all Flashcards
A nurse is assessing a client who takes prescribed daily aspirin. Which of the following findings indicates salicylism? Tinnitus Facial edema Diplopia Joint pain
a
A nurse is providing teaching to a client who has a prescription for lithium carbonate. Which of the following instructions should the nurse include?
Decrease your daily sodium intake
Report swelling of the feet to your provider.
Limit food containing tyramine
Take this medication 2 hour before a meal
b
A nurse is planning to administer nitroglycerin topical ointment to a client who has angina. Which of the following actions should the nurse plan to take?
Administer the ointment using the index finger
Rotate the site of application with each side
Rub the ointment into the client’s skin.
Cover the ointment with a gauze dressing
b
A nurse is caring for a client who is receiving IV amphotericin B. Which of the following findings should the nurse identify as an acute infusion reaction? Dry cough Fever Pedal edema Hyperglycemia
b
A nurse is caring for a client who is receiving ondansetron to treat the adverse effect of chemotherapy. Which of the following findings should indicate to the nurse that the treatment is effective? Increased urine output Reduced somnolence Reduced fever Increased appetite
d
A nurse is caring for a client who has just received ampicillin/sulbactam via intermittent IV bolus. The nurse should identify which of the following findings as an allergic reaction? Decreased blood glucose level Audible wheezing Phlebitis at the infusion site Hyperactive deep tendon reflexes
b
A nurse is caring for a client who is receiving morphine subcutaneously for pain. The nurse should monitor the client for which of the following adverse effects of this medication? Polyuria Tachypnea Diarrhea Hypotension
d
A nurse is preparing to administer amphotericin B via intermittent IV bolus to a client who has infective endocarditis. Which of the following actions should the nurse take?
Prime the tubing with 0.9% sodium chloride
Discard the medication if it is yellow
Administer the medication over 2hr
Use a gravity flow set
c
A nurse is assessing a client who is taking sertraline for serotonin syndrome. Which of the following findings is the priority for the nurse to notify the provider? Weight gain Sexual dysfunction Insomnia Hyperthermia
b
A nurse is providing teaching to a client who has gastric ulcer and a new prescription for ranitidine. Which of the following statements indicates an understanding of the teaching?
I can expect fine hand tremors when taking this medication
I can take two aspirin to treat headaches x
I should avoid dairy products when taking this med
I should not take an antacid within 1 hour of taking this med
d
A nurse is caring for a client who is receiving her first course of doxorubicin to treat ovarian cancer. The nurse should monitor for which of the following manifestations as an indication of toxicity? Diaphoresis Respiratory depression Blurred vision Dysrhythmias
d
A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (SATA) Multiple health problems Decreased percentage of body fat Decreased renal function Polypharmacy Increased rate of absorption
a,c,d
A nurse is providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects? Drowsiness Alopecia Tinnitus Peripheral edema
a
A nurse is monitoring laboratory values of a client who has chronic heart failure. The client is receiving digoxin 1 mg PO daily. Which of the following values should the nurse report to the provider? BUN level 10 mg/dl Potassium 2.3 mEq/L Digoxin level 1.8 ng/mL Sodium 138 mEq/L
b
A nurse is caring for a young adult female client who has chronic acne. Prior to administering tetracycline, which of the following actions should the nurse take?
Determine the client’s age at the onset of menses.
Ask the client if she is using birth control
Measure the client’s vital signs
Check the client’s history for an allergy to penicillin.
b
A nurse is reviewing the lab report of a client who has bipolar disorder prior to the administration of lithium carbonate. The client’s lithium level is 2.6 mEq/L. Which of the following actions should the nurse take?
Assist the client to a left lateral position
Request a dosage increase from the provide
Implement fluid restrictions
Prepare the client for hemodialysis
d
A nurse is providing discharge teaching to a client who is prescribed furosemide. Which of the following instructions should the nurse include in the teaching? Weigh yourself once weekly Take the medication before going to bed Limit the amount of protein in your diet Monitor for hearing loss
d
A hospice nurse is caring for a client who has cancer and is receiving oral opiates. The client reports persistent pain. Which of the following actions should the nurse take?
administer pain medication on a fixed schedule
change oral medications to the IV route
discontinue the clients adjuvant medication
assess the client for medication dependence
d
A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?
