A nurse is preparing to administer a vaginal cream to a client. The nurse should instruct the client to lie in which of the following positions while in bed?

Prone

Orthopneic

Sims' position

Dorsal recumbent

Answer and Explanation

The Correct Answer is D

A. Prone position (lying face down) is not appropriate for administering vaginal cream.

B.   Orthopneic position (sitting up and leaning slightly forward) is not conducive to administering vaginal cream.

C.   Sims' position (lying on the left side with the right knee drawn up and the left arm drawn behind, often used for rectal examinations) is not typically used for administering vaginal cream.
D.   The dorsal recumbent position, lying on the back with knees flexed and soles of feet flat on the bed, is typically recommended for administering vaginal cream. This position allows for easier insertion and retention of the medication.

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Correct Answer is A

Explanation

A. Fluoxetine, a selective serotonin reuptake inhibitor (SSRI), can cause changes in weight.

Reporting weight changes to the healthcare provider is important for monitoring and managing potential side effects.

B. Fluoxetine and other antidepressants should not be stopped abruptly without consulting a healthcare provider, even if the client starts feeling better. Abrupt discontinuation can lead to withdrawal symptoms and worsening of depression.
C. Fluoxetine does not typically interact with cheese or tyramine-containing foods. This statement reflects a misunderstanding of the medication's dietary restrictions.
D. Fluoxetine is usually taken once daily in the morning due to its potential to cause insomnia as a side effect. Taking it at bedtime may exacerbate sleep disturbances.

A. "After I apply the cream, I will leave the area open to the air." B. "I can expect a little blurry vision while I'm using this cream." C. “I should apply the cream to large areas around the infection." D. "I’ll wash the area with soap and water before I apply the cream."

Correct Answer is D

Explanation

A. Gentamycin ointment is typically applied to the affected area and then covered with a sterile dressing to enhance absorption and prevent contamination. Leaving it open to the air may reduce its effectiveness.
B. Gentamycin ointment is not known to cause blurry vision, as it is applied topically to the skin and does not typically affect vision.
C. Gentamycin ointment should only be applied to the specific area of infection as directed by the healthcare provider. Applying it to large areas unnecessarily may increase the risk of adverse effects and antibiotic resistance.
D. Proper cleansing of the affected area before applying gentamycin ointment helps remove debris and bacteria, promoting better medication absorption and effectiveness.

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A nurse is preparing to administer a vaginal cream to a client. The nurse should instruct the client to lie in which of the following positions while in bed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching for a client who is depressed and has a prescription for fluoxetine 20 mg PO twice daily. The nurse should identify that which of the following statements by the client demonstrates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is reinforcing teaching a client who has a new prescription for gentamycin ointment to treat a skin infection. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

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