Med Surg final

A patient tells the oncology nurse about an upcoming vacation to the beach to celebrate completing radiation treatments for cancer. What response by the nurse is most appropriate?

"Do not expose the radiation area to direct sunlight."

A nurse has taught a patient about dietary changes that can reduce the chances of developing cancer. What statement by the patient indicates the nurse needs to provide additional teaching?

"I'm so glad I don't have to give up my juicy steaks." To decrease the risk of developing cancer, one should cut down on the consumption of red meats and animal fat. The other statements are correct.

Which patient choice for a snack 2 hours before bedtime indicates that the nurse teaching about GERD has been effective? A. Chocolate pudding B. Glass of low-fat milk C. Cherry gelatin with fruit D. Peanut butter and jelly sandwich

C. Cherry gelatin with fruit

The nurse is writing a plan of care for a patient with cardiac dysrhythmia. What would be the most appropriate goal for the patient? A. Maintain a resting heart rate below 70 bpm B. Maintain adequate control of chest pain C. Maintain adequate cardiac output D Maintain normal cardiac structure

C. Maintain adequate cardiac output

31. A 15-year-old child is brought to the emergency department with symptoms of hyperglycemia and is subsequently diagnosed with diabetes. Based on the fact that the child's pancreatic beta cells are being destroyed, the patient would be diagnosed with what type of diabetes? A) Type 1 diabetes B) Type 2 diabetes C) Non-insulin-dependent diabetes D) Prediabetes

A) Type 1 diabetes

5. A patient who has amyotrophic lateral sclerosis (ALS) is hospitalized with pneumonia. Which nursing action will be included in the plan of care?

-Assist with active range of motion (ROM)

4. A client with myasthenia gravis is prescribed pyridostigmine (Mestinon). What teaching should the nurse plan regarding this medication? (Select all that apply). (*STD*)

-Do not eat a full meal 45 minutes after taking the drug -Seek immediate care if you develop trouble swallowing -The dose may change frequently depending on symptoms

2. A nurse assesses a client with a neurologic disorder. Which assessment finding should the nurse identify as a late manifestation of amyotrophic lateral sclerosis (ALS)?

-Impairment of respiratory muscles

22. A nurse cares for a client with amyotrophic lateral sclerosis (ALS). The client states, "I do not want to be placed on a mechanical ventilator." How should the nurse respond?

-What would you like to be done if you begin to have difficulty breathing?

26. A diabetes nurse is assessing a patient's knowledge of self-care skills. What would be the most appropriate way for the educator to assess the patient's knowledge of nutritional therapy in diabetes? A) Ask the patient to describe an optimally healthy meal. B) Ask the patient to keep a food diary and review it with the nurse. C) Ask the patient's family what he typically eats. D) Ask the patient to describe a typical day's food intake.

B) Ask the patient to keep a food diary and review it with the nurse.

The nurse is creating a plan of care for a paient with acute coronary syndrome. What nursing action should be included in the patient's care plan? A. Facilitate daily ABG B. Administer supplementary oxygen as needed C. Have patient maintain supine positioning when in bed D. Perform chest physiotherapy as indicated

B. Administer supplementary oxygen as needed

The nurse is caring for a client with peptic ulcer disease who reports sudden onset of sharp abdominal pain. On palpitation the clients abdomen is tense and rigid What action takes priority? A. Administer the prescribed pain medication. B. Notify the health care provider immediately. C. Percuss all four abdominal quadrants. D. Take and document a set of vital signs.

B. Notify the health care provider immediately.

A client with rheumatoid arthritis is being evaluated for medication therapy. Which testing will the nurse anticipate the client will need before medications are started? Select all that apply: A. Serum electrolytes B. Testing for Hep C C. Tuberculin skin test D. Liver functions E. Testing for Hep B F. Liver functions

B. Testing for Hep C C. Tuberculin skin test E. Testing for Hep B

A 35 year old client presents at the emergency department with symptoms of a small bowel obstruction in collaboration with primary care provider what intervention should the nurse prioritize A. Administer administration of a mineral oil enema B. insertion of a nasogastric tube C. administration of glycerin Suppository and oral laxative D. insertion of a central venous catheter

B. insertion of a nasogastric tube

The nurse is teaching a female client with rheumatoid arthritis (RA) about taking methotrexate for disease control. What information does the nurse include? Select all: A. Pregnancy and breastfeeding are not affected by MTX B. you may find that folic acid and vitamin B reduce the side effects C. stay away from large crowds and people who are ill D. avoid acetaminophen and over the counter medications

