Note Questions for Final Flashcards
The nurse administered an IV broad spectrum antibiotic scheduled every six hours to the client at 0800. At 1000 the culture and sensitivity prompted the HCP to change the IV antibiotic. When should the nurse administer the new medication?
Check with the HCP to determine when to start
Before administering the first dose of penicillin to a client, the client states “ I developed a rash when I was a child when my mom gave me penicillin”. What is the best action for the nurse to take?
Withhold the drug and notify the physician
(Even if the reaction is just minor and can be dealt with using Benadryl, nurse doesn’t get to make that decision)
(If assessing was an option, that would be an answer)
Which of the following adverse effects should the client report to the physician while taking tetracycline?
Diarrhea
Tetracycline can cause C. Diff. in the form of Diarrhea
Which of the following assessments by the nurse indicates an adverse effect of naloxone?
Tremors
Kanamycin 200 mg/IM
Dose Available: Add 2.3 mL sterile water to make Kanamycin 1g/3mL
How many mL should the nurse give?
0.6 ml
The charge nurse observers the student nurse perform the following tasks while caring for clients. Which action would require the charge nurse to provide some further education to the student nurse?
- crushing furosemide and mixing it with applesauce to give to an elderly client
- administering subcutaneous heparin to a client without aspirating blood
- crushing furosemide and mixing it with applesauce to give to an elderly client
- placing a used syringe and needle in the sharp’s conatiner
lowering the bed rails for a post-op client who just receive meperidine
lowering the bed rails for a post-op client who just receive meperidine
(Meperidine is an opioid, narcotic, analgesic which causes sedation, so lowering the bed rails can cause them to have a risk of falling)
The client received naloxone following a colonoscopy. What action by the nurse has the highest priority?
Assess the client
Always assess first unless the treatment/medication needs to be stopped immediately
Which client is most likely to receive opioids for extended periods of time and why?
- a client with fibromyalgia
- a client with progressive pancreatic cancer
- a client with phantom limb pain
- a client with trigeminal neuralgia
A client with progressive pancreatic cancer
(Because they won’t be alive long enough to develop a tolerance and addiction to opioid analgesics; Also helps pain to make life more comfortable before they die)
The client is complaining of incisional pain. which intervention should the nurse implement first?
- Teach the client’s distraction techniques to address pain.
- Determine when the last pain medication was given
- Administer the pain medication STAT
- Assess the client’s pulse and blood pressure
Assess the client’s pulse and blood pressure
Because it will determine the extent of the client’s pain; Also Always ASSESS FIRST
A client with metastatic colon cancer has been prescribed hydromorphone PO/PRN to help manage pain. The nurse knows that the rectal route of administration is contraindicated when what is present?
Neutropenia
Thrombocytopenia
Rectal Lesions
Mucositis
The client is complaining of incisional pain, which intervention should be implemented first?
- Teach the client’s distraction techniques to address pain.
- Determine when the last pain medication was given
- Administer the pain medication STAT
- Assess the client’s pulse and blood pressure
Assess the client’s pulse and blood pressure
Always assess first when given the option and in this case it will help determine the extent of the pain
The client with osteoarthritis is prescribed a nonsteroidal anti-inflammatory drug (NSAID). Which interventions should the nurse implement?
- Time the medication to be given with meals
- Do not administer if oral temperature is greater than 102.
- Monitor liver function tests and renal studies
- Notify the HCP if abdominal straie develop
Monitor liver function tests and renal studies
Which statement indicates that the client needs more teaching concerning the use of atropine sulfate?
A.
“I will eat low-residue foods to prevent diarrhea.”
B.
“I will brush my teeth and see my dentist regularly.”
C.
“I will stay in my air conditioned house on hot and humid day.”
D.
“I will take my medication at least a half hour before meals.”
“I will eat low-residue foods to prevent diarrhea.”
A client is experiencing some nausea and vomiting associated with chemotherapy. He asked the nurse for medication to help. The nurse looks at the MAR and determines what medication is given for nausea (Which Type).
Anti-Emetics given because it elps relieve N/V
ex. Metoclopromide
A nurse cares for a client receiving chemotherapy. For what common side effects should the nurse assess?
Nausea and Vomiting
