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 ofthe

following medications should the nurse identify as increasing the risk for the client to

develop digoxin toxicity?

a) Potassium chloride

e) Famotidine

b) Levothyroxine

c) 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?

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

a) "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.)

b) "I will pull back on the syringe plunger to look for blood before I push the medication

in."

c) "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 ofthe 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."