B. you may find that folic acid and vitamin B reduce the side effects C. stay away from large crowds and people who are ill D. avoid acetaminophen and over the counter medications

1. A client has a diagnosis of Rheumatoid arthritis and the primary provider has now prescribed Cyclophosphamide. The nurses subsequent assessment should address which potential adverse effect: A. Malignant hyperthermia B. Acute confusion C. Bone marrow suppression D. Sedation

C. Bone marrow suppression

35. The ED nurse is assessing the respiratory function of a teenage girl who presented with acute shortness of breath. Auscultation reveals continuous wheezes during inspiration and expiration. This finding is most suggestive what? A) Pleurisy B) Emphysema C) Asthma D) Pneumonia

C) Asthma

30. The nurse is caring for acutely ill patient. What assessment finding should prompt the nurse to inform the physician that the patient may be exhibiting signs of acute kidney injury (AKI)? A) The patient is complains of an inability to initiate voiding. B) The patient's urine is cloudy with a foul odor. C) The patient's average urine output has been 10 mL/hr for several hours. D) The patient complains of acute flank pain.

C) The patient's average urine output has been 10 mL/hr for several hours.

A client with peptic ulcer disease is in the ER and reports pain has gotten much worse over the last several days. The clients blood pressure when lying down was 122/80 mm Hg and when standing was 98/52 mm Hg. What action by the nurse is most appropriate? A. Administer ibuprofen (Motrin). B. Call the Rapid Response Team C. Start a large-bore IV with normal saline D. Tell the client to remain lying down.

C. Start a large-bore IV with normal saline

A clients rheumatoid arthritis has failed to respond appreciatively to first line treatments and the primary provider has added prednisone to the clients drug regimen. What principal will guide this aspect of the clients treatment? A. The drug should be used at the highest dose the client can tolerate B. The client will need daily blood testing for duration of treatment C. The drug should be used for a short time as possible D. The client must stop all other drugs 72 hours before starting prednisone.

C. The drug should be used for a short time as possible

A patient admitted with a peptic ulcer has an NG tube in place. when the patient develops sudden severe upper abdominal pain, diaphoresis and a firm abdomen which action should the nurse take A. elevate the foot of the bed B. irrigate the NG tube C. check the vital signs D. Give PRN meds

C. check the vital signs

32. A nurse is assessing a patient who has diabetes for the presence of peripheral neuropathy. The nurse should question the patient about what sign or symptom that would suggest the possible development of peripheral neuropathy? A) Persistently cold feet B) Pain that does not respond to analgesia C) Acute pain, unrelieved by rest D) The presence of a tingling sensation

D) The presence of a tingling sensation

A client has been newly diagnosed with SLE. What instruction by the nurse is most important? A. be sure you get enough sleep at night B. get plenty of sunlight for maximum vitamin D synthesis C. weight yourself D. notify your provider at once if you get a fever

D. notify your provider at once if you get a fever

The nurse working in the rheumatology clinic is seeing clients with rheumatoid arthritis. What assessment would be most important for the clients whose chart contains the diagnosis of sjogren's syndrome A. oxygen saturation B. renal function C. abdominal assessment D. visual acuity

D. visual acuity

11. Which patient assessment will help the nurse identify potential complications of trigeminal neuralgia?

Inspect oral mucosa and teeth

Client with chronic GERD has difficulty swallowing and has been working with the speech language pathologist. What assessment finding by the nurse indicates that the priority goal for the problem has been met?

Lungs clear after meals and snacks

7. After a thymectomy, a patient with myasthenia gravis receives the usual dose of pyridostigimine (mestinon). An hour later, the patient complains of nausea and severe abdominal cramps. Which action should the nurse take first?

Notify PCP

A patient who has been experiencing an asthma attack develops bradycardia and a decrease in wheezing. Which action should the nurse take first?

Notify PCP

25. Which assessment is most important for the nurse to make regarding a patient with myasthenia gravis?

Respiratory effort (because muscle weakness occurs as the disease progresses)

10. The nurse assessing a patient with newly diagnosed trigeminal neuralgia will ask the patient about?

Triggers leading to facial discomfort

24. A client is admitted with acute kidney injury (AKI) and a urine output of 2000 mL/day. What is the major concern of the nurse regarding this clients care? a. Edema and pain b. Electrolyte and fluid imbalance c. Cardiac and respiratory status d. Mental health status

b. Electrolyte and fluid imbalance

18. A nurse assesses a client with diabetes mellitus and notes the client only responds to a sternal rub by moaning, has capillary blood glucose of 33 g/dL, and has an intravenous line that is infiltrated with 0.45% normal saline. Which action should the nurse take first? a. Administer 1 mg of intramuscular glucagon. b. Encourage the client to drink orange juice. c. Insert a new intravenous access line. d. Administer 25 mL dextrose 50% (D50) IV push.

a. Administer 1 mg of intramuscular glucagon.

