review
A client is admitted with muscle cramps and frequent premature ventricular contractions associated with hypokalemia. When the client is prescribed a continuous IV infusion containing potassium chloride, the nurse should verify that the infusion rate does not exceed how many milliequivalents (mEq) of potassium per hour? Provide a numerical answer.
10
Which assessments will alert the nurse that a client's IV has infiltrated? Select all that apply: A. Edema of the extremity near the insertion site B. Reddish streak proximal to the insertion site C. Skin discolored or pale in appearance D. Pain and warmth at the insertion site E. Palpable venous cord F. Skin cool to the touch
A. Edema of the extremity near the insertion site C. Skin discolored or pale in appearance F. Skin cool to the touch
A 31 year old client at 39 weeks' gestation admitted to the hospital in active labor is receiving intravenous lactated Ringer's solution and a continuous epidural anesthetic. During the first hour after administration of the epidural anesthetic, the nurse should monitor for which of the following? A. Hypotension B. Diaphoresis C. Headache D. Tremors
A. Hypotension
The nurse is caring for a 78 year old client who has multiple medications prescribed to treat various health problems. The nurse should consider that which common age-related physical changes are most likely to require a reduction in medication dosage for this client? Select all that apply: A. Increased rate of drug retention B. Decreased total body fluid proportionate to body mass C. Decreased efficiency in drug distribution D. Decreased rate of drug metabolism by the liver E. Significant weight gain
A. Increased rate of drug retention B. Decreased total body fluid proportionate to body mass D. Decreased rate of drug metabolism by the liver
The 18 year old client is diagnosed with gonorrhea of the pharynx. The health care provider (HCP) has prescribed ceftriaxone (Rocephin). Which intervention should the nurse implement? A.Administer the medication intramuscularly in the gluteus muscle B.Have the client drink a full glass of water with the pill C.Use a tuberculin syringe to draw up the medication D.Make sure the client has eaten before administering the drug.
A.Administer the medication intramuscularly in the gluteus muscle
A client diagnosed with severe ulcerative colitis is prescribed azathioprine (azasan). Which assessment data concerning the medication would warrant immediate intervention by the nurse? A.Complaints of a sore throat, fever, and chills B.Reports a 10-20 loose stools a day C.Complaints of abdominal pain and tenderness D.Reports of dry mouth and oral mucosa
A.Complaints of a sore throat, fever, and chills
The male client with chronic hepatitis C is being prescribed ribavirin. Which information should the nurse discuss with the client? A.Discuss the importance of using two reliable forms of birth control B.Explain the need to eat a diet high in vitamin K during treatment C.Instruct the client to avoid direct sunlight for long periods D.Teach the clieant that the medication might cause temporary impotence
A.Discuss the importance of using two reliable forms of birth control
A client with a history of renal insufficiency is experiencing a hypertensive crisis. The nurse administers which of the following prescribed diuretics? A.Furosemide (lasix) B.Hydrochlorothiazide C.Chlorthalidone D.Spironolactone
A.Furosemide
After the administration of Alteplase, the nurse should: A.Observe the client for chest pain B.Monitor for fever C.Review the 12-lead electrocardiogram (ECG) D.Auscultate breath sounds
A.Observe the client for chest pain
Which instructions should the nurse teach the client receiving oprelvekin? A.Report any edema of arms, legs, or both B.Take the pill with food to prevent gastric distress C.Monitor the blood glucose levels daily D.See the ophthalmologist if vision becomes blurred
A.Report any edema of arms, legs, or both
A client has a history of heart failure and has been taking furosemide Lasix), digoxin, and potassium chloride. The client has nausea, blurred vision, headache, and weakness. The nurse notes that the client is confused. The telemetry strip shows first-degree atrioventricular block. The nurse should assess the client for signs of which of the following? A. Hyperkalemia B. Digoxin toxicity C. Fluid deficit D. Pulmonary edema
B. Digoxin toxicity
The client diagnosed with Addison's disease asks the nurse, "Why do I have to take fludrocortisone, a mineral corticosteroid?" Which statement is the nurse's best response? A."It will keep you from getting high blood glucose levels." B."Fludrocortisone helps the body retain sodium" C."Fludrocortisone prevents muscle cramping." D."It stimulates the pituitary gland to secrete ACTH."
