Extract:

Question 1 of 5

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

A. You should take this medication in the morning.B. You might notice an increase in your asthma symptoms initially.C. This medication might cause you to feel drowsy.D. You should stop taking this medication if your symptoms improve.

Correct Answer: C

Rationale: Montelukast can cause drowsiness, a side effect to note. It's taken at night, improves symptoms over time, and stopping risks recurrence.

Question 2 of 5

A nurse is reinforcing teaching with a new parent about bathing her newborn. Which of the following statements should the nurse include?

A. Apply talcum powder daily after bathing in order to prevent diaper rash.B. Use an alkaline soap to bathe the baby.C. Perform sponge baths until the baby's umbilical cord falls off.D. Ensure the bath water is at least 96 degrees Fahrenheit.

Correct Answer: C

Rationale: Sponge baths are recommended until the umbilical cord falls off to prevent infection or irritation. Talcum powder poses a respiratory risk, alkaline soap irritates skin, and water should be around 98Â°F, not 96Â°F.

Question 3 of 5

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

A. You should take this medication with a high-fat meal.B. You might notice a decrease in your cholesterol levels within 2 days.C. This medication might cause muscle pain.D. You should avoid eating potassium-rich foods while taking this medication.

Correct Answer: C

Rationale: Atorvastatin can cause muscle pain (myopathy), a key side effect to report. It's taken regardless of meals, cholesterol drops take weeks, and potassium isn't restricted.

Question 4 of 5

A nurse is assisting with the care of a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take?

A. Check the client's blood glucose level every 12 hr.B. Change the IV tubing every 72 hr.C. Monitor the client's weight weekly.D. Administer the TPN solution at room temperature.

Correct Answer: A

Rationale: TPN's high glucose content requires frequent blood sugar checks (e.g., every 4-6 hr, but 12 hr is minimum). Tubing changes are every 24 hr, weight is daily, and it's given at room temp.

Question 5 of 5

A nurse in a provider's office is reinforcing teaching with a client who has a new prescription for an ACE inhibitor to treat hypertension. Which of the following statements should the nurse include?

A. You might notice that you have an increase in your appetite.B. You should notify your provider if you develop a cough.C. This medication might cause your skin to turn yellow.D. You might notice an increase in your energy level while taking this medication.

Correct Answer: B

Rationale: ACE inhibitors commonly cause a dry cough, which should be reported. Appetite increase, jaundice, and energy boosts aren't typical effects.