I should take an antacid with this medication to prevent stomach upset
I should take this medication with 8 oz of milk
I should stay upright for at least 15 minutes after taking this medication
I should notify my provider is my stools turn black
c
A nurse is assessing a client who has a prescription for lisinopril. Which of the following findings should the nurse identify as an adverse reaction? Prolonged PR interval Glucose level of 80 Dry, persistent cough Potassium level of 3.2
c
A nurse is monitoring a client who is receiving a blood transfusion. Which of the following findings indicates that the nurse administered epinephrine? Urticaria Bounding pulse Distended jugular vein Confusion
a
A nurse is applying a nitroglycerin transdermal patch for a client who has Angina. Which of the following actions should the nurse take?
apply the patch to a hairless area of the skin
apply the patch on the same site every 24 hours
apply 4 x 4 dressing over to patch
apply the patch to a bony prominence on the chest
a
A nurse is teaching a client who is to start taking cromolyn. Which of the following information should the nurse include in the teaching?
Cromolyn will dilate the bronchioles
Cromolyn should take effect within 5 minutes
Cromolyn is a long-term management medication
Cromolyn can be used after exercising
c
A nurse is planning care for a client who is to receive a prescription of IV Vancomycin. Which of the following interventions should the nurse include in the plan?
Check for a penicillin cause sensitivity before infusing the medication
Examine the client’s upper body for flushing of the skin during the infusion
Infuse the medication over 30 minutes
Monitor for hypertension while the medication infuses
b
A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. the nurse should plan to monitor the client for which of the following adverse effects? Tinnitus Fluid retention Insomnia Orthostatic hypotension
b
A nurse is reviewing the lab findings of an older adult who is taking Sertraline. Which of the following lab values should the nurse identify as an adverse effect of the medication? Potassium 3.9 Magnesium 1.5 Sodium 132 Calcium 10
c
A nurse is caring for an older client who is taking Prednisone for long-term treatment of rheumatoid arthritis. The nurse should monitor the client for which of the following adverse effects of this drug? bone loss hemolytic anemia liver toxicity Hypoglycemia
a
A nurse is assessing an older client who has cancer and is receiving morphine for pain management. The nurse should recognize which of the following findings requires attention first?
bladder distention with no voiding in 6 hours
respiratory rate of 10/min
systolic blood pressure decrease of 20 upon standing
absence of bowel movement for 4 days
b
A nurse is teaching about a new prescription for infliximab to a client who has rheumatoid arthritis. Which of the following information should the nurse include in the teaching?
You will receive the medication every week for 6 weeks
You should receive the intranasal influenza vaccine
You might experience diarrhea during the first two weeks of treatment
You’ll receive a mantoux test before the initial medication dose
d
A nurse is reviewing the lab result of a client who has atrial fibrillation and is taking Warfarin. Which of the following lab results should the nurse report to the provider? INR 4.6 Platelet 170, 000/mm3 aPTT 40 seconds Hgb 14.5 mg/dL
a
A nurse in a provider's office is reviewing a list of current medications for an older client who has fallen at home. The nurse should identify which of the following medications places the client at risk for future Falls? Simvastatin Levothyroxine Ferrous gluconate Alprazolam
d
A nurse is caring for a client who takes paroxetine daily. Which of the following statements by the client indicates that the medication is effective?
I am less anxious when I go to work
My Tremors have decreased during the last two months
I have lost weight since I started taking his medication
My pulse has been regular at home
a
A nurse is caring for a client who is taking Digoxin to treat heart failure. Which of the following factors he disposes this client to developing toxicity? Taking an HMG CoA reductase inhibitor Having a 10 year old hx of COPD Having a prolapsed mitral valve Taking a high ceiling diuretic
d
A nurse is providing teaching to a client who has a new prescription for atorvastatin. Which of the following findings should the nurse include as an expected outcome while taking this medication? increase triglyceride levels increase LDL cholesterol level increase HDL cholesterol level increase total cholesterol level
c
A nurse is teaching a client about self administration of enoxaparin. Which of the following instructions should the nurse include? SATA
Massage the insertion site after injecting the medication
Insert the entire length of the needle into the skin during injection
Alternate injection sites between the sides of the abdomen
Expel the air bubble from the pre-filled syringe
Grasp the skin between the thumb and forefinger while injecting the medication
b,c,e
a nurse is administering medication to a client and mistakenly gives hydroxyzine (antihistamine) instead of hydralazine. the nurse should monitor the client for which of the following adverse effects? Edema Fever Diplopia Sedation
d
A nurse is planning discharge teaching for an adult client who has asthma and is to start therapy with beclomethasone, two puffs by metered dose inhaler. Which of the following instructions should the nurse plan to include in the teaching?
use the inhaler as needed for acute asthma attacks
wait three minutes between puffs
take a potassium supplement
gargle after using the inhaler
d
a nurse is caring for a client who is receiving hospice care and has a prescription for fentanyl buccal film. Which of the following methods should the nurse use to administer this medication?
insert the medication against the mucous membrane of the cheek
dissolve the medication and water before administering it
place the medication on the client’s tongue for dissolution
Instruct the client to swallow the medication with a sip of water
a
a nurse is teaching a client who has active pulmonary tuberculosis about management of medication for the disease. Which of the following statements is appropriate for the nurse to take?