B."Fludrocortisone helps the body retain sodium"
A nurse on the geropsychiatric unit receives a call from the son of a recently discharged client. He reports that his father just got a prescription for memantine (Namenda) to take "on top of his donepezil (Aricept)." The son then asks, "Why does he have to take extra medicines?" The nurse should tell the son: A."Maybe the donepezil alone isn't improving his dementia fast enough or well enough." B."Memantine and donepezil are commonly used together to slow the progression of dementia." C."Memantine is more effective than donepezil. Your father will be tapered off the donepezil." D."Donepezil has a short half-life and memantine has a long half-life. They work well together."
B."Memantine and donepezil are commonly used together to slow the progression of dementia."
A client has been prescribed nitrofurantoin for treatment of a lower urinary tract infection. Which of the following instructions should the nurse include when teaching the client about this medication? Select all that apply: A."Take the medication on an empty stomach." B."Your urine may become brown in color." C."Increase your fluid intake." D."Take the medication until your symptoms subside." E."Take the medication with an antacid to decrease gastrointestinal distress."
B."Your urine may become brown in color." C."Increase your fluid intake."
The client 4 hours postoperative bunionectomy is prescribed hydromorphone. The client is complaining of pain "9" on the 1-10 pain scale. Which action should the nurse implement? A.Request the healthcare provider to prescribe a less potent analgesic B.Administer the pain medication as prescribed C.Encourage the client to use distraction techniques D.Give the client an NSAID with one full glass of water
B.Administer the pain medication as prescribed
The nurse is caring for a client who has been taking isotretinoin for the past two months. Which of the following is a priority for the nurse to report? A.Pruritus B.Depression C.Dry skin D.Headache
B.Depression
A client is admitted to the emergency department in acute heart failure. Blood pressure is 116/86 and heart rate is 98. The nurse ensures that which medication is available for immediate use once it is ordered? A.Atropine sulfate B.Digoxin C.Propranolol D.Verapamil
B.Digoxin
The primary healthcare provider prescribes fluoxetine (Prozac) orally every morning for a 72 year old client with depression. Which transient adverse effect of this drug requires immediate action by the nurse? A.Nausea B.Dizziness C.Sedation D.Dry mouth
B.Dizziness
The nurse is reviewing the laboratory report with the client's lithium level taken that morning prior to administering the 1700 dose of lithium. The lithium level is 1.8 mEq/L. The nurse should: A.Administer the 1700 dose of lithium B.Hold the 1700 dose of lithium C.Give the client 8 oz. (236 mL) of water with the lithium D.Give the lithium after the client's supper
B.Hold the 1700 dose of lithium
The nurse is providing medication instructions to a client with breast cancer who is receiving cyclophosphamide (cytoxin). The nurse tells the client to: A.Take the medication with food B.Increase fluid intake to 2000 to 3000 mL daily C.Decrease sodium intake while taking the medication D.Increase potassium intake while taking the medication
B.Increase fluid intake to 2000 to 3000 mL daily
The nurse anticipates that mannitol may be prescribed for clients recently admitted to the unit with which of the following conditions? Select all that apply: A.Pancreatitis B.Increased intracranial pressure C.Diarrhea D.Increased intraocular pressure E.Congestive heart failure
B.Increased intracranial pressureD.Increased intraocular pressure
A nurse is providing education to the client who is prescribed intranasal desmopressin. The nurse should include which of the following pieces of information during the teaching session? Select all that apply: A.Shake the drug rigorously prior to use B.Keep a record of each night's sleep and record incidents of bed-wetting C.Angle the tip of the nasal spray low into the cavity when administering this drug D.A rapid weight gain should be reported to the prescriber immediately E.Report drowsiness to the prescriber
