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A nurse is teaching about levodopa with a family member of a client who has Parkinson's disease. Which of the following pieces of information should the nurse include?

" A full therapeutic response may take several months to happen."

A nurse is providing discharge teaching for a client who has a new prescription for metoprolol. Which of the following instructions should the nurse include?

" Do not stop taking this medication abruptly." , "Count your radial pulse daily," , "Change positions slowly."

A nurse is caring for a client who takes warfarin to treat chronic atrial fibrillation and has early manifestations of Alzheimer's disease. The client's partner asks the nurse if the client would benefit from taking ginko biloba. Which of the following responses should the nurse make?

" Ginko biloba will likely interfere with the effectiveness of his other medications,"

A nurse is providing discharge teaching about lithium toxicity to a client who has a new prescription for lithium. Which of the following statements by the client indicates an understanding of the teaching?

" I can develop lithium toxicity if I experience vomiting or diarrhea."

A nurse is providing teaching to a client with hypertension and type 1 diabetes mellitus who has a new prescription for metoprolol. Which of the following statements by the client indicates an understanding of the teaching?

" I might have difficulty recognizing when my blood sugar is low."

A nurse is providing teaching for a client who has a new prescription for nitrogen administered through a transdermal patch. Which of the following client statements indicates an understanding of the teaching?

" I need to rotate the location of my patch every few days."

A nurse is teaching about the adverse effects of baclofen with a client who has multiple sclerosis with spasms. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

" I should not stop taking this medication suddenly."

A nurse is teaching a client who will be taking dexamethasone daily for pain due to spinal edema. The nurse should identify which of the following client statements as an indication that the teaching has been effective?

" I should stay away from people who are ill."

A nurse is providing teaching to a parent of a child who has asthma and a new prescription for a cromolyn sodium metered-dose inhaler. Which of the following statements by the parent indicates the need for further teaching?

" I will give my child a dose as soon as wheezing starts."

A nurse is providing teaching to a client who has heart failure and is taking spironolactone. Which of the following statements by the client indicates an understanding of the teaching?

" I will watch for increased breast tissue growth while taking this medication.

A nurse in a provider's office is assessing a client who has been taking feverfew. Which of the following statements by the client indicates a therapeutic effect on the supplement?

" Iam having fewer migraine headaches since I started taking feverfew."

A nurse is teaching a client about the adverse effects of omeprazole. Which of the following client statements indicates an understanding of the teaching?

" If I experience severe diarrhea, I will call my doctor."

A nurse is teaching a client who has severe chronic gout and a new prescription for pegloticase. The client has been taking allopurinol for 1 month. Which of the following instructions should the nurse include about pegloticase?

" If you experience a flare-up, you can take an NSAID while receiving this medication."

A nurse is teaching a client who has a prescription for chenodiol for the treatment of gallstones. Which of the following client statements indicates an understanding of the teaching?

" Liver function tests are required while taking this medication."

A nurse is teaching a client who has persistent cancer pain about the adverse effects of opioids. Which of the following statements should the nurse include in the teaching?

" Physical dependence is not the same as addiction."

A nurse is educating a client with urethritis who has a new prescription for oral erythromycin. Which of the following statements should the nurse include in the teaching?

" Report persistent diarrhea to the provider."

A nurse is preparing to administer 150 units/hr of regular insulin to a client. Regular insulin is available at 1,500 units in 0.9% sodium chloride 500 mL. The nurse should set the IV pump to deliver how many mL/hr?

50mL/hr

A nurse is planning care for a client who is postoperative and scheduled to ambulate. At which of the following times should the nurse plan to administer PO morphine to the client for peak analgesic effects during the ambulation?

60 to 90 min prior to ambulation

A nurse is caring for a client with a pseudomonas infection who has a new prescription for ticarcillin-clavulanate. Which of the following data should the nurse collect before administering this medication?

