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) " 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