B.Keep a record of each night's sleep and record incidents of bed-wetting D.A rapid weight gain should be reported to the prescriber immediately E.Report drowsiness to the prescriber
During a seminar the nurse explains to a group of clients that an important advantage of combination chemotherapy over single drug regimens includes which of the following? A.Reduce potential for nausea and vomiting B.Reduce potential for tumor resistance C.Spare normal cells from severe toxicity D.Decrease likelihood of drug-induced gonadal sterility
B.Reduce potential for tumor resistance
To which client would the healthcare provider recommend carbamide peroxide? A.The client with "swimmer's ear" B.The client with impacted cerumen C.The client with external otitis D.The client with bilateral cataracts
B.The client with impacted cerumen
The 8-year-old child diagnosed with gastroenteritis is admitted to the pediatric unit. The nurse administered prochlorperazine rectally. Which side effect should the nurse assess for? A.Nausea, vomiting, and diarrhea B.Tremors, involuntary twitching, and restlessness C.Diplopia, ptosis, and urinary retention D.Myalgia, hallucinations, and weakness
B.Tremors, involuntary twitching, and restlessness
A client is receiving streptomycin in the treatment regimen of tuberculosis. The nurse should assess for: A.Decreased serum creatinine B.Difficulty swallowing C.Hearing loss D. IV infiltration
C.Hearing loss
The 10 year old client is receiving the growth hormone somatropin. Which signs or symptoms would warrant action by the nurse? A.A 3-cm increase in height B.A moon face and buffalo hump C.Polyuria, polydipsia, and polyphagia D.T-99.4°F, P-108, R-22, B/P-121/70
C.Polyuria, polydipsia, and polyphagia (diabetes s/s)
Angiotensin-converting enzyme (ACE) inhibitors may be prescribed for the client with diabetes mellitus to reduce vascular changes and possibly prevent or delay development of: A.Chronic obstructive pulmonary disease (COPD) B.Pancreatic cancer C.Renal failure D.Cerebrovascular accident (CVA)
C.Renal failure
A client with cancer has the nursing diagnosis of impaired oral mucous membranes related to side effect of fluorouracil, an antimetabolite. The nurse would plan which of the following as an optimal nursing intervention? A.Schedule oral hygiene every 2 hours during the day with warm saline rinses B.Rinse mouth every 2 hours during the day and every4 hours at night with a baking soda and peroxide rinse C.Schedule oral care every 2 to 4 hours with a soft toothbrush and fluorinated toothpaste, followed by a dilute baking soda rinse D.Continue oral hygiene twice daily with baking soda and rinse with commercial mouthwash
C.Schedule oral care every 2 to 4 hours with a soft toothbrush and fluorinated toothpaste, followed by a dilute baking soda rinse
When providing care for a client who is receiving methylphenidate (Ritalin/conerta), the nurse should monitor the client for: Select all that apply: A.Constipation B.Weight gain C.Tachycardia D.Nervousness E.Gingival hyperplasia F.Palpitation
C.Tachycardia D.Nervousness F.Palpitation
Which of the following would the nurse recognize as the appropriate rationale for the administration of the drug levodopa to a client with Parkinson's disease? A.The drug activates enzymes to degrade dopamine B.The drug blocks the release of dopamine C.The drug provides the precursor of dopamine D.The drug inhibits the synthesis of dopamine
C.The drug provides the precursor of dopamine
Which client behavior most clearly indicates a client's acceptance of the nurse's instructions before beginning use of saw palmetto? A. Requests that the assigned healthcare provider prescribe liver function tests B. Agrees not to ingest ibuprofen or aspirin concurrently C. Agrees not to ingest laxatives or stool softeners concurrently D. Requests that the assigned healthcare provider prescribe a prostate specific antigen (PSA) test
D. Requests that the assigned healthcare provider prescribe a prostate specific antigen (PSA) test
The client with type 1 diabetes mellitus is taught to take isophane insulin suspension NPH at 5 pm each day. The client should be instructed that the greatest risk of hypoglycemia will occur at about what time? A.1100, shortly before lunch B.1300 (1pm), shortly after lunch C.1800 (6pm), shortly after dinner D.0100 (1am), while sleeping
