Pharm Exam NCLEX Cardiovascular to Maternity

The client in chronic kidney disease is receiving epoetin alfa. The nurse would monitor this client for which side/adverse effect of this medication?

Hypertension

The nurse teaches a client newly diagnosed with type 1 diabetes about storing Humulin N insulin. Which statement indicates to the nurse that the client understood the discharge teaching?

"I can store the open insulin bottle in the kitchen cabinet for 1 month."

The nurse is teaching the client about prescribed prednisone. Which statement, if made by the client, indicates that further teaching is necessary?

"I can take aspirin or my antihistamine if I need it."

The nurse has completed giving medication instructions to a client receiving benazepril. Which client statement indicates to the nurse that the client needs further instruction?

"I can use salt substitutes freely and eat foods high in potassium."

Isotretinoin is prescribed for a client to treat severe cystic acne, and the nurse provides instructions to the client regarding the medication. Which statement by the client indicates a need for further instruction?

"I cannot crush or chew the tablets if I have difficulty swallowing them whole."

The nurse provides instructions to a client regarding the use of topical tretinoin. Which statement by the client indicates a need for further instruction?

"I cannot use any cosmetics while I am using this medication."

The home care nurse is making a monthly visit to a client with a diagnosis of pernicious anemia who has been receiving a monthly injection of cyanocobalamin. Before administering the injection, the nurse evaluates the effects of the medication and determines that a therapeutic effect is occurring if the client makes which statement?

"I feel stronger and have a much better appetite."

The nurse has provided instruction to a client with chronic kidney disease who has a prescription for epoetin alfa. Which statement by the client indicates that teaching was effective?

"I have to receive this medication subcutaneously."

The nurse has a routine prescription to administer an injection of phytonadione (vitamin K) to the newborn. Which statement made by the new birthing parent indicates that teaching on this medication was effective?

"I know that this medication is used to prevent clotting abnormalities in the newborn."

The nurse has provided instructions to a client regarding the use of tretinoin. Which statement made by the client indicates the need for further instruction?

"I must apply it to wet to damp skin."

The nurse is caring for a client with a diagnosis of influenza who first began to experience symptoms yesterday. Antiviral therapy is prescribed, and the nurse provides instructions to the client about the therapy. Which statement by the client indicates an understanding of the instructions?

"I must take the medication exactly as prescribed."

The nurse is teaching a client who is beginning antiviral therapy for influenza. Which statement by the client indicates an understanding of the instructions?

"I must take the medication exactly as prescribed."

A client with angina pectoris has been given a new prescription for nitroglycerin transdermal patches. The client indicates an understanding of how to use this medication administration system by making which statement?

"I need to apply the patch in the morning and leave it in place for 12 to 14 hours as directed."

Isotretinoin has been prescribed for an adolescent with a diagnosis of severe cystic acne. The nurse provides instructions to the adolescent regarding the use of the medication. Which statement, if made by the adolescent, indicates a need for further instruction?

"I need to be sure to take my vitamin A supplement so that the treatment will work."

The nurse has given a client information about the use of nitroglycerin sublingual tablets. The client has a prescription for PRN (as needed) use if chest pain occurs. Which client statement indicates an understanding of this medication?

"I need to discard unused tablets 6 months after the bottle is opened."

A client who has received a kidney transplant is taking azathioprine, and the nurse provides instructions about the medication. Which statement by the client would indicate a need for further instruction?

"I need to discontinue the medication after 14 days of use."

The clinic nurse is providing instructions to a client with hypertension who will be taking captopril. Which statement by the client indicates a need for further instruction?

"I need to drink at least 4 quarts (4 liters) of water daily."

The nurse has provided medication instructions to a client with an iron deficiency anemia who will be taking iron supplements. Which statement made by the client indicates an understanding of this medication?

"I need to increase my fluid intake."

The nurse has provided instructions to a client receiving enalapril maleate for hypertension. Which statement by the client indicates a need for further instruction?

"I need to notify the primary health care provider if fatigue occurs."

The nurse reinforces medication instructions on therapy with cyclosporine to a client who has received a kidney transplant. Which statement by the client would indicate a need for further instruction?

