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.

“I will avoid consuming alcoholic beverages."

“I will consume foods that are soft or semisolid."

"I will rinse with saline every 2 hours while awake."

“I will avoid taking folic acid supplements while taking this medication."

“I will perform oral hygiene using a firm-bristle toothbrush."

Answer and Explanation

Correct Answer : A,B,C

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.

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Correct Answer is A

Explanation

A) Leg tenderness - Leg tenderness can be a sign of deep vein thrombosis, a serious complication associated with oral contraceptive use, and should be reported immediately.

B) Nausea - Nausea is a common side effect of oral contraceptives and does not typically require immediate reporting unless severe or persistent.

C) Abdominal bloating - Abdominal bloating is a common side effect of oral contraceptives and does not typically require immediate reporting unless severe or persistent.

D) Cramps - Cramps are a common side effect of oral contraceptives and do not typically require immediate reporting unless severe or persistent.

A. Decreased blood pressure B. Excessive thirst C. Moist oral mucous membranes D. Increased heart rate

Correct Answer is C

Explanation

A) Decreased blood pressure - IV fluid replacement is expected to improve hydration

status, which should lead to stabilization or normalization of blood pressure rather

than a decrease.

B) Excessive thirst - Excessive thirst indicates dehydration and would not indicate

effective IV fluid replacement.

C) Moist oral mucous membranes - Moist oral mucous membranes are a sign of

adequate hydration and indicate that IV fluid replacement has been effective.

D) Increased heart rate - IV fluid replacement is expected to improve hydration status,

leading to stabilization or normalization of heart rate rather than an increase.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is taking combination oral contraceptives. Which of the following findings should the nurse report to the provider immediately?

Correct Answer is A

Explanation

A nurse is caring for a client who is dehydrated and receiving IV fluid replacement. The nurse should identify that which of the following findings indicates the treatment has been effective?

Correct Answer is C

Explanation

A nurse is providing teaching to a client who has a prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?

A nurse is preparing to administer an antibiotic via intermittent IV bolus to a client who is already receiving an infusion of 0.9% sodium chloride at 100 mL/hr. Which of the following actions should the nurse take?

A nurse is preparing to administer erythromycin 2 g PO daily in equally divided doses every 6 hr. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances?

A nurse is assessing the vital signs of a client who is taking amiodarone. The nurse should anticipate which of the following findings as an adverse effect of the medication?

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?

A nurse is reviewing the medical history of a client who is to start taking prednisone.Which of the following findings should the nurse identify as a contraindication to prednisone therapy?

A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first?

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.