1. A nurse is reinforcing teaching with an older adult client who has 

osteoporosis. Which of the following instructions should the nurse in the 

teaching?

a) "Place throw rugs on wooden floors at home."

b) "Supplement your diet with vitamin E."

c) "Swim laps for 20 minutes twice per week."

d) "Take calcium supplements with meals." (The nurse should instruct 

the client to take calcium carbonate supplements with or following 

meals to increase absorption and effectiveness.)

2. A nurse is reviewing the medication record of a client who is taking 

digoxin. Which of the following medications should the nurse identify as 

increasing the risk for the client to develop digoxin toxicity?

a) Potassium chloride

b) Famotidine

c) Levothyroxine

d) Furosemide (The nurse should identify that loop diuretics, such as 

furosemide, increase the urinary excretion of potassium, which can 

lead to hypokalemia. Hypokalemia increases the risk for the 

development of digoxin toxicity.)

3. A nurse is reinforcing teaching about insulin injections with an adult client 

who weighs 45.4 kg (100 lb.). Which of the following statements by the 

client indicates an understanding of the teaching?

a) "I should insert the needle at a 90-degree angle."

b) "I should give my shot in my belly tissue." (Clients who have low 

body weights can have very little subcutaneous tissue. Therefore, 

the nurse should instruct the client to administer the medication in 

the upper abdomen for proper absorption.)

c) "I will pull back on the syringe plunger to look for blood before I 

push the medication in."

d) "I will use the side of my hand to pull my skin to the side prior to 

administering the insulin."

4. A nurse is reinforcing discharge teaching for a client who had a 

mechanical mitral valve replacement. Which of the following statements 

by the client indicates an understanding of the teaching?

a) "I will notify my dentist about this procedure." (The nurse should 

instruct the client to notify his dentist about the mechanical mitral 

valve replacement before any procedures so antibiotic therapy can 

be initiated to reduce the risk of endocardial infection.)

b) "I will take an enteric-coated aspirin daily."

c) "I will use a firm-bristled toothbrush."

d) "I will weigh myself once a week."