Extract:

Question 1 of 5

A nurse is reinforcing teaching with a client who is about to start using an albuterol metered-dose inhaler. Which of the following instructions should the nurse include in the teaching?

A. Tilt your head forward while inhaling.B. Take three quick breaths while depressing the canister.C. Close your mouth around the mouthpiece.D. Exhale immediately after inhaling.

Correct Answer: C

Rationale: Proper inhaler technique requires closing the mouth around the mouthpiece to ensure medication reaches the lungs. Tilting the head forward, taking quick breaths, or exhaling immediately disrupts effective delivery.

Question 2 of 5

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

A. Encourage the client to perform arm exercises on the affected side.B. Keep the client's affected arm in a dependent position.C. Monitor the client for signs of infection every 8 hr.D. Instruct the client to avoid using a sling on the affected arm.

Correct Answer: A

Rationale: Arm exercises prevent lymphedema and stiffness post-mastectomy. Elevation, frequent infection checks, and sling use are standard.

Question 3 of 5

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

A. Monitor the client's electrolyte levels daily.B. Change the IV site every 24 hr.C. Administer the infusion at a rate of 100 mL/hr.D. Flush the IV line with heparin every 4 hr.

Correct Answer: A

Rationale: Furosemide causes electrolyte loss (e.g., potassium), requiring daily monitoring. Site changes are less frequent, rate depends on orders, and heparin isn't routine.

Question 4 of 5

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

A. Encourage the client to perform arm exercises on the affected side.B. Keep the client's affected arm in a dependent position.C. Monitor the client for signs of infection every 8 hr.D. Instruct the client to avoid using a sling on the affected arm.

Correct Answer: A

Rationale: Arm exercises prevent lymphedema and stiffness post-mastectomy. Elevation, not dependent positioning, frequent infection checks, and sling use are standard.

Question 5 of 5

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

A. You should take this medication with a glass of milk.B. You might notice an increase in your sun sensitivity.C. This medication might cause your urine to turn red.D. You should stop taking this medication if you feel better.

Correct Answer: B

Rationale: Doxycycline increases photosensitivity, risking sunburn. Milk reduces absorption, urine color isn't affected, and full course completion prevents resistance.