A nurse is reinforcing teaching about the side effects of metoprolol. Which of the following client statements indicates an understanding of the teaching?

"I need to be careful when standing up from bed."

"I should limit my intake of leafy green vegetables."

"I should expect some weight loss."

"I may experience loss of taste."

Answer and Explanation

The Correct Answer is A

Choice A reason: Metoprolol, a beta-blocker, lowers BP, causing orthostatic hypotension. Caution when standing prevents falls, showing grasp of this key side effect.

Choice B reason: Leafy greens affect warfarin, not metoprolol. No dietary restriction applies, so this reflects confusion about beta-blocker side effects.

Choice C reason: Weight gain, not loss, may occur with metoprolol from fluid retention. Expecting loss misinterprets its metabolic impact, indicating misunderstanding.

Choice D reason: Taste loss isn’t a metoprolol effect; it’s linked to other drugs. This shows incorrect attribution of side effects to the medication.

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Correct Answer is C

Explanation

Choice A reason: A chaplain offers spiritual support, but it’s not the nurse’s primary role. Autonomy in end-stage kidney disease takes precedence over initiating such visits.

Choice B reason: Alternatives don’t apply post-decision in end-stage disease; dialysis cessation reflects prognosis acceptance. Discussing them now dismisses the client’s informed choice.

Choice C reason: Supporting the decision respects autonomy in end-stage kidney disease. It aligns with palliative care, honoring the client’s right to refuse treatment.

Choice D reason: Suggesting family discussion undermines autonomy, adding pressure. In terminal illness, the client’s choice to stop dialysis should be respected directly.

A. Administer an antibiotic medication. B. Cleanse skin eruptions with povidone-iodine. C. Avoid over-the-counter topical ointments. D. Place disposable thermometers in the client's room.

Correct Answer is C

Explanation

Choice A reason: Antibiotics treat bacteria, not herpes, a viral infection. This is ineffective and risks resistance, making it an inappropriate intervention for simplex outbreaks.

Choice B reason: Povidone-iodine is harsh, delaying herpes healing by irritating lesions. Antivirals and gentle care are preferred, so this isn’t recommended for skin eruptions.

Choice C reason: OTC ointments can worsen herpes or delay healing without antiviral properties. Avoiding them ensures proper treatment, aligning with outbreak management guidelines.

Choice D reason: Disposable thermometers prevent cross-infection but don’t treat herpes directly. This is a general precaution, not a specific intervention for outbreak care.

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A nurse is reinforcing teaching about the side effects of metoprolol. Which of the following client statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has end-stage kidney disease. The client has decided to stop dialysis treatment. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is contributing to the plan of care for a client who is experiencing a herpes simplex outbreak. Which of the following interventions should the nurse recommend?

Correct Answer is C

Explanation

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