a risk post-hip arthroplasty, requiring monitoring (e.g., leg positioning). Prone isn't standard, dependent positioning risks swelling, and cold compresses are as needed.