Extract:

Question 1 of 5

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

A. Administer the medication via rapid IV push.B. Monitor the client for signs of hepatotoxicity.C. Dilute the medication in dextrose 5% in water.D. Instruct the client to take the medication once per week.

Correct Answer: B

Rationale: Isoniazid risks liver damage (hepatotoxicity), requiring monitoring (e.g., LFTs). It's oral, not IV, and taken daily for TB treatment.

Question 2 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 3 of 5

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

A. Administer the medication into the client's deltoid muscle.B. Monitor the client for signs of bleeding.C. Massage the injection site after administration.D. Administer the medication orally with food.

Correct Answer: B

Rationale: Dalteparin, an anticoagulant, increases bleeding risk, requiring monitoring (e.g., bruising). It's subcutaneous (not IM), massaging increases bleeding, and it's not oral.

Question 4 of 5

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

A. Monitor the client for signs of hypocalcemia.B. Keep the client in a supine position for 24 hr.C. Administer a high-calcium diet immediately.D. Instruct the client to avoid speaking for 48 hr.

Correct Answer: A

Rationale: Hypocalcemia (e.g., tetany) is a risk post-thyroidectomy due to parathyroid damage, requiring monitoring. Supine isn't needed, diet adjusts later, and speaking isn't restricted.

Question 5 of 5

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

A. You should avoid eating grapefruit while taking this medication.B. This medication might cause you to gain weight.C. You might notice that this medication causes your gums to bleed.D. You might experience an increase in your energy level while taking this medication.

Correct Answer: A

Rationale: Verapamil interacts with grapefruit, increasing drug levels and side effects. Weight gain, gum bleeding, and energy boosts aren't typical effects.