Extract:

Question 1 of 5

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

A. You should take this medication with a high-fat meal.B. You might notice an increase in your bruising.C. This medication might cause your stools to turn black.D. You should avoid drinking grapefruit juice while taking this medication.

Correct Answer: B

Rationale: Clopidogrel increases bleeding risk, leading to more bruising. It's taken regardless of meals, black stools signal GI bleeding (not typical), and grapefruit isn't a concern.

Question 2 of 5

A nurse is caring for a client who has a new prescription for heparin therapy. Which of the following laboratory values should the nurse plan to monitor?

A. Prothrombin time (PT)B. Activated partial thromboplastin time (aPTT)C. International normalized ratio (INR)D. Platelet count

Correct Answer: B

Rationale: Heparin affects clotting via aPTT, which monitors its therapeutic effect. PT/INR is for warfarin, and platelets are checked for thrombocytopenia risk.

Question 3 of 5

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

A. You should take this medication with a high-fat meal.B. You might notice an increase in your bruising.C. This medication might cause your stools to turn black.D. You should avoid drinking grapefruit juice while taking this medication.

Correct Answer: B

Rationale: Clopidogrel increases bleeding risk, leading to more bruising. It's taken regardless of meals, black stools signal GI bleeding (not typical), and grapefruit isn't a concern.

Question 4 of 5

A nurse is caring for a client who has a prescription for oxycodone 5 mg PO every 4 hr PRN for pain. 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 respiratory depression.C. Instruct the client to take the medication daily at bedtime.D. Check the client's blood glucose level prior to administration.

Correct Answer: B

Rationale: Oxycodone risks respiratory depression, requiring monitoring. Grapefruit isn't relevant, it's PRN not daily, and glucose isn't affected.

Question 5 of 5

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

A. Monitor the client's deep tendon reflexes every 4 hr.B. Change the IV site every 24 hr.C. Administer the infusion at a rate of 50 mL/hr.D. Flush the IV line with heparin every 4 hr.

Correct Answer: A

Rationale: Magnesium sulfate toxicity depresses reflexes, requiring monitoring (e.g., every 1-4 hr). Site changes are less frequent, rate depends on orders, and heparin isn't routine.