Correct Answer: B

Rationale: Monitoring for nausea or dizziness is important with pramipexole, a dopamine agonist, as these are common side effects that may affect safety or require dose adjustment in restless legs syndrome treatment.
Choice A is incorrect because pramipexole is typically taken in the evening or a few hours before bedtime, as symptoms worsen at night.
Choice C is incorrect because pramipexole may take days to weeks to relieve symptoms, not immediately.
Choice D is incorrect because pramipexole should not be discontinued abruptly, even if symptoms resolve, to avoid withdrawal or symptom recurrence; it requires provider guidance.

Correct Answer: A

Rationale: A barrel-shaped chest is a common finding in COPD due to chronic hyperinflation of the lungs, causing the chest to appear rounded and the anteroposterior diameter to increase.
Choice B is incorrect because COPD typically causes tachypnea (rapid breathing) as the body compensates for reduced oxygen exchange, not bradypnea.
Choice C is incorrect because, while clubbing of fingers can occur in advanced COPD with chronic hypoxia, it is less common and not a primary finding.
Choice D is incorrect because weight loss, not weight gain, is typical in COPD due to increased metabolic demand and difficulty eating from dyspnea.

Correct Answer: A

Rationale: Increasing dietary fiber prevents constipation, a common side effect of hydrocodone, an opioid that slows gastrointestinal motility.
Choice B is incorrect because grapefruit juice can interact with some medications but does not enhance hydrocodone absorption and may increase side effects.
Choice C is incorrect because driving should be avoided while taking hydrocodone, as it can cause drowsiness and impair coordination, regardless of time of day.
Choice D is incorrect because hydrocodone typically causes sedation, not increased energy levels.

Correct Answer: A

Rationale: Comparing the client's current weight with preprocedure weight is the best way to evaluate the effectiveness of the paracentesis, which is a procedure to remove excess fluid from the abdominal cavity. The fluid buildup, or ascites, is a common complication of end-stage liver disease (ESL
D), which is a condition in which the liver is severely damaged and cannot function adequately.
Choice B is wrong because examining for leakage at the site of the procedure is not a measure of effectiveness, but a potential complication that should be monitored and reported.
Choice C is wrong because checking the client's serum albumin levels is not relevant to the paracentesis. Albumin is a protein that helps maintain fluid balance in the body, but it is not affected by the removal of fluid from the abdomen.
Choice D is wrong because confirming that the client is able to urinate is not related to the paracentesis. Urination is a function of the kidneys, not the liver, and it does not reflect the amount of fluid removed from the abdomen.

Correct Answer: C

Rationale: Tingling around the mouth suggests hypocalcemia, a risk post-thyroidectomy, requiring provider notification. Pain, hoarseness, and mild fever are expected.