A nurse is reinforcing teaching with a client who is newly diagnosed with myasthenia
gravis and is to start taking neostigmine. Which of the following instructions should the
nurse include in the teaching?
1) Take the medication 45 minutes before eating.
2) Expect diaphoresis as a side effect of theneostigmine.
3) If a medication dose is missed, wait until the next scheduled dose to take the
medication.
4) Treat nasal rhinitis with an over-the-counter antihistamine.
A nurse is caring for a client who is 12 hours postoperative following a transurethral
resection of the prostate (TURP) and has a3-way urinary catheter with continuous
irrigation.The nurse notes there hasnot been any urinary outputin the last hour.Which of
the following actions should the nurse perform first?
1) Notify the provider.
2) Administer a prescribed analgesic.
3) Offer oral fluids.
4) Determine the patency of the tubing.
A nurse is caring for a client scheduled for a bone marrow biopsy. The client expresses fear
aboutthe procedure and asks the nurse ifthe biopsywill hurt. Which ofthe following
responses should the nursemake?
1) "You must be very worried about what the biopsy will show."
2) "You'll be asleep for the whole biopsy procedure and won't be aware of what’s
happening."
3) "Your provider scheduled this, so she will want to know you still have questions aboutthe
procedure."
4) "The biopsy can be uncomfortable, but we will try to keep you as comfortable as
possible."
A nurse is assisting with planning care for a client who is recovering from a left-hemispheric
stroke.Which of the following interventions should the nurse include in the plan?
1) Control impulsive behavior.
2) Compensate for left visual field deficits.
3) Re-establish communication.
4) Improve left-side motor function.
A nurse is assisting with the care of a client who has diabetes insipidus. The nurse should
monitor theclient for which of the following manifestations?
1) Hypotension
2) Polyphagia
3) Hyperglycemia
4) Bradycardi
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