A nurse in a provider's office is caring for a client.

Exhibits

What actions should the nurse take? Select all that apply.

Monitor the client for dysrhythmias.

Advise the client to restrict potassium intake.

Advise the client to take the medication before bedtime.

Check the client for orthostatic hypotension.

Advise the client to change positions slowly.

Answer and Explanation

Correct Answer : A,D,E

A.   Monitor the client for dysrhythmias- The significant decrease in potassium levels (hypokalemia) can predispose the client to cardiac dysrhythmias, so monitoring for any signs or symptoms of dysrhythmias is essential.
B.   Advise the client to restrict potassium intake- With potassium levels already low (hypokalemia), restricting potassium intake further could exacerbate the deficiency. Instead, the client may need to increase their potassium intake through dietary changes or supplementation under healthcare provider guidance.
C.   Advise the client to take the medication before bedtime- There's no medication mentioned in the scenario that requires a specific timing like before bedtime.
D.   Check the client for orthostatic hypotension- The client reports dizziness and light- headedness upon standing, which are indicative of orthostatic hypotension. Checking for orthostatic hypotension involves measuring blood pressure and heart rate in different positions (lying, sitting, and standing) to assess for postural changes.
E.   Advise the client to change positions slowly- Given the client's symptoms of dizziness and light-headedness upon standing, advising them to change positions slowly can help prevent falls or injuries associated with orthostatic hypotension.

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Correct Answer is ["A","B","C"]

Explanation

A. "I will avoid consuming alcoholic beverages."- Alcohol can irritate the oral mucosa and worsen mouth pain associated with stomatitis. Avoiding alcoholic beverages can help alleviate discomfort.
B. "I will consume foods that are soft or semisolid."- Soft or semisolid foods are easier to chew and swallow, reducing irritation to the oral mucosa and discomfort caused by mouth pain.
C. "I will rinse with saline every 2 hours while awake."- Rinsing with saline can help keep the oral mucosa clean and promote healing of lesions associated with stomatitis. Frequent rinsing can also provide relief from mouth pain.

D. "I will avoid taking folic acid supplements while taking this medication."- Methotrexate is a folate antagonist, and folic acid supplements are typically avoided during treatment to enhance the effectiveness of the medication. Therefore, the client should not avoid taking folic acid supplements but should follow healthcare provider instructions regarding their use.
E. "I will perform oral hygiene using a firm-bristle toothbrush."- Using a firm-bristle toothbrush can further irritate the oral mucosa and exacerbate mouth pain. Instead, the client should use a soft-bristle toothbrush or consider other gentle oral hygiene measures recommended by their healthcare provider.

A. Pallor B. Urticaria C. Dyspepsia D. Bradycardia

Correct Answer is B

Explanation

A) Pallor - Pallor is not a typical manifestation of an allergic reaction to penicillin G.

B) Urticaria - Urticaria (hives) is a common manifestation of an allergic reaction to penicillin G and should be monitored for following the injection.

C) Dyspepsia - Dyspepsia (indigestion) is not a typical manifestation of an allergic reaction to penicillin G.

D) Bradycardia - Bradycardia is not a typical manifestation of an allergic reaction to penicillin G.

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A nurse in a provider's office is caring for a client. Exhibits What actions should the nurse take? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client in the clinic. Exhibits Which of the following client statements indicates to the nurse the teaching was effective? Select all that apply.

Correct Answer is ["A","B","C"]

Explanation

A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an Indication of an allergic reaction following the injection?

Correct Answer is B

Explanation

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A nurse in a provider's office is caring for a client.

Exhibits

What actions should the nurse take? Select all that apply.