"I need to obtain a yearly influenza vaccine."

A client is to be discharged from the hospital on quinidine gluconate to control ventricular ectopy. The nurse provides instructions to the client about the medication. Which statement by the client indicates a need for further instruction?

"I need to stop the medication immediately if diarrhea, nausea, or vomiting occurs."

An adolescent with severe cystic acne has been prescribed isotretinoin. Which statement by the client would suggest the need for further teaching?

"I need to take my vitamin A supplement so that the treatment will work."

Dicyclomine hydrochloride has been prescribed for a client with irritable bowel syndrome, and the nurse provides instructions to the client about how to take this medication. Which statement, if made by the client, indicates an understanding of how to take this medication?

"I need to take the pill 30 minutes before each meal."

The nurse is providing instructions to the parent of a child with iron-deficiency anemia about the administration of a liquid oral iron supplement. Which statement, if made by the parent, indicates an understanding of the administration of this medication?

"I need to use a medicine dropper and place the iron near the back of the throat."

The nurse is providing instructions to a parent of a child with atopic dermatitis (eczema) regarding the application of topical cortisone cream to the affected skin sites. Which statement made by the parent indicates an understanding of the use of this medication?

"I need to wash the sites gently before I apply the medication."

The nurse administers ondansetron to a client. Which statement by the client indicates that this medication has been effective?

"I no longer feel nauseous."

The client has begun taking misoprostol. Which statement by the client indicates that the misoprostol is effective?

"I no longer have pain above my stomach."

Minoxidil is prescribed for a client to treat hair loss. The nurse provides instructions to the client regarding the application of the medication. Which statement by the client indicates that teaching is effective?

"I will apply the prescribed amount of solution twice a day."

TThe nurse is caring for a child with heart failure (HF). The nurse provides instructions to the parent regarding the procedure for administration of the prescribed digoxin. Which statement by the parent indicates a need for further teaching?

"I will make sure to mix the medication with food."

Atorvastatin has been prescribed for a client, and the nurse provides instructions to the client about the medication. Which statement by the client indicates the need for further teaching?

"I won't need to adhere to a low-fat diet as long as I take this medication faithfully."

The nurse determines that the client needs further instruction about prescribed thyroid replacement medication if which statement is made?

"I would expect full therapeutic effect from the medication within 3 to 5 days."

A topical corticosteroid is prescribed for a client with dermatitis. The nurse provides instructions to the client regarding the use of the medication. Which statement by the client would indicate a need for further instruction?

"I would place a bandage over the site after applying the medication."

The home health care nurse is visiting a client with coronary artery disease with elevated triglyceride levels and a serum cholesterol level of 398 mg/dL (10 mmol/L). The client is taking cholestyramine, and the nurse teaches the client about the medication. Which statement by the client indicates the need for further teaching?

"I'll continue my nicotinic acid from the health food store."

A neurologist prescribed ticlopidine to the client with thrombotic stroke. The nurse provides instructions to the client and spouse regarding the medication. Which statement made by the client indicates that education was effective?

"I'll take the medicine with meals."

A client is prescribed nicotinic acid for the treatment of coronary artery disease and hyperlipidemia, and the nurse provides instructions to the client about the medication. Which statement by the client indicates an understanding of the instructions?

"Ibuprofen IB taken 30 minutes before the nicotinic acid would decrease the flushing."

The nurse provides instructions to the client about nicotinic acid prescribed for hyperlipidemia. Which statement by the client indicates understanding of the instructions?

"Ibuprofen taken 30 minutes before the nicotinic acid may decrease the flushing."

Zidovudine has been prescribed for a client, and the nurse provides instructions to the client about expected effects with this medication. Which statement by the client indicates the need for further instruction?

"If I experience diarrhea, I need to contact my primary health care provider."

Atenolol has been prescribed for a client, and the nurse provides instructions to the client about the medication. Which statement by the client indicates the need for further teaching?

"If I feel that my heart rate is too low, I need to stop the medication."

The home care nurse has given instructions to a client who is beginning therapy with digoxin for atrial fibrillation. The nurse determines a need for further teaching if the client makes which statement?