D.0100 (1am), while sleeping
A client with peptic ulcer disease is taking ranitidine(zantac). What is the expected outcome of this drug? A.Heal the ulcer B.Protect the ulcer surface from acids C.Reduce acid concentration D.Limit gastric acid secretion
D.Limit gastric acid secretion
The nurse is caring for a client who is scheduled for an adrenalectomy. Which of the following drugs may be included in the preoperative prescriptions to prevent Addison's crisis following surgery? A.Prednisone orally (p.o.) B.Fludrocortisones subcutaneously (sub q) C.Spironolactone intramuscularly (IM) D.Methylprednisolone sodium succinate intravenously (IV)
D.Methylprednisolone sodium succinate intravenously (IV) IV- crisis
The client with male pattern baldness is prescribed finasteride. When should the nurse evaluate for effectiveness of the medication? A.After the client has been taking the medication for 1 month B.When the client states there are no hair strands in the comb C.At the time the client's hair changes texture and color D.One year after taking finasteride medication daily
D.One year after taking finasteride medication daily
A client is to receive glargine insulin in addition to a dose of aspart. When the nurse checks the blood glucose level at the bedside, it is greater than 200 mg/dL. How should the nurse administer the insulins? A.Put air into the glargine insulin vial, and then air into the aspart insulin vial, and draw up the correct dose of aspart insulin first B.Roll the glargine insulin vial, then roll the aspart insulin vial. Draw up the longer acting glargine insulin first C.Shake both vials of insulin before drawing up each dose in separate insulin syringes D.Put air into the glargine insulin vial, and draw up the correct dose in an insulin syringe; then, with a different insulin syringe, put air into the aspart vial and draw up the correct dose.
D.Put air into the glargine insulin vial, and draw up the correct dose in an insulin syringe; then, with a different insulin syringe, put air into the aspart vial and draw up the correct dose.
The nurse is assigned to administer bismuth subsalicylate to a 10 year old who has Reye's syndrome and is experiencing gastrointestinal clinical manifestations. Which of the following is the priority action for the nurse to take? A.Administer the prescribed dose of 1 tablet B.Inform the child and parents that stools will be dark in appearance C.Instruct the child to chew the tablet thoroughly D.Question the healthcare provider's order
D.Question the healthcare provider's order
The postmenopausal client is prescribed alendronate. Which information should the nurse discuss with the client? A.Chew the tablet thoroughly before swallowing B.Eat a meal prior to taking the medication C.Take the medication at night before going to sleep D.Remain upright 30 minutes after taking the medication
D.Remain upright 30 minutes after taking the medication
After a family member reported altered mental function in a client with end stage liver disease, the healthcare provider prescribed lactulose 30 mL PO t.i.d. The home health nurse reviews the client's record for which laboratory test(s) to monitor medication effectiveness? A.Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) B.Blood urea nitrogen (BUN) and creatinine C.Bilirubin and urobilinogen D.Serum ammonia
D.Serum ammonia
A client with terminal cancer has not had chemotherapy for a few weeks and has had no nausea or vomiting since then. However, they are still taking dronabinol (marinol) twice a day. The reason for the dronabinol order is to: A.Prevent recurrence of the chemo-induced nausea and vomiting B.Prevent stress ulcers C.Improve their mood D.Stimulate their appetite
D.Stimulate their appetite
The client with hyperthyroidism is prescribed propylthiouracil. Which laboratory data should the nurse monitor? A.The client's arterial blood gases (ABGs) B.The client's serum potassium level C.The client's red blood cell count (RBC) D.The client's white blood cell count (WBC)
D.The client's white blood cell count (WBC)