You should anticipate taking medication to treat your disease for at least the next three years x
you will need to take two or more medications to treat your disease
you should report monthly to have your blood drawn to monitor kidney function while taking medication
you will need to undergo tuberculin skin test every six months while taking medication for your disease
b
a nurse is completing a medication reconciliation for client prior to his transfer to a long-term care facility. Which of the following actions should the nurse take?
Remove duplicate medications of different dosages from the reconciliation list
Include medications the client received in the acute setting but will no longer need after transfer
Compare the current list of medications to medications the client will receive after transfer
Omit over the counter medications from the at-home medication list
c
A nurse is assessing a client who has a new prescription for cephalexin. the nurse should identify which of the following findings as an adverse effect of the medication? Edema chest pain hypertension Diarrhea
d
A nurse is assessing a client who has Graves disease and is taking methimazole. Which of the following findings indicates the client needs a lower dose of the medication? weight loss Diaphoresis Exophthalmos Bradycardia
d
A nurse is teaching a newly licensed nurse about safe medication administration. the nurse should instruct that which of the following actions is included in the six rights of medication administration?
compare a new prescription with an old prescription
document medication prior to Administration
obtain a current list of the client’s medications
verify dosage calculations with a second nurse
d
A client who has Graves disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken the medication for 2 months? warmer skin weight loss increase in pulse rate increased sleeping
d
a nurse is caring for a client who has a prescription for Heparin via continuous IV infusion. Which of the following interventions should the nurse implement?
keep the clients intake of green leafy vegetables consistent
monitor for a decreased platelet count
monitor INR
administer potassium chloride for an overdose
b
A nurse is providing discharge teaching to a client who has a new prescription for furosemide. Which of the following instructions should the nurse include in the teaching?
weigh yourself on the same day each week
take the medication before going to bed
increase the amount of potassium in your diet
this medication should be taken on an empty stomach
c
A nurse is teaching a class about administering IV fluids to treat dehydration. the nurse should include in the teaching that which of the following indicates effective treatment of dehydration?
Urine specific gravity 1.020
Serum osmolarity 310 mOsm/L
Serum hematocrit 55%mg/dL
a
A nurse is teaching a female client who has a new prescription for an estrogen-progestin combination. Which of the following adverse effects is a priority to report to the provider? Loss of appetite Breakthrough bleeding Breast enlargements Calf swelling
d
A nurse is teaching a client about a new prescription for captopril. Which of the following information should the nurse include in the teaching?
take a daily potassium supplements
decrease the amount of sodium in the diet
exercise caution when changing positions
monitor pulse rate before taking medication
c
a nurse is providing teaching to a client who has a new prescription for paroxetine. Which of the following should the nurse identify as an adverse effect of this medication? Dry mouth Polyuria Tinnitus Hypertension
a
a nurse is monitoring a client who has manifestations of fluid overload during a blood transfusion. After stopping the infusion which of the following findings is the nurses priority to report to the provider? Crackles in the lungs Pulse rate 105/min BP 150/90 mmHg Client report of anxiety
a
A nurse is caring for a client who has sepsis and is receiving Gentamicin. Which of the following findings indicates that the client is experiencing Gentamicin toxicity? Tinnitus BUN level 15 mg/dL Creatinine level 1.0 mg/dL Peripheral edema
a
A nurse is preparing to administer digoxin to a client who has heart failure. The nurse should hold the medication for which of the following findings? Weight gain of 0.7 kg in 24 hr BP 160/90 mmHg Urinary output 30 ml/hr Pulse rate 56/min
d
A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report?