Baseline BUN and creatinine

A nurse is reviewing the medical records of a client who is requesting a prescription for sildenafil citrate. Which of the following data in the clients record should the nurse identify as a contraindication to the use of this medication?

Current use of isosorbide to treat heart failure

A nurse is administering brimonidine eye drops to a client who has glaucoma. Which of the following ocular effects should the nurse expect?

Decreased intraocular pressure

A nurse is monitoring a client who is receiving lactulose for cirrhosis. Which of the following laboratory values related to this medication should indicate to the nurse that the treatment is effective?

Decreased serum ammonia

A nurse is assisting with a clients laceration repair in which the provider will use both lidocaine and epinephrine. The nurse should inform the client that the epinephrine will perform which of the following actions?

Delay systemic absorption of the anesthetic properties of lidocaine

A nurse is caring for a female client who has been taking clomiphene to treat infertility. Which of the following findings should indicate to the nurse that the medication has been effective?

Follicular enlargement and conversion to corpus luteum after ovulation.

A nurse is teaching a newly licensed nurse about caring for a client who is receiving patient-controlled analgesia (PCA). Which of the following actions by the newly licensed nurse indicates an understanding of the teaching?

Having a second nurse check the PCA setting

A nurse is reviewing the laboratory results of a client who is taking a medication and notes that the client's blood tests show an elevated level of the enzymes aspartate aminotransferase (AST) and alanine aminotransferase (ALT). The nurse should recognize that these findings are potential indications of which of the following conditions?

Hepatic toxicity

A nurse is planning to administer diltiazem via IV bolus to a client who has atrial fibrillation. When assessing the client, the nurse should recognize that which of the following findings is a contraindication to administration of diltiazem?

Hypotension

A nurse is teaching a group of nurses about the effects of a client receiving spinal anesthesia. Which of the following pieces of information should the nurse include in the teaching?

Hypotension is an adverse effect of spinal anesthesia.

A nurse is reviewing the laboratory reports of a client who has been taking warfarin for atrial fibrillation. Which of the following results should the nurse report to the provider immediately?

INR 5.5

A nurse is caring for a client who has heart failure and is prescribed dobutamine hydrochloride by continuous IV infusion. The nurse should identify that which of the following is the therapeutic effect of this medication?

Improves cardiac output

A nurse is preparing to administer meperidine to a client who is postoperative and reports a pain level of 8 on a scale of 0 to 10. Which of the following routes of administration will deliver the medication with the shortest time of onset?

Intravenous

A nurse is monitoring a client with pneumonia who has received penicillin G intramuscularly (IM). Which of the following findings should the nurse plan to evaluate first?

Laryngeal edema

A nurse is reviewing laboratory values for a client who reports fatigue and cold intolerance. The client has an increased thyroid-stimulating hormone (TSH) level and a decreased total T3 and T4 level. The nurse should anticipate a prescription for which of the following medications?

Levothyroxine

A nurse is caring for a client who has cancer involving the lumbar vertebrae and has been prescribed gabapentin. Which of the following therapeutic effects should the nurse identify for the client when taking this medication?

Reduced, cramping, aching, and burning neuropathic pain

A nurse is caring for a client who is pregnant and inquiring about alternative, non-pharmacological therapies for nausea and vomiting of pregnancy (NVP). Which of the following options should the nurse recommend?

"Ginger is effective in the treatment of nausea and vomiting."

A nurse is preparing to administer prochlorperazine 2.5mg IV. Prochlorperazine injection 5mg/mL is available. How many mL should the nurse administer?

0.5mL

A nurse is preparing to administer lactated Ringer's (LR) 700mL IV by infusion over 24 hr to a pediatric client. The drop factor of the manual IV tubing is 60gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

29gtt/min

A nurse is reviewing the medication history of a client who has mild intermittent asthma. The nurse should anticipate a prescription for which of the following inhalers for the client?

Albuterol Sulfate

A nurse is teaching a group of nurses about the manifestations of progestin deficiency for clients who take a combination oral contraceptive (OC). Which of the following findings should the nurse include in the teachings as an indication of progestin deficiency?

