A client prescribed a new antihistamine reports drowsiness. What should the nurse tell the client?
Antihistamines often cause sedation. Safety teaching prevents injury.
The nurse is reinforcing dietary teaching for a client with high cholesterol. Which statement shows understanding?
Clients with high cholesterol should reduce saturated fats and choose heart-healthy options.
A client with diabetes reports numbness in both feet. What is the nurseu2019s best action?
Peripheral neuropathy is a common diabetes complication and should be reported for further evaluation.
A client reports burning at the IV site where an antibiotic is infusing. What should the nurse do first?
Burning may indicate phlebitis or irritation. Stopping the infusion prevents further damage.
A postoperative client has not voided six hours after surgery. What should the nurse do first?
Assessing bladder distention helps determine whether urinary retention is present and whether intervention is needed.
A client with pneumonia has thick secretions and difficulty coughing. What action should the nurse take first?
Increasing fluid intake helps thin secretions, making coughing more effective.
A client with influenza reports increased shortness of breath and chest tightness. Which action should the nurse take first?
Shortness of breath and chest tightness can indicate respiratory compromise. Assessing lung sounds helps identify wheezing, crackles, or decreased air movement.
A confused client repeatedly tries to pull out their IV line. Which action is most appropriate?
Keeping the IV site covered prevents the client from seeing it and reduces attempts to pull it out.
A client taking a diuretic reports dizziness when standing. What is the nurseu2019s best initial response?
Dizziness when standing may indicate orthostatic hypotension, a common side effect of diuretics. Teaching the client to rise slowly prevents falls.