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A nurse is obtaining a medication history from a
client who is to start taking nitroglycerin for chest
discomfort with activity. Which of the following
medications should the nurse instruct the client to
avoid taking within 24 hr of using nitroglycerin?
- Atorvastatin
- Metformin
- Sildenafil
- Meprazole
Sildenafil
A nurse is caring for a client who has cancer and
has a WBC count of 4,000/mm°. Which of the
following actions should the nurse take?
,- Cleanse the client's toothbrush with hydrogen
peroxide.
- Instruct the client to use a disposable razor to
shave.
- Decrease the client's protein intake. - Encourage
the client to eat unpasteurized dairy products.
Cleanse the client's toothbrush with hydrogen
peroxide.
A nurse enters a client's room and sees smoke
coming from the bathroom. Which of the following
actions should the nurse take first?
- Activate the fire alarm system.
- Use a fire extinguisher at the source of the
smoke.
- Assist the client to a nearby common area.
- Close the doors to the room and to the bathroom
Assist the client to a nearby common area.
A nurse is contributing to the plan of care for a
client who reports difficulty eating due to chronic
,arthritis. Which of the following interventions
should the nurse include in the plan?
- Apply foam handles to the client's eating utensils.
- Obtain a referral for physical therapy.
- Have an assistive personnel feed the client.
- Ask the provider for a prescription for a pureed
diet.
Apply foam handles to the client's eating utensils.
A nurse is preparing to obtain a postprandial blood
glucose level from a client who has diabetes
mellitus. Which of the following actions should the
nurse take?
- Apply the first drop of blood to the test strip.
- Clean the client's finger with hexachlorophene.
- Prick the central tip of the client's finger.
- Hold the client's finger in a dependent position.
Hold the client's finger in a dependent position.
, A nurse is reinforcing teaching with a client about
breast self-examinations. Which of the following
statements by the client indicates an
understanding of the teaching?
- "It is common for one breast to be larger than the
other..,"
- "It is common for the skin on my breasts to
dimple."
- "| will perform breast exams the day my period
begins."
- "| will perform breast exams every other month."
"It is common for one breast to be larger than the
other..,"
A nurse is reinforcing teaching with a client who
has a new ileostomy. Which of the following
statements by the client indicates an
understanding of the teaching?
- "| will need to empty the bag every 4 to 6 hours."
- "| will use moisturizing soap to clean around the
stoma before applying the bag."