Amenorrhea

A nurse is caring for a client who is experiencing an acute gout attack. The nurse should anticipate a prescription from the provider for which of the following medications?

Colchicine

A nurse is providing teaching to a client who has ulcerative colitis and a new prescription for sulfasalazine. The nurse should instruct the client to monitor for which of the following adverse effects of this medication?

Jaundice

A nurse is providing teaching to a client who has a prescription for famotidine to treat a gastric ulcer. Which of the following statements should the nurse include in the teaching?

" This medication is less effective for people who smoke."

A nurse is teaching a client who has a prescription for doxycycline for the treatment of a Helicobacter pylori infection. Which of the following instructions should the nurse include in the teaching?

" Wear protective clothing while in the sun."

A nurse is providing teaching to a client who has postmenopausal osteoporosis and a new prescription for intranasal calcitonin-salmon. Which of the following statements by the client indicates an understanding of the teaching?

"I will need to depress the side arms to activate the pump."

A nurse is teaching a client who has type 2 diabetes mellitus about a prescription for insulin lispro. Which of the following statements should the nurse include in the teaching?

"Insulin lispro has an onset of about 15 minutes."

A nurse is teaching a client who has asthma and a prescription for a fluticasone dry powder inhaler (DPI). Which of the following instructions should the nurse include in the teaching?

"Rinse your mouth after administering this medication."

A nurse is teaching a client about a new prescription for extended-release oxycodone for pain management. Which of the following statements should the nurse include in the teaching?

"Swallow this medication whole."

A nurse is teaching a client who has dyspepsia about prescribed antacids. Which of the following statements should the nurse include in the teaching?

"Take antacids 1 hour apart from other medications."

A nurse is teaching a client who has allergic rhinitis about a new prescription for brompheniramine. Which of the following pieces of information should the nurse include in the teaching?

"You might find that you develop a dry mouth."

An 18-month old toddler who has Kawasaki disease (KD). The child is receiving intravenous immune globulin (IVIG). The guardian asks the nurse to administer the child's scheduled measles, mumps, and rubella (MMR) vaccine before discharge. Which of the following responses should the nurse provide?

"Your child will not be able to receive the MMR vaccine for at least 3 months after discharge."

A nurse is preparing to administer digoxin 0.2 mg via IV bolus to a client. The amount available is digoxin 0.25mg/1mL. How many mL should the nurse administer?

0.8 mL

A nurse is preparing to administer 1 mg of enalapril via IV bolus to a client who is experiencing hypertension. The amount available is enalapril 1.25mg/mL. How many mL should the nurse plan to administer per dose?

0.8mL

A nurse is preparing to administer meperidine 100mg IM to a client who has a BMI of 23. Which of the following needle length should the nurse use to administer the medication?

1 1/2 inch

A nurse is preparing to administer heparin 500 units/hr to a client who has a deep-vein thrombosis. Heparin is available at 25,000 units in 500mL of 5% dextrose in water. The nurse should set the IV pump to deliver how many mL/hr?

10

A nurse is preparing to administer fosphenytoin 550mg via IV bolus to a client who is having a seizure. Fosphenytoin 50mg/1mL is available. How many mL should the nurse administer?

11mL

A nurse is preparing to administer azithromycin 150mg liquid suspension PO every 12 hr to a client. The amount available is azithromycin 50mg/mL. How many mL should the nurse administer per dose?

15mL

A nurse is preparing to administer ampicillin 50mg/kg/day PO divided into 4 equal doses for a toddler who weighs 33lb. 125mg/5mL oral solution is available. How many mL should the nurse administer per dose?

7.5

A nurse is administering a medication parenterally to a client. Which of the following techniques should the nurse use to reduce fluctuations in plasma medication levels?

Administer a continuous infusion of the dose

A nurse is caring for a client who has multiple medication allergies. During which of the following steps of the nursing process should the nurse identify the client's allergies?

