Page 1466 - Saunders Comprehensive Review For NCLEX-RN
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4. At bedtime with a snack
                   523. The nurse should tell the client who is taking levothyroxine to notify the
                        primary health care provider (PHCP) if which problem occurs?
                                 1. Fatigue
                                 2. Tremors
                                 3. Cold intolerance
                                 4. Excessively dry skin
                   524. The nurse is providing instructions to the client newly diagnosed with
                        diabetes mellitus who has been prescribed pramlintide. Which instruction
                        should the nurse include in the discharge teaching?
                                 1. “Inject the pramlintide at the same time you take your other
                                   medications.”
                                 2. “Take your prescribed pills 1 hour before or 2 hours after the
                                   injection.”
                                 3. “Be sure to take the pramlintide with food so you don’t upset
                                   your stomach.”
                                 4. “Make sure you take your pramlintide immediately after you eat
                                   so you don’t experience a low blood sugar.”
                   525. The nurse teaches the client who is newly diagnosed with diabetes insipidus
                        about the prescribed intranasal desmopressin. Which statements by the client
                        indicate understanding? Select all that apply.

                                 1.     “This medication will turn my urine orange.”
                                 2.     “I should decrease my oral fluids when I start this

                                   medication.”
                                 3.     “The amount of urine I make should increase if this medicine

                                   is working.”
                                 4.     “I need to follow a low-fat diet to avoid pancreatitis when
                                   taking this medicine.”
                                 5.     “I should report headache and drowsiness to my doctor since

                                   these symptoms could be related to my desmopressin.”
                   526. A daily dose of prednisone is prescribed for a client. The nurse provides
                        instructions to the client regarding administration of the medication and
                        should instruct the client that which time is best to take this medication?
                                 1. At noon
                                 2. At bedtime
                                 3. Early morning
                                 4. Any time, at the same time, each day
                   527. The client with hyperparathyroidism is taking alendronate. Which
                        statements by the client indicate understanding of the proper way to take
                        this medication? Select all that apply.
                                 1.     “I should take this medication with food.”

                                 2.     “I should take this medication at bedtime.”

                                 3.     “I should sit up for at least 30 minutes after taking this




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