9. A patient who is experiencing an asthma attack develops bradycardia and a decrease in wheezing. Which action should the nurse take first? a. Notify the health care provider. b. Document changes in respiratory status. c. Encourage the patient to cough and deep breathe. d. Administer IV methylprednisolone (Solu-Medrol).

a. Notify the health care provider.

20. A nurse collaborates with the interdisciplinary team to develop a plan of care for a client who is newly diagnosed with diabetes mellitus. Which team members should the nurse include in this interdisciplinary team meeting? (Select all that apply.) a. Registered dietitian b. Clinical pharmacist c. Occupational therapist d. Health care provider e. Speech-language pathologist

a. Registered dietitian b. Clinical pharmacist d. Health care provider

1. The nurse receives a change-of-shift report on the following patients with chronic obstructive pulmonary disease (COPD). Which patient should the nurse assess first? a. A patient with loud expiratory wheezes b. A patient with a respiratory rate of 38 breaths/min c. A patient who has a cough productive of thick, green mucus d. A patient with jugular venous distention and peripheral edema

b. A patient with a respiratory rate of 38 breaths/min

7. A nurse teaches a client with type 2 diabetes mellitus who is prescribed glipizide (Glucotrol). Which statement should the nurse include in this clients teaching? a. Change positions slowly when you get out of bed. b. Avoid taking nonsteroidal anti-inflammatory drugs (NSAIDs). c. If you miss a dose of this drug, you can double the next dose. d. Discontinue the medication if you develop a urinary infection.

b. Avoid taking nonsteroidal anti-inflammatory drugs (NSAIDs).

14. A patient has just been admitted with probable bacterial pneumonia and sepsis. Whichorder should the nurse implement first? a. Chest x-ray via stretcher b. Blood cultures from two sites c. Ciprofloxacin (Cipro) 400 mg IV d. Acetaminophen (Tylenol) rectal suppository

b. Blood cultures from two sites

2. After teaching a client with nephrotic syndrome and a normal glomerular filtration, the nurse assesses the clients understanding. Which statement made by the client indicates a correct understanding of the nutritional therapy for this condition? a. I must decrease my intake of fat. b. I will increase my intake of protein. c. A decreased intake of carbohydrates will be required. d. An increased intake of vitamin C is necessary.

b. I will increase my intake of protein

17. A 56-yr-old female patient is admitted to the hospital with new-onset nephrotic syndrome. Which assessment data will the nurse expect? a. Poor skin turgor b. Recent weight gain c. Elevated urine ketones d. Decreased blood pressure

b. Recent weight gain

22. A nurse assesses a client who has a 15-year history of diabetes and notes decreased tactile sensation in both feet. Which action should the nurse take first? a. Document the finding in the clients chart. b. Assess tactile sensation in the clients hands. c. Examine the clients feet for signs of injury. d. Notify the health care provider.

c. Examine the clients feet for signs of injury.

14. The nurse will anticipate teaching a patient with nephrotic syndrome who develops flank pain about treatment with a. antibiotics. b. antifungals. c. anticoagulants. d. antihypertensives.

c. anticoagulants

25. Which information will the nurse include in the asthma teaching plan for a patient being discharged? a. Use the inhaled corticosteroid when shortness of breath occurs. b. Inhale slowly and deeply when using the dry powder inhaler (DPI). c. Hold your breath for 5 seconds after using the bronchodilator inhaler. d. Tremors are an expected side effect of rapidly acting bronchodilators.

d. Tremors are an expected side effect of rapidly acting bronchodilators.

When preparing a female patient with bladder cancer for intravesical chemotherapy, the nurse will teach about

emptying the bladder before the medication. The patient will be asked to empty the bladder before instillation of the chemotherapy. Systemic side effects are not usually experienced with intravesical chemotherapy.