Assessment

A nurse is preparing to administer timolol eye drops to a client who has primary open-angle glaucoma (POAG). Prior to administering the medication, the nurse should recognize that which of the following conditions in the client's medical history is a contraindication to receiving this medication?

Asthma

A nurse is providing teaching about food-drug interactions to a client who is prescribed sirolimus following a kidney transplant. Which of the following pieces of information should the nurse include in the teaching?

Avoid eating grapefuit while taking sirolimus

A nurse is monitoring a client who is receiving phenytoin IV for the treatment of status epilepticus. Which of the following findings should the nurse identify as an adverse effect of the medication?

Cardiac dysrhythmias

A nurse is providing discharge teaching to a client who has venous thrombosis and a prescription for warfarin. Which of the following instructions should the nurse include in the teaching?

Carry a medical alert ID card

A nurse is checking a client who is receiving an IV infusion of telavancin for Streptococcus pyogenes. Which of the following actions should the nurse include?

Check the client for pruritus.

A nurse is caring for a client who has congestive heart failure and is taking digoxin. The client reports nausea and refuses to eat breakfast. Which of the following actions should the nurse take first?

Check the clients apical pulse.

A nurse is completing the admission history for a client who reports drinking 1 pint of whiskey every day for 6 years. The client's last drink was 10 hr ago. Which of the following medications should the nurse plan to administer upon admission?

Chlordiazepoxide

A nurse is caring for a client who takes sulfasalazine twice daily for rheumatoid arthritis. Which of the following values should the nurse review prior to the administration of the medication?

Complete blood count

A nurse is caring for a client who is receiving continuous cardiac monitoring. Which of the following medications should the nurse anticipate administering to treat atrial fibrillation?

Diltiazem

A nurse is caring for a client who has acute glomerulonephritis and a prescription for furosemide. The nurse should monitor the client for which of the following therapeutic effects of this medication?

Diuresis

A nurse is caring for a client who is taking selegiline. The nurse should monitor the client for which of the following adverse effects of selegiline and notify the provider if it occurs?

Drowsiness

A nurse is caring for an older adult client who has a new prescription for amitriptyline to treat depression. Which of the following diagnostic tests should the nurse plan to perform prior to starting the client on this medication?

Electrocardiogram

A nurse is caring for a client who is taking streptomycin. Which of the following medications increases the client's risk of developing ototoxicity when taken with streptomycin?

Furosemide

A nurse is caring for a client who has hyperlipidemia and is receiving simvastatin 40mg PO daily. Which of the following items should the nurse remove from the clients breakfast tray before it is delivered to the room?

Grapefruit juice

A nurse is reviewing the medical record of a client who has a prescription for a combination oral contraceptive. The nurse should identify that which of the following findings is a contraindication to receiving this medication?

Liver disease

A nurse is monitoring a client who is receiving terbutaline to suppress preterm labor. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect of the medication?

Maternal heart rate >120/min

A nurse working in a mental health facility is admitting a client with opioid use disorder who is experiencing withdrawal. The nurse should anticipate a prescription for which of the following medications from the provider?

Methadone

A nurse is assessing a client who is taking varenicline for smoking cessation. Which of the following findings is the nurse's priority?

Mood changes

A nurse is caring for a client who has a prescription for chlorothiazide to treat hypertension. The nurse should plan to monitor the client for which of the following adverse effects?

Muscle weakness

A nurse is providing teaching to a client with asthma who has a new prescription for a short-acting beta-2 agonist (SABA) bronchodilator. Which of the following pieces of information should the nurse share?

Notify the provider if the SABA is needed more than twice a week.

A nurse is teaching a client who has ADHD and is starting therapy with an amphetamine/dextroamphetamine mixture. Which of the following manifestations should the nurse instruct the client to identify as an adverse effect and report to the provider?

