A nurse is reinforcing teaching about the side effects of metoprolol. Which of the following client statements indicates an understanding of the teaching?

"I need to be careful when standing up from bed."

"I should limit my intake of leafy green vegetables."

"I should expect some weight loss."

"I may experience loss of taste."

Answer and Explanation

The Correct Answer is A

Choice A reason: Metoprolol, a beta-blocker, lowers BP, causing orthostatic hypotension. Caution when standing prevents falls, showing grasp of this key side effect.

Choice B reason: Leafy greens affect warfarin, not metoprolol. No dietary restriction applies, so this reflects confusion about beta-blocker side effects.

Choice C reason: Weight gain, not loss, may occur with metoprolol from fluid retention. Expecting loss misinterprets its metabolic impact, indicating misunderstanding.

Choice D reason: Taste loss isn’t a metoprolol effect; it’s linked to other drugs. This shows incorrect attribution of side effects to the medication.

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Correct Answer is C

Explanation

Choice A reason: Erythromycin is specified, so the medication is clear. No ambiguity exists here for clarification. Scientifically, drug identity is explicit, and errors arise elsewhere, making this unnecessary to question unless a different antibiotic was intended, which isn’t suggested.

Choice B reason: Dosage (500 mg) is precise, with no range or units needing clarification. Scientifically, this is a standard erythromycin dose, aligning with therapeutic norms for infections, leaving little room for error unless misheard, which isn’t indicated.

Choice C reason: Route (e.g., oral, IV) isn’t stated, critical for erythromycin, as administration affects bioavailability and efficacy. Scientifically, unclear delivery risks under- or overdosing, necessitating provider clarification to ensure safe, effective treatment per pharmacological standards.

Choice D reason: Time (four times daily) is clear, aligning with erythromycin’s pharmacokinetics for steady levels. Scientifically, frequency is unambiguous, requiring no clarification unless intervals were vague, which they aren’t, making this less urgent than route.

A. The client's extremity should be elevated after the cast is applied. B. The client should use a hair dryer on a warm setting to relieve itching inside the cast. C. The client should keep the cast covered until it is dry. D. The client can shower with the cast after 24 hr.

Correct Answer is A

Explanation

Choice A reason: Elevation reduces swelling post-cast application, enhancing circulation. It’s a key step to prevent edema and discomfort in the right arm.

Choice B reason: Hair dryers risk burns or softening plaster; scratching tools are safer. This is incorrect and dangerous advice for cast care management.

Choice C reason: Covering delays drying, trapping moisture in plaster. It needs air exposure to harden, so this contradicts proper cast maintenance.

Choice D reason: Showering after 24 hr wets plaster, weakening it. Casts require protection from water, making this an inaccurate care instruction.

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A nurse is reinforcing teaching about the side effects of metoprolol. Which of the following client statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is transcribing a client’s prescription for erythromycin 500 mg four times per day. Which of the following information should the nurse clarify with the provider?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who is to have a plaster cast applied to his right arm. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

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