A brain BNP sample has been drawn from an older adult patient who has been experiencing vital fatigue and SOB. This test will allow the care team to investigate the possibility of what dx? A. Heart failure B. Cardiomyopathy C. Pleurisy D. Valve disfunction

A. Heart failure

18. The nurse advises a patient with myasthenia gravis (MG) to (pertaining to activities)

-perform physical demanding activities early in the day

A client with rheumatoid arthritis is taking methotrexate. Which assessment findings indicate to the nurse that the client is experiencing side effects of this medication? Select all that apply: A. Gastric distress B. Hair loss C. Weight gain D. Frequent infection E. Skin rash

A. Gastric distress D. Frequent infection E. Skin rash

A client with rheumatoid arthritis comes into the clinic for a routine checkup. On assessment the nurse notes that the client appears to have lost some ability to function since the last office visit. What is the nurses most appropriate action? A. Arrange for the patient to be assessed in the home environment B. Refer the client to social work C. Arrange a family meeting in order to explore assisted living options D. Refer the client to a support group

A. Arrange for the patient to be assessed in the home environment

The nurse is teaching client with GERD about foods to avoid. Which foods should the nurse include: A. Chocolate B. Decaffeinated coffee C. Citrus fruits D. Peppermint E. Tomato sauce

A. Chocolate C. Citrus fruits D. Peppermint E. Tomato sauce

A nurse on an inpatient rheumatology unit receives the handoff report on a client with an acute exasperation of systemic lupus erythematosus (SLE) which reported lab value requires the nurse to assist the client further A. Creatinine levels 3.2 B. WBC count 4800 C. Platelet count 210,000 D. ESR 22

A. Creatinine levels 3.2

The nurse is assessing a patient with acute coronary syndrome. The nurse includes a careful history in the assessment, especially with regard to signs and symptoms. What signs and symptoms are suggestive of ACS? Select all that apply: A. Dyspnea B. Unusual fatigue C. Hypotension D. Syncope E. Peripheral cyanosis

A. Dyspnea B. Unusual fatigue D. Syncope

A client presents at the ambulatory clinic reporting the current sharp stomach pain that is relieved by eating. The nurses suspect that the client may have an ulcer. How should the nurse explain the formation and role of acid in the stomach to the client. A. Hydrochloric acid is secreted by glands in the stomach in response to the actual or anticipated presence of food. B. As digestion occurs in the stomach, the stomach combines free hydrogen ions from the food to form acid. C. The body requires an acidic environment in order to synthesize pancreatic digestive enzymes; the stomach provides this environment. D. The acidic environment in the stomach exists to buffer the highly alkaline environment in the esophagus

A. Hydrochloric acid is secreted by glands in the stomach in response to the actual or anticipated presence of food.

The nurse has taught a client about lifestyle modifications for gastroesophageal reflux disease GERD. Which statement by the client indicates good understanding of the teaching: A. I just joined the gym so I hope that will help me lose weight B. I will eat 3 small meals a day C. I hate to give up my coffee but I guess I have to D. surgery can cure my GERD E. Sitting upright and laying down after meals will help

A. I just joined the gym so I hope that will help me lose weight B. I will eat 3 small meals a day C. I hate to give up my coffee but I guess I have to

The nurse is assessing a new client with reports of acute fatigue and sore tongue that is visibly smooth and beefy red this client is demonstrating signs and symptoms associated from what form of hematologic disorder? A. Megaloblastic anemia B. Hemophilia C. Sickle cell anemia D. Thrombocytopenia

A. Megaloblastic anemia

A client with rheumatoid arthritis is on the post-operative nursing unit after having elective surgery the client reports the one arm feels like pins and needles and that the neck is very painful since returning from surgery what action from the nurses is best? A. notify the provider B. assist the client to change position C. encourage range of motion D. document the findings in the clients chart

A. notify the provider

Diagnostic imaging and physical assessment have revealed that a client with peptic ulcer disease has suffered a perforated ulcer. The nurse recognizes that emergency interventions must be performed as soon as possible in order to prevent the development of what complication? A. peritonitis B. gastritis C. acute pancreatitis D. gastroesophageal reflux

A. peritonitis

A nurse explaining Nexium (esomeprazole) to a patient with recurrent heartburn describes that the medication A. treats GERD by decreasing stomach acid production B. protects the lining in the stomach C. Neutralizes stomach acid and provides relief of symptoms in a few minutes D. Reduces gastroesophageal reflexes by increasing the rate of gastric emptying

A. treats GERD by decreasing stomach acid production

The nurse notices a circular lesion with a red border and clear center on the arm of a summer camp counselor who is in the clinic complaining of chills and muscle aches. Which action should the nurse take to follow up on that finding?