"If I miss a dose, I would just take two the next day."

A client is being discharged on warfarin sodium, and the nurse provides instructions to the client regarding the medication. Which statement, if made by the client, indicates to the nurse that the client understands the teaching provided?

"If I notice blood-tinged urine, I will call my doctor."

Daily administration of dipyridamole has been prescribed for the client, and the nurse teaches the client about the medication. Which client statement indicates an understanding of the instructions?

"If I take this medicine with my warfarin, it will protect my artificial heart valve."

Tretinoin is prescribed for a client with acne, and the nurse provides instructions to the client regarding the medication. Which statement by the client indicates a need for further instruction?

"If my skin begins to peel, I will notify the primary health care provider (PHCP)."

Itraconazole is prescribed for a client with a fungal infection of the hands. The nurse provides instructions to the client about the medication. Which statement by the client indicates an understanding of the instructions?

"If my urine becomes very dark in color, I would contact my primary health care provider (PHCP)."

The nurse is assisting in administering immunizations as well as providing education to the clients who receive them at a health care clinic. Which statement by a client indicates that teaching was successful?

"Immunizations are a way to acquire immunity to a specific disease."

Atorvastatin has been prescribed for a client, and the client asks the nurse about the action of the medication. How would the nurse respond?

"It decreases low-density lipoproteins (LDLs)."

The nurse is providing education to a client with type 2 diabetes about starting insulin glargine to help with improved glycemic control. Which statement made by the client indicates understanding?

"It has a decreased risk for hypoglycemia."

The senior nursing student is assigned to care for a client with severe preeclampsia who is receiving an intravenous infusion of magnesium sulfate. The co-assigned registered nurse asks the student to describe the actions and effects of this medication. Which statement, if made by the student, indicates the need for further teaching?

"It increases acetylcholine, blocking neuromuscular transmission."

A client is seen in the clinic for complaints of thirst, frequent urination, and headaches. After diagnostic studies, diabetes insipidus is diagnosed. Desmopressin is prescribed. The client asks why this medication was prescribed. Which is a correct statement by the nurse?

"It increases water reabsorption."

The school nurse has provided instructions regarding the use of permethrin rinse to the parents of children diagnosed with pediculosis capitis (head lice). Which statement by one of the parents indicates a need for further instruction?

"It is applied to the hair and then shampooed out."

A registered nurse (RN) is orienting a new RN on the use of atorvastatin. Which statement by the new RN indicates that the teaching has been effective?

"It is given to clients with hypercholesterolemia."

Epoetin alfa is prescribed for a client diagnosed with chronic kidney disease. The client asks the nurse about the purpose of the medication. Which response by the nurse is most appropriate?

"It is used to treat anemia."

The preoperative medication sheet identifies that cyclopentolate is prescribed for a client before cataract surgery. The client asks the nurse what the medication is for, and the nurse provides education. Which statement by the client indicates that teaching has been effective?

"It paralyzes the muscles in my eye."

A client is being treated for moderate hypertension and has been taking diltiazem for several months. The client schedules an appointment with the primary health care provider because of episodes of chest pain, and Prinzmetal's angina is diagnosed. The client asks the nurse which therapeutic effects the medication will provide, and the nurse provides education. Which statement by the client indicates that the teaching has been effective?

"It prevents an influx of calcium ions in the smooth muscle."

A client with diabetes insipidus asks the nurse about the purpose of a new medication, vasopressin. The nurse provides teaching about the medication. Which statement by the client indicates successful teaching?

"It prevents me from 'peeing' so much."

The nurse provides family teaching to the parent of a 13-year-old client with pituitary dwarfism who is on growth hormone therapy. Which statement by the parent indicates that teaching has been successful?

"My child will have an immediate increase in growth."

Minoxidil is prescribed for a client to treat hair loss. The client asks the nurse if the hair will continue to grow when the medication is stopped. What is the appropriate nursing response?

"Newly gained hair is lost in 3 to 4 months."

The nurse is caring for a client with a diagnosis of Chlamydia. Because the client has a history of nonadherence with medication administration, the primary health care provider prescribes azithromycin. When educating the client about azithromycin, the nurse would make which statement?

