Extract:

Question 1 of 5

A nurse is reinforcing teaching with a client who has a new prescription for simvastatin. 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 energy levels.C. This medication might cause muscle pain.D. You should avoid eating grapefruit while taking this medication.

Correct Answer: C

Rationale: Simvastatin can cause muscle pain (myopathy), a key side effect to report. It's taken at night, energy isn't affected, and grapefruit is a concern with some statins, not all.

Question 2 of 5

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

A. Monitor the client for signs of paralytic ileus.B. Keep the client in a supine position for 24 hr.C. Administer a high-fiber diet immediately.D. Instruct the client to avoid coughing.

Correct Answer: A

Rationale: Paralytic ileus (absent bowel sounds) is a risk post-bowel resection, requiring monitoring. Supine isn't needed, diet starts low-fiber, and coughing is encouraged with support.

Question 3 of 5

A nurse is reinforcing teaching with a client about collecting a stool specimen to check for occult blood. Which of the following statements by the client indicates an understanding of the teaching?

A. Eating pasteurized dairy products will affect my test results.B. Having urine mixed in with the stool will not affect the results.C. I should avoid eating red meat for 3 days before my test.D. I should collect a specimen once each week for 4 weeks.

Correct Answer: C

Rationale: Avoiding red meat for 3 days prevents false positives in occult blood tests. Dairy doesn't affect it, urine can dilute results, and weekly collection isn't standard.

Question 4 of 5

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

A. You should rinse your mouth after each use.B. You might notice an increase in your energy levels.C. This medication might cause your urine to turn red.D. You should take this medication once per week.

Correct Answer: A

Rationale: Rinsing the mouth after fluticasone prevents oral thrush, a common side effect. Energy and urine color aren't affected, and it's dosed daily or as prescribed.

Question 5 of 5

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

A. Keep the client's leg in a dependent position.B. Monitor the client for signs of bleeding every 4 hr.C. Apply ice packs to the surgical site as prescribed.D. Instruct the client to avoid using a continuous passive motion machine.

Correct Answer: C

Rationale: Ice packs reduce swelling and pain post-arthroplasty. Elevation, frequent bleeding checks, and CPM use are standard.