Ask the patient about recent outdoor activities. The patient's clinical manifestations suggest possible Lyme disease. A history of recent outdoor activities such as hikes will help confirm the diagnosis. The patient's symptoms do not suggest cardiac or abdominal problems or lack of immunization. Induration of lesion is of no consequence.

A client is suspected of having rheumatoid arthritis and her diagnosis regimen includes aspiration of synovial fluid of the knee for a defined definitive diagnosis the nurse knows which procedure will be involved: A. Angiography B. Arthrocentesis C. paracentesis D. myelography

B. Arthrocentesis

A nurse is providing client education for a client with peptic ulcer disease secondary to chronic non-steroidal anti-inflammatory drug use. The nurse has recently prescribed misoprostol. What would the nurse be most accurate in informing the client about the drug? A. It increases lower esophageal sphincter pressure B. It protects the stomach lining C. It reduces the stomachs volume of hydrochloric acid

B. It protects the stomach lining

A client's decreased mobility has been attributed to an autoimmune reaction originating in the synovial tissue which caused the formation of pannus. This client has been diagnosed with what health problem? A. Osteoporosis B. Systemic lupus C. Rheumatoid arthritis D. Polymyositis

C. Rheumatoid arthritis

A nurse planning client education for a client being discharged home with a diagnosis of rheumatoid arthritis. The client has been prescribed antimalarials for treatment so the nurse knows to teach the client to self-monitor for which adverse effect? A. Tinnitus B. Hirsutism C. Visual changes D. Stomatitis

C. Visual changes

A client has been diagnosed with a small bowel obstruction and has been admitted to the medical unit the nurses care should prioritize which of the following outcomes: A. Preventing Infection B. Preventing skin and tissue integrity C. maintaining fluid and electrolyte balance D. preventing nausea and vomit

C. maintaining fluid and electrolyte balance

A nurse is providing community education on the seven warning signs of cancer. Which signs are included? (Select all that apply.) (CIAO/CAUTION)

Changes in menstrual patterns Indigestion or trouble swallowing A sore that does not heal Obvious change in a mole The seven warning signs for cancer can be remembered with the acronym CAUTION: changes in bowel or bladder habits, a sore that does not heal, unusual bleeding or discharge, thickening or lump in the breast or elsewhere, indigestion or difficulty swallowing, obvious change in a wart or mole, and nagging cough or hoarseness. Abdominal pain is not a warning sign.

Which information will the nurse plan to include when teaching a young adult who has a family history of testicular cancer about testicular self-examination?

Testicular self-examination should be done in a warm room.

A patient with cancer is admitted to a short-term rehabilitation facility. The nurse prepares to administer the patient's oral chemotherapy medications. What action by the nurse is most appropriate?

Wear personal protective equipment when handling the medications. During the administration of oral chemotherapy agents, nurses must take the same precautions that are used when administering IV chemotherapy. This includes using personal protective equipment. These medications cannot be crushed, split, or chewed. Giving one at a time is not needed.

5. After teaching a client with diabetes mellitus to inject insulin, the nurse assesses the clients understanding. Which statement made by the client indicates a need for additional teaching? a. The lower abdomen is the best location because it is closest to the pancreas. b. I can reach my thigh the best, so I will use the different areas of my thighs. c. By rotating the sites in one area, my chance of having a reaction is decreased. d. Changing injection sites from the thigh to the arm will

a. The lower abdomen is the best location because it is closest to the pancreas.

17. An older patient is receiving standard multidrug therapy for tuberculosis (TB). The nurseshould notify the health care provider if the patient exhibits which finding? a. Yellow-tinged skin b. Orange-colored sputum c. Thickening of the fingernails d. Difficulty hearing high-pitched voices

a. Yellow-tinged skin

A 58-yr-old male patient who is diagnosed with nephrotic syndrome has ascites and 4+ leg edema. Which patient problem is present based on these findings? a. Activity intolerance b. Excess fluid volume c. Disturbed body image d. Altered nutrition: less than required

b. Excess fluid volume

10. The nurse is admitting a patient diagnosed with an acute exacerbation of chronic obstructive pulmonary disease (COPD). How should the nurse determine the appropriate O2 flowrate? a. Minimize O2 use to avoid O2 dependency. b. Maintain the pulse oximetry level at 90% or greater. c. Administer O2 according to the patient's level of dyspnea. d. Avoid administration of O2 at a rate of more than 2 L/min

b. Maintain the pulse oximetry level at 90% or greater.