"One dose of this medication will be needed."

A client with acquired immunodeficiency syndrome (AIDS) experiences nausea, vomiting, and muscle aches after taking efavirenz. The ambulatory care nurse would provide which response as telephone advice to this client?

"Report to the health care clinic to be seen by the primary health care provider."

A new registered nurse (RN) prepares to administer sodium polystyrene sulfonate to a client. Before administering the medication, the nurse reviews the action of the medication with another RN. Which statement by the new RN indicates that the teaching has been effective?

"Sodium ions are exchanged for primarily potassium ions."

The diabetes nurse specialist conducts a teaching session to a group of nursing students regarding sulfonylureas, oral hypoglycemic medications used for type 2 diabetes mellitus. Which statement, describing the primary action of these medications, would the nurse include in the teaching session?

"Sulfonylureas promote insulin secretion by the pancreas."

The primary health care provider has prescribed coal tar treatments for a client with psoriasis, and the nurse provides information to the client about the treatments. Which statement made by the client indicates a need for further education about the treatments?

"The medication always causes systemic toxicity."

Coal tar has been prescribed for the client with psoriasis, and the nurse provides instructions to the client regarding this treatment. Which statement by the client indicates a need for further instruction?

"The medication can cause diarrhea."

A miotic medication has been prescribed for the client with glaucoma, and the client asks the nurse about the purpose of the medication. Which response would the nurse provide to the client?

"The medication causes the pupil to constrict and will lower the pressure in the eye."

A client who is scheduled for cataract surgery requires preoperative instillation of cyclopentolate eye drops as prescribed. The client asks the nurse why this medication is needed, and the nurse provides education. Which statement by the client indicates that teaching has been effective?

"The medication dilates the pupil of the operative eye."

The nursing student is assigned to care for a client with glaucoma for whom pilocarpine hydrochloride eye drops have been prescribed. The nursing instructor asks the student to describe the action of the eye medication. Which statement by the student indicates an understanding of the purpose of this medication?

"The medication increases the blood flow to the retina and also will lower the pressure in the eye."

Silver sulfadiazine is prescribed for a client with a partial-thickness burn, and the nurse provides teaching about the medication. Which statement made by the client indicates a need for further teaching about the treatments?

"The medication is likely to cause stinging every time it is applied."

Topical azelaic acid is prescribed for a client, and the clinic nurse provides instructions regarding the use of this medication. Which statement by the client indicates a need for further instruction?

"The medication is used to treat my eczema."

A client taking an angiotensin-converting enzyme (ACE) inhibitor to treat hypertension calls the clinic nurse and reports a dry, nonproductive cough that is very bothersome. The nurse would respond by making which statement?

"The medication may need to be changed."

Butorphanol tartrate is prescribed for a client in labor, and the client asks the nurse about the purpose of the medication. The nurse would make which appropriate response?

"The medication provides pain relief during labor."

The primary health care provider has prescribed a topical anti-inflammatory cream for a client with a muscular sprain. The nurse provides instructions to the client regarding the medication. Which statement by the client indicates an understanding of this prescribed treatment?

"The medication will act as a local anesthetic."

A client is experiencing impotence after taking guanfacine. The client states, "I would sooner have a stroke than keep living with the effects of this medication." What is the most appropriate response by the nurse?

"You are concerned about the effects of your medication."

A client with nausea and bradycardia is admitted to a medical unit. The family hands the nurse a small white envelope labeled "heart pill." The envelope is sent to the pharmacy, and it is found to be digoxin. A family member states, "That doctor doesn't know how to take care of my family." Which statement would convey a therapeutic response by the nurse?

"You are concerned your loved one receives the best care."

A client is admitted to the hospital emergency department with an acute anterior wall myocardial infarction. The nurse discusses thrombolytic therapy with the client and spouse. The spouse is concerned about the dangers of this treatment. Which statement by the nurse is appropriate?

"You have concerns about whether this treatment is the best option."

The nurse is providing discharge instructions to a client taking warfarin sodium. Which statement, based on primary health care provider (PHCP) permission, is appropriate to include in client teaching for this medication?