The client had chemotherapy 12 hours before the medication was administered
the medication vial sat at room temperature for 2 hours before it was administered
the nurse flushed the clients IV line with dextrose 5% and water before and after the medication was administered
the clients absolute neutrophil count was 2500/mm3 before the medication was administered
a
A nurse is administering ferrous sulfate Elixir to a client who has an iron deficiency anemia. which of the following actions should the nurse take?
give the medication but a caffeinated beverage
administer the medication through a straw
dilute the medication with milk
provide an antacid with the medication
b
A nurse is providing teaching about smoking cessation treatment with varenicline to a client and his family. The nurse should include in the teaching to report which of the following adverse effects of the medication as a priority? Change in Behavior Nausea weight gain abnormal dreams
a
A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider? Acetaminophen Ondansetron Nalbuphine insulin glargine
c
a nurse is completing discharge teaching for a client who has hypertension. The client has a new prescription for spironolactone. Which of the following statements does this client indicate an understanding of the teaching?
I’ll increase my dietary fiber because this medication causes constipation
I realize that I should use sugar substitutes when taking this medication
I’ll take aspirin every day before I make this medication more effective
I’m aware that this medication can cause heart palpitations
d
A nurse is teaching a female client who has AIDS and a new prescription for ritonavir. The nurse should identify which of the following statements as an indication that the client understands the teacher?
I will be sure to have something to eat when I take this medication
I can still take st. John’s Wort for my depression while taking his medication
I could develop high blood pressure while taking this medication
I will take two doses of the medication together if I miss a dose
a
A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess?
a. Decreased bowel sounds
b. Distended neck veins
c. Bilateral muscle weakness
d. Thread pulse
b
A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective?
a. Absent Chvostek’s sign
b. Improved cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent
b
A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following instructions should the nurse include?
a. “Discontinue the patch if you experience a headache.”
b. “Apply a new patch if you have chest pain.”
c. “Cover the patch with dry gauze when taking a shower.”
d. “Remove the patch prior to going to bed.”
d
A nurse is reviewing he laboratory results of a client who has a prescription for sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to the provider?
a. Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2 mEq/L
d. Potassium 5.2 mEq/L
d
A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen?
a. The client has a negative sputum culture
b. The client tests negative for HIV
c. The client has a positive purified protein derivative test
d. The client’s liver function test results are within the expected reference range
a
A client is caring for a client who develops an anaphylactic reaction to IV administration. After assessing the client’s respiratory status and stopping the medication infusion. Which of the following actions should the nurse take next?
a. Replace the infusion with 0.9% sodium chloride
b. Give diphenhydramine IM
c. Elevate the client’s legs and feet
d. Administer epinephrine IM
d
A nurse is caring for a client who is taking sertraline and reports a desire to begin taking supplements. Which of the following supplements should the nurse advise the client to avoid?
a. St. John’s Wort
b. Ginger root
c. Black cohosh
d. Coenzyme Q10
a
A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For which of the following adverse effects should the nurse monitor when administering lisinopril?
a. Bradycardia
b. Hypokalemia
c. Tinnitus
d. Hypotension
d
A nurse is assessing a client who is receiving heparin IV continuous IV. The client has an PTT of 90 seconds. They should monitor the client for which of the following changes in their vital signs?
a. Decreased temperature
b. Increased pulse rate
c. Decreased respiratory rate
d. Increased blood pressure
d
A nurse is preparing to administer medication to a client and discovers a medication error. The nurse should recognize which of the following staff members is responsible for completing an incident report?
a. The quality improvement committee
b. The nurse who identifies the error
c. The nurse who caused the error
d. The charge nurse
b
A nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following?
a. Pruritus
b. Cough
c. Tachypnea
d. Gastric bleeding
a
A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
a. Obtain the client’s apical heart rate
b. Remove the medication from the dispensing system
c. Open the medication package
d. Compare the client’s wristband to the medication administration record
e. Document administration of the medication
ANSWER: A, B, D, C, E
A nurse is reviewing the medical record of an adult client who has a fever and a prescription for acetaminophen. Which of the following findings should the nurse identify as a contraindication for receiving this medication?
a. Alcohol use disorder
b. Chronic kidney disease
c. Hepatitis B vaccine within the last week
d. Diabetes mellitus
b
A home health nurse is visiting a client who has heart failure and a prescription for furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.) since the last visit 2 days ago. Which of the following actions should the nurse take first?
a. Encourage the client to dangle the legs while sitting in a chair
b. Teach the client about foods low in sodium
c. Determine medication adherence by the client
d. Notify the provider of the client’s weight gain
c
A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of an allergic reaction following the injection?
a. Urticaria
b. Bradycardia
c. Pallor
d. Dyspepsia
a
A nurse is teaching a client who has angina a new prescription for sublingual nitroglycerin tablets. Which of the following instructions should the nurse include in the teaching?