Which patient at the cardiovascular clinic requires the most immediate action by the nurse? a. Patient with type 2 diabetes whose current blood glucose level is 145 mg/dL b. Patient with stable angina whose chest pain has recently increased in frequency c. Patient with familial hypercholesterolemia and a total cholesterol of 465 mg/dL d. Patient with chronic hypertension whose blood pressure today is 172/98 mm Hg

b. Patient with stable angina whose chest pain has recently increased in frequency

10. A nurse is teaching a client with diabetes mellitus who asks, Why is it necessary to maintain my blood glucose levels no lower than about 60 mg/dL? How should the nurse respond? a. Glucose is the only fuel used by the body to produce the energy that it needs. b. Your brain needs a constant supply of glucose because it cannot store it. c. Without a minimum level of glucose, your body does not make red blood cells. d. Glucose in the blood prevents the formation of lactic acid and prevents acidosis

b. Your brain needs a constant supply of glucose because it cannot store it.

After teaching a client who is prescribed a long-acting beta2 agonist medication, a nurse assesses the client's understanding. Which statement indicates the client comprehends the teaching? a. "I will carry this medication with me at all times in case I need it." b. "I will take this medication when I start to experience an asthma attack." c. "I will take this medication every morning to help prevent an acute attack." d. "I will be weaned off this medication when I no longer need it."

c. "I will take this medication every morning to help prevent an acute attack."

5. A patient with chronic obstructive pulmonary disease (COPD) has poor gas exchange. Which action by the nurse would be most appropriate? a. Have the patient rest in bed with the head elevated to 15 to 20 degrees. b. Ask the patient to rest in bed in a high-Fowler's position with the knees flexed. c. Encourage the patient to sit up at the bedside in a chair and lean slightly forward. d. Place the patient in the Trendelenburg position with several pillows behind the head.

c. Encourage the patient to sit up at the bedside in a chair and lean slightly forward.

4. A nurse teaches a client with diabetes mellitus about foot care. Which statements should the nurse include in this clients teaching? (Select all that apply.) a. Do not walk around barefoot. b. Soak your feet in a tub each evening. c. Trim toenails straight across with a nail clipper. d. Treat any blisters or sores with Epsom salts.e. Wash your feet every other day.

c. Trim toenails straight across with a nail clipper

8. The nurse assesses a patient with a history of asthma. Which assessment finding indicates that the nurse should take immediate action? a. Pulse oximetry reading of 91% b. Respiratory rate of 26 breaths/minute c. Use of accessory muscles in breathing d. Peak expiratory flow rate of 240 L/minute

c. Use of accessory muscles in breathing

33. An alcoholic and homeless patient is diagnosed with active tuberculosis (TB). Whichintervention by the nurse will be most effective in ensuring adherence with the treatmentregimen? a. Arrange for a friend to administer the medication on schedule. b. Give the patient written instructions about how to take the medications. c. Teach the patient about the high risk for infecting others unless treatment is followed. d. Arrange for a daily noon meal at a community center where the drug will be administered.

d. Arrange for a daily noon meal at a community center where the drug will be administered.

7. The nurse admits a patient who has a diagnosis of an acute asthma attack. Which statement indicates that the patient may need teaching regarding medication use? a. I have not had any acute asthma attacks during the last year. b. I became short of breath an hour before coming to the hospital. c. I've been taking Tylenol 650 mg every 6 hours for chest-wall pain. d. I've been using my albuterol inhaler more frequently over the last 4 days

d. I've been using my albuterol inhaler more frequently over the last 4 days

6. A patient who has just been admitted with community-acquired pneumococcal pneumoniahas a temperature of 101.6° F with a frequent cough and is complaining of severe pleuriticchest pain. Which prescribed medication should the nurse give first? a. Codeine b. Guaifenesin (Robitussin) c. Acetaminophen (Tylenol) d. Piperacillin/tazobactam (Zosyn)

d. Piperacillin/tazobactam (Zosyn)

15. A client with acute kidney injury has a blood pressure of 76/55 mm Hg. The health care provider ordered 1000 mL of normal saline to be infused over 1 hour to maintain perfusion. The client is starting to develop shortness of breath. What is the nurses priority action? a. Calculate the mean arterial pressure (MAP). b. Ask for insertion of a pulmonary artery catheter. c. Take the clients pulse. d. Slow down the normal saline infusion.

d. Slow down the normal saline infusion.