"You need to check with your doctor about what can be taken for headaches."

The nurse teaches the client, who is newly diagnosed with diabetes insipidus, about the prescribed intranasal desmopressin. Which statements by the client indicate understanding? Select all that apply.

- "I need to decrease my oral fluids when I start this medication." - "I need to report headache and drowsiness to my primary health care provider since these symptoms could be related to my desmopressin."

The client with hyperparathyroidism is taking alendronate. Which statements by the client indicate understanding of the proper way to take this medication? Select all that apply.

- "I need to sit up for at least 30 minutes after taking this medication." - "I need to take this medication first thing in the morning on an empty stomach."

The nurse determines that the client needs further instruction on cimetidine if which statements were made? Select all that apply.

- "I will take the cimetidine with my meals." - "I'll know the medication is working if my diarrhea stops." - "Taking the cimetidine with an antacid will increase its effectiveness."

The client with hyperparathyroidism is taking alendronate. Which statements by the client indicate understanding of the proper way to take this medication? Select all that apply.

- "I would sit up for at least 30 minutes after taking this medication." - "I need to take this medication first thing in the morning on an empty stomach."

A client with hyperthyroidism has been given methimazole. Which nursing considerations are associated with this medication? Select all that apply.

- Administer methimazole with food. - Assess the client for unexplained bruising or bleeding. - Instruct the client to report side and adverse effects such as sore throat, fever, or headaches.

Which clients can safely receive lindane? Select all that apply.

- An 89-year-old client with dementia - A 32-year-old client with renal stones - A 42-year-old client with osteoporosis - A 52-year-old client with hypertension and high cholesterol

A client with peptic ulcer disease asks the nurse what medications they might be prescribed for this problem. The nurse tells the client that which medications will be prescribed? Select all that apply.

- Antacids - Antibiotics - Proton pump inhibitors - Cytoprotective therapy - Histamine H2-receptor blockers

The nurse is monitoring a client with heart failure who is taking digoxin. Which findings are characteristic of digoxin toxicity? Select all that apply.

- Diarrhea - Blurred vision - Nausea and vomiting

The nurse is monitoring for adverse effects in a client who is taking digoxin. Which findings are characteristic of digoxin toxicity? Select all that apply.

- Diarrhea - Blurred vision - Nausea and vomiting

The nurse is caring for a client with acquired immunodeficiency syndrome (AIDS) who is receiving didanosine. The nurse understands that side and adverse effects associated with this medication include which findings? Select all that apply.

- Diarrhea - Pancreatitis - Lactic acidosis - Peripheral neuropathy

A postpartum client with deep vein thrombosis is being treated with anticoagulant therapy. The nurse teaches the client that the primary health care provider (PHCP) would be contacted for which noted side and adverse effects? Select all that apply.

- Epistaxis - Hematuria - Ecchymosis

The nurse is monitoring a client in preterm labor who is receiving intravenous magnesium sulfate. The nurse would monitor for which adverse effects of this medication? Select all that apply.

- Flushing - Depressed respirations - Extreme muscle weakness

A client is taking Humulin NPH insulin and regular insulin every morning. The nurse would provide which instructions to the client? Select all that apply.

- Hypoglycemia may be experienced before dinnertime. - The insulin needs to be administered at room temperature.

A client with diabetes mellitus is taking Humulin NPH insulin and regular insulin every morning. The nurse would provide which instructions to the client? Select all that apply.

- Hypoglycemia may be experienced before dinnertime. - The insulin should be administered at room temperature.

The nurse is monitoring a client receiving levothyroxine sodium for hypothyroidism. Which findings indicate the presence of a side effect associated with this medication? Select all that apply.

- Insomnia - Weight loss - Mild heat intolerance

Ketoconazole is prescribed for a client with a diagnosis of candidiasis. Which interventions would the nurse include when administering this medication? Select all that apply.

- Monitor liver function studies. - Instruct the client to avoid alcohol. - Instruct the client to avoid exposure to the sun.

The nurse is caring for a client who has been taking a sulfonamide and would monitor for signs and symptoms of which adverse effects of the medication? Select all that apply.

- Nephrotoxicity - Bone marrow suppression - Gastrointestinal (GI) effects

Potassium chloride intravenously is prescribed for a client with heart failure experiencing hypokalemia. Which actions would the nurse take to plan for preparation and administration of the potassium? Select all that apply.

- Obtain an intravenous (IV) infusion pump. - Monitor urine output during administration. - Monitor the IV site for signs of infiltration or phlebitis. - Ensure that the medication is diluted in the appropriate volume of fluid. - Ensure that the bag is labeled with the volume of potassium in the solution.

Glimepiride is prescribed for a client with diabetes mellitus. The nurse instructs the client that which food items are most acceptable to consume while taking this medication? Select all that apply.

- Red meats - Whole-grain cereals - Carbonated beverages

A pregnant client is receiving magnesium sulfate for the management of preeclampsia. The nurse determines that the client is experiencing toxicity from the medication if which findings are noted on assessment? Select all that apply.

- Respirations of 10 breaths per minute - Urine output of 20 mL in an hour

The nurse is monitoring a client for adverse effects of medications. Which findings are characteristic of adverse effects of hydrochlorothiazide? Select all that apply.

- Sulfa allergy - Hypokalemia - Hyperglycemia - Hypercalcemia

When teaching the client with adrenal insufficiency about cortisone, the nurse would include which items? Select all that apply.

- Take the medication with food - Increase intake of potassium-rich foods. - Stay away from people with active infections. - Notify the primary health care provider if illness occurs or surgery is anticipated.

The client delivered a newborn baby 3 hours ago. The assigned nurse is reviewing the electronic health record to determine whether the postnatal client is a candidate for Rh immune globulin administration. Which criteria must be present to determine that the client needs the medication? Select all that apply.

- The birth parent must be Rh negative. - The newborn must be Rh positive. - The indirect Coombs' test must be negative.

The nurse is presenting information on the treatment of influenza and the use of oseltamivir. The nurse would provide which information on the use of oseltamivir? Select all that apply.

- The incidence of flu complications is reduced. - Oseltamivir is effective for all types of influenza. - Dosing must begin within 2 days after symptom onset. - No interactions with other medications have been reported. - It is best to begin dosing within the first 12 hours after symptom onset.

Butorphanol tartrate by intravenous push is prescribed for a client in labor. The nurse recognizes which assessment findings to be side or adverse effects of this medication? Select all that apply.

- Tinnitus - Syncope - Palpitations - Nausea and vomiting

Oxycodone has been prescribed for a client to treat pain. Which side and adverse effects would the nurse monitor for? Select all that apply.

- Tremors - Drowsiness - Hypotension

A pregnant client is receiving magnesium sulfate for the management of preeclampsia. The nurse determines that the client is experiencing toxicity from the medication if which findings are noted on assessment? Select all that apply.

- Urine output of 20 mL in an hour - Respirations of 10 breaths/minute

The nurse has a prescription to administer a dose of iron by the intramuscular route to the client with anemia. What are the most appropriate nursing actions? Select all that apply.

- Use a Z-track method. - Aspirate for blood after the needle is inserted. - Use an air lock when drawing up the medication. - Change the needle after drawing up the dose and before injection.

The nurse is admitting a client and knows that clients typically share information about herbal supplements or therapies only if they are specifically asked. What are some additional things the nurse needs to do when dealing with this topic with clients? Select all that apply.

- Use open-ended questions. - Respond to clients with comments that invite an open-minded discussion. - Document the use of any herbal product(s) or dietary supplements in the client record. - Create an accepting and nonjudgmental attitude when assessing the use of or interest in herbal products or dietary supplements.

The health education nurse plans to provide instructions to a group of clients regarding measures that will assist in preventing skin cancer. Which instructions would the nurse provide? Select all that apply.

- Use sunscreen when participating in outdoor activities. - Wear a hat, opaque clothing, and sunglasses when in the sun. - Examine your body monthly for any lesions that may be suspicious.

The nurse is monitoring a client who is receiving oxytocin to induce labor. Which assessment findings would cause the nurse to immediately discontinue the oxytocin infusion? Select all that apply.