a. “Discard any tablets you do not use every 6 months.”
b. “Take one tablet each morning 30 minutes prior to eating.”
c. “Keep the tablets at room temperature in their original glass bottle.”
d. “Place the tablet between your cheek and gum to dissolve.”
c
A nurse is providing teaching to a client who has a new prescription for theophylline, a sustained-released capsule. Which of the following statements by the client indicates an understanding of the teaching?
a. “I can take my medication in the morning with my coffee.”
b. “I may sprinkle the medication in applesauce.”
c. “I should limit my fluid intake while on this medication.”
d. “I will need to have blood levels drawn.”
d
A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus following actions should the nurse take first?
a. Withdraw the regular insulin from the viral
b. Withdraw the NPH insulin form the vial
c. Inject air into the NPH vial
d. Inject air into the regular insulin vial
c
A nurse is preparing to administer subcutaneous heparin to a client. Which of the following should the nurse take?
a. Massage the site after administering the medication
b. Use a 21-gauge needle for the injection
c. Aspirate before injecting the medication
d. Insert the needle at least 5 cm (2 in) from the umbilicus
d
A nurse is caring for a client who has a prescription for amoxicillin. Which of the following findings indicates the client is experiencing an allergic reaction?
a. Nausea
b. Cardiac dysrhythmia
c. Laryngeal edema
d. Insomnia
c
A nurse is teaching a newly licensed nurse about medication reconciliation. The nurse should instruct the newly licensed nurse to perform medication reconciliation for which of the following?
a. A client who has a referral for social services
b. A client who is transdermal to radiology
c. A client who is transferal to a step-down unit
d. A client who has a consultation for physical therapy
c
A nurse is reviewing the laboratory values of a client who is taking atorvastatin. Which of the following laboratory values indicates the treatment has been effective?
a. BUN 15 mg/dL
b. Blood glucose 90 mg/dL
c. Urine specific gravity 1.020
d. LDL 120 mg/dL
d
A nurse is receiving a medication prescription by telephone from a provider. The provider states, “Administer 6 milligrams of morphine IV push every 3 hours as needed for acute pain.” How should the nurse transcribe the prescription in the client’s medical record?
a. Morphine 6 mg IV push every 3 hr PRN acute pain
b. MSO 6 mg IV push every 3 hr PRN acute pain
c. MS 6 mg IV push every 3 hr PRN acute pain
d. Morphine 6.0 mg IV push every 3 hr PRN acute pain
a
A nurse is assessing a client’s IV infusion site and notes that the site is cool and edematous. Which of the following actions should the nurse take?
a. Show the IV solution rate
b. Initiate a new IV distal to the initial site
c. Maintain the extremity below the level of the heart
d. Apply a warm, moist compress
d
A nurse is providing teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching?
a. “Diarrhea is a common adverse effect of this medication.”
b. “Ringing in the ears is an expected adverse effect of this medication.”
c. “Notify your provider if you develop a fever while taking this medication.”
d. “You might experience weight loss while taking this medication.”
c
A nurse is teaching a client about oral contraceptives. Which of the following information should the nurse include in the teaching?
a. Abdominal pain is an expected adverse effect of oral contraceptives
b. It can take up to 1 year to become pregnant after stopping an oral contraceptive
c. Some herbal supplements can decrease the effectiveness of an oral contraceptive
d. A pelvic examination is needed prior to starting an oral contraceptive
b
A nurse is planning to administer medication to an older adult client who has dysphagia. Which of the following actions should the nurse plan to take?
a. Tilt the client’s head back when administering the medications
b. Mix the medications with a semisolid food for the client
c. Administer more than one pill to the client at a time
d. Place the medications on the back of the client’s tongue
b
A nurse is providing teaching to a client about the administration of omeprazole. Which of the following should the nurse include?
a. “You cannot take this medication with an antacid.”
b. “You should reduce your intake of calcium while taking this medication.”
c. “You should take this medication before meals.”
d. “You can take a second dose if symptoms persist up to 2 hours after the first dose.”
a
A nurse is assessing allergies with a client who is scheduled to receive the influenza vaccine. Which of the following allergies should the nurse report to the provider as a possible contraindication to receiving the vaccine?
a. Eggs
b. Shellfish
c. Peanuts
d. Milk
a
A nurse is caring for a client who has a new diagnosis of benign prostate hypertrophy and a prescription for doxazosin. The client tells the nurse. “I do not take this medication. I would prefer natural therapy.” Which of the following supplements should the nurse suggest the client discuss with the provider?