Palpitations

A nurse is caring for a client who received spinal anesthesia 30 minutes ago. The client reports feeling dizzy, and the nurse notes that the client's blood pressure is 84/54 mmHg. Which of the following actions should the nurse take?

Place the client in the head-down position

A nurse is reinforcing teaching with a newly licensed nurse about contraindications to vaccines. Which of the following examples should the nurse provider as a true contraindication for all vaccines?

Previous severe allergic reaction to a vaccine component

A nurse is caring for a client who is at 6 weeks of gestation and has just received a diagnosis of hyperthyroidism. The nurse should anticipate a prescription from the provider for which of the following medications?

Propylthiouracil

A nurse is caring for a client with asthma who has been taking a inhaled glucocorticoid and long-acting beta2-agonist combination dry-powdered inhaler (DPI) for maintenance therapy. The nurse should identify that which of the following is a disadvantage of this medication?

Restricted dosage flexibility

A nurse is preparing a discharge teaching plan for a client who is scheduled to begin long-term oral prednisone for asthma. Which of the following instructions should the nurse include in the plan?

Schedule the medication on alternate days to decrease adverse effects.

A nurse is caring for a female adult client who is experiencing menopause and has a prescription for estrogen along with progestin. The nurse should identify that the provider has prescribed these medications for which of the following reasons?

Short-term use to control urogenital atrophy

A nurse is caring for a client who has cystic fibrosis (CF) and has a prescription for high-dose ibuprofen daily. The nurse should identify that which of the following is an expected outcome for the client receiving this medication?

Slowed progression of pulmonary damage

A nurse is teaching a client who has chronic stable angina pectoris and a prescription for sublingual nitroglycerin tablets. What sequence of instructions should the nurse tell the client to use if he experiences chest pain?

Stop Activity, Place a tablet under the tongue, Wait 5 minute, Call 911 if the pain is not relieved

A nurse is providing teaching to a client who has a new prescription for sertaline. The client asks the nurse if he should continue to take St. John's wort for depression. Which of the following instructions should the nurse give the client?

Stop taking the herbal supplement while taking the medication.

A nurse is caring for a female client who has osteoporosis and is taking raloxifene. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect of this medication?

Sudden onset of dyspnea

A nurse assessing a client who began taking clozapine 3 weeks ago. Which of the following findings should the nurse report to the provider immediately?

Tachypnea and tachycardia

A nurse in a providers office is providing teaching to a client with osteoporosis who has a new prescription for alendronate sodium. Which of the following pieces of information should the nurse include?

Take alendronate sodium with a full glass of water on an empty stomach.

A nurse is teaching a client who is taking levothyroxine for hypothyroidism about a new prescription for a calcium supplement. Which of the following pieces of information should the nurse include in the teaching?

Take the calcium supplement 4hr after taking the levothyroxine

A nurse is teaching a client with type 2 diabetes mellitus about self-administration of a new prescription for acarbose. Which of the following pieces of information should the nurse include in the teaching?

Tell the client to take the medication with food.

A nurse is preparing to administer an IM injection for a client. Which of the following factors should the nurse identify as a potential contraindication to administering the medication via the IM route?

The client is taking an anticoagulant

A nurse is planning care for a female client who has severe irritable bowel syndrome with diarrhea (IBS-D) and a new prescription for alosetron. Which of the following interventions should the nurse include in the plan of care?

The client must sign an agreement with the provider before beginning alosetron.

A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of the following should the nurse include in the teaching as an adverse effect of lisinopril?

Tongue swelling

A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40 mg daily. The client reports taking extra doses to promote weight loss. Which of the following findings should indicate to the nurse that the client is dehydrated?

Urine specific gravity 1.035

A nurse is preparing to administer medication to a preschooler. The nurse should use which of the following measurements to calculate the medication dosage for this client?

Weight

A nurse is caring for a client who has severe asthma and allergic rhinitis. The client is taking theophylline. Which of the following medications should the nurse identify as being incompatible with theophylline?

Zafirlukast