- Uterine hyperstimulation - Late decelerations of the fetal heart rate

The nurse is applying a topical corticosteroid to a client with eczema. The nurse understands that it is safe to apply the medication to which body areas? Select all that apply.

- back - Soles of the feet - Palms of the hands

A client has been given diphenhydramine as a topical agent for allergic dermatitis. The nurse would instruct the client to observe for which intended medication effect?

A decrease in urticaria

Levothyroxine is prescribed for a client diagnosed with hypothyroidism. The nurse reviews the client's record and notes that the client is presently taking warfarin. The nurse contacts the primary health care provider (PHCP), anticipating that the PHCP will prescribe which medication?

A decreased dosage of warfarin

Levothyroxine is prescribed for a client diagnosed with hypothyroidism. Upon review of the client's record, the nurse notes that the client is taking warfarin. Which modification to the plan of care would the nurse review with the client's primary health care provider?

A decreased dosage of warfarin sodium

Which supplies would the nurse obtain for the administration of ribavirin to a hospitalized child with respiratory syncytial virus (RSV)?

A mask and pair of goggles

In preparation for cataract surgery, the nurse is to administer prescribed eye drops. The nurse reviews the primary health care provider's prescriptions, expecting which type of eye drops to be prescribed?

A mydriatic medication

Dexamethasone intravenously is prescribed for the client with cerebral edema. The nurse prepares the medication for administration and plans to perform which action?

Administer the medication by direct injection.

The nurse has completed medication administration that included a nitroglycerin. Within minutes, the client is complaining of a headache. Which is the priority nursing action at this time?

Administer the prescribed analgesic.

The nurse is evaluating the results of laboratory studies for a client receiving epoetin alfa. When would the nurse expect to note a therapeutic effect of this medication?

After 2 weeks of therapy

A client has a prescription for magnesium citrate to prevent constipation after undergoing barium studies of the gastrointestinal tract. How would the nurse administer the magnesium citrate?

After it is chilled in the refrigerator

The school nurse is providing instructions to the parents of the children attending the school regarding the application of permethrin. Which action would the nurse tell the parents to take?

Allow permethrin to remain on the hair for 10 minutes and then rinse with water.

A client with a subarachnoid hemorrhage needs to have surgery delayed until a stable clinical condition is achieved. The nurse prepares to administer which medication as prescribed to prevent clot breakdown and dissolution?

Aminocaproic acid

A client in the hospital emergency department who received nitroglycerin for chest pain has obtained relief but now complains of a headache. The nurse would interpret that this client is most likely experiencing which condition?

An expected medication side effect

A client with chronic kidney disease has been receiving epoetin alfa for the past 2 months. What would the nurse determine is an indicator that this therapy has been effective?

An increase in serum hematocrit

A client with diabetes mellitus taking daily NPH insulin has been started on therapy with dexamethasone. The nurse anticipates that which adjustments in medication dosage will be made?

An increased dose of NPH insulin

Itraconazole is prescribed for a client to treat a fungal infection. The nurse monitors the client closely for which manifestation that is indicative of an adverse effect?

Anorexia and abdominal pain

The primary health care provider (PHCP) writes a prescription for atenolol for a client who was admitted to the hospital. The nurse contacts the PHCP to verify the prescription if which finding is noted in the assessment data?

Apical heart rate is 48 beats/min.

The nurse is applying a topical glucocorticoid as prescribed for a client with psoriasis. The nurse would be concerned about the potential for systemic absorption of the medication if it were being applied in which situation?

Applied to a reddened, itchy area underneath an occlusive dressing

A client who had surgery 3 days earlier is receiving heparin sulfate by subcutaneous injection every 12 hours. In planning for the client's morning care, the priority nursing intervention is which action?

Assist the client to shave using an electric razor.

Insulin glargine is prescribed for a client with diabetes mellitus. The nurse would tell the client that it is best to take the insulin at which time?

At bedtime every day

A client is started on tolbutamide once daily. When would the nurse tell the client to take the medication?

At breakfast

The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. The nurse reminds the children that chemical sunscreens are most effective when applied at which time?

At least 30 minutes before exposure to the sun

The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. The nurse reminds the children that chemical sunscreens are most effective when applied at which times?