a. Black cohosh
b. Garlic
c. Feverfew
d. Saw palmetto
d
A nurse is administering naloxone to a client who has developed an adverse reaction to morphine. The nurse should identify which of the following findings as a therapeutic effect of naloxone?
a. Decreased nausea
b. Increased pain relief
c. Decreased blood pressure
d. Increased respiratory rate
d
A nurse is reviewing the medical record of a client who has sinusitis and a new prescription for cefuroxime. Which of the following client information is the priority for the nurse to report to the provider?
a. The client has a BUN of 18 mg/dL
b. The client takes an aspirin daily
c. The client has a history of a severe penicillin allergy
d. The client reports a history of nausea with cefuroxime
c
A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer?
a. Protamine sulfate
b. Acetylcysteine
c. Calcium gluconate
d. Flumazenil
c
A nurse is assessing a client following the administration of ondansetron (Zofran). Which of the following findings should indicate to the nurse that the ondansetron has been effective?
a. Client reports a decrease in pain
b. Client reports a decrease in nausea
c. Client reports a decrease in coughing
d. Client reports a decrease in diarrhea
b
A nurse manager is planning an in-service about pain management with opioids for client who has cancer. Which of the following information should the nurse manager include?
a. IM administration is recommended if PO opioids are ineffective
b. Respiratory depression decreases as opioid tolerance develops
c. Meperidine is the opioid of choice for treating chronic pain
d. Withhold PRN pain medication for the client who is receiving opioids every 6 hr
a
A nurse is reviewing the list of current medication for a client who is to start prescription for carbamazepine. The nurse should identify that which of the following medications interacts with carbamazepine?
a. Nicotine transdermal system
b. Diphenhydramine
c. Estrogen-progestin combination
d. Beclomethasone
c
A nurse is caring for a client who has a respiratory infection and is receiving an antibiotic. Which of the following medications puts the client at risk for developing hearing loss?
a. Rifampin
b. Ciprofloxacin
c. Penicillin G
d. Gentamicin
d
A nurse is teaching a guardian of a school-age child who has a new prescription for a fluticasone metered-dose inhaler. Which of the following information should the nurse include in the teaching? (SATA)
a. “Soak the inhaler in water after use.”
b. “Have your child take one inhalation as needed for shortness of breath.”
c. “Shake the device prior to administration.”
d. “A spacer will make it easier to use the device.”
e. “Rinse your child’s mouth following administration.”
c,d,e
A nurse is instructing a client who has a new prescription for a daily dose of lovastatin extended release. Which of the following information should the nurse include in the teaching?
a. “You will need liver function tests before beginning therapy.”
b. “Avoid consuming dairy products while taking this medication.”
c. “You may crush the medication and mix it with applesauce.”
d. “You should take the medication in the morning.”
a
A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissue surrounding the insertion site. Which of the following actions should the nurse take?
a. Flush the IV catheter
b. Apply pressure to the IV site
c. Elevate the extremity
d. Slow the infusion rate
c
A nurse us caring for a client who is in shock and is receiving an infusion of albumin. Which of the following findings should the nurse expect?
a. Oxygen saturation 96%
b. PaCO2 30 mm Hg
c. Increase in BP
d. Decrease in protein
c
A nurse is reviewing the laboratory data of a client prior to administering IV tobramycin. Which of the following laboratory values should the nurse report to the provider?
a. Sodium 137 mEq/L
b. Hct 4.3%
c. Hgb 15 g/dL
d. Creatinine 2.5 mg/dL
d
A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse take?
a. Apply firm pressure to the injection site following administration
b. Administer the medication into the client’s muscle
c. Expel the air bubble from the syringe prior to injection
d. Insert the syringe needle halfway into the client’s skin
a
A nurse is reviewing a client’s 0800 laboratory values at 1100. The nurse notes that the client received heparin at 1000. Which of the following laboratory values warrants an incident report?
a. ePTT 90 seconds
b. Hgb 16 g/dL
c. INR 1.6
d. WBC 6,000/mm3
a
A nurse is caring for a client who has breast cancer and reports pain. 1 hr after administration of prescribed morphine 10 mg IV. Which of the following medications should the nurse expect to administer?
a. Naloxone IV
b. Morphine tablet
c. Lidocaine patch
d. Fentanyl transmucosal
d
A nurse is assessing a client who reports taking over-the-counter antacids. Which of the following findings should the nurse identify as a manifestation of hypercalcemia?
a. Constipation
b. Decreased urine output
c. Positive Trousseau’s sign
d. Headache
a