At least 30 minutes before exposure to the sun

The nurse working in a long-term care facility notes that several clients are taking pilocarpine hydrochloride eye drops. The nurse ensures that which medication is available on the nursing unit for use if a client should develop systemic toxicity from pilocarpine hydrochloride?

Atropine sulfate

The nurse would question the physician if which medication were prescribed for a client with glaucoma?

Atropine sulfate

Which medication, if prescribed for the client with glaucoma, would the nurse question?

Atropine sulfate

A client has recently begun medication therapy with propranolol. The long-term care nurse would plan to notify the primary health care provider (PHCP) if which assessment finding is noted?

Audible expiratory wheezes

The nurse is caring for a client with hyperlipidemia who is taking cholestyramine. Which nursing assessment is most significant for this client relative to the medication therapy?

Auscultate bowel sounds.

A client is being treated with procainamide for a cardiac dysrhythmia. Following intravenous administration of the medication, the client complains of dizziness. Which intervention would the nurse implement first?

Auscultate the client's apical pulse and blood pressure.

A client is scheduled to have heparin sodium 5000 units subcutaneously. What is the most appropriate nursing intervention?

Avoid aspirating prior to injecting the medication.

A client has a prescription for ketoconazole. Which instruction would the nurse include in the client's teaching plan?

Avoid exposure to sunlight.

A client in the postpartum care unit who is recovering from disseminated intravascular coagulopathy is to be discharged on low dosages of an anticoagulant medication. In developing home care instructions for this client, the nurse would include which priority safety instruction regarding this medication?

Avoid taking acetylsalicylic acid (aspirin).

Methylergonovine is prescribed for a client to treat postpartum hemorrhage. Before administration of methylergonovine, what is the priority assessment?

Blood pressure

Methylergonovine is prescribed for a client with postpartum hemorrhage caused by uterine atony. Before administering the medication, the nurse would check which most important client parameter?

Blood pressure

The nurse has given a client the prescribed dose of intravenous hydralazine. The nurse evaluates the effectiveness of the medication by monitoring which client parameter?

Blood pressure

The nurse is preparing to administer pentamidine to an assigned client by the intravenous route. The nurse plans to monitor which item most closely after administering this medication?

Blood pressure (BP)

The nurse is administering a dose of clonidine to a client. The nurse would ensure that which item is in place before administering the medication?

Blood pressure cuff

The nurse would report which assessment finding to the primary health care provider (PHCP) before initiating thrombolytic therapy in a client with pulmonary embolism?

Blood pressure of 198/110 mm Hg

Blood work has been drawn on a client who has been taking cyclosporine following allogeneic liver transplantation. The nurse would check the results of which test to determine the presence of an adverse effect related to this medication?

Blood urea nitrogen (BUN) level

The nurse is monitoring a client with herpes simplex virus (HSV) who is receiving intravenous (IV) acyclovir. Which laboratory result would be of concern as a possible adverse effect of this medication?

Blood urea nitrogen (BUN) of 36 mg/dL (12.9 mmol/L)

The nurse is preparing to administer piperacillin/tazobactam. An abnormal elevation in which laboratory value would prompt the nurse to withhold the medication and notify the primary health care provider (PHCP) before administering the medication?

Blood urea nitrogen and creatinine

The nurse has administered prochlorperazine to a client for relief of nausea and vomiting. The nurse would then assess the client for which frequent side or adverse effect of this medication?

Blurred vision

The primary health care provider (PHCP) writes a prescription for zidovudine for a client who was admitted to the hospital. The nurse would contact the PHCP to verify the prescription if which finding is noted in the assessment data?

Bone marrow depression

The nurse has administered a dose of docusate. The nurse evaluates that the medication has been effective if the client experiences which finding?

Bowel movement with soft, formed stool

The nurse is giving the client directions for proper use of aluminum hydroxide tablets. What would the nurse tell the client?

Chew the tablets thoroughly and follow with 8 oz of water.

The nurse is reviewing a client's medication reconciliation form in the medical record and notes that the client is taking tamsulosin at home. Which medication, if started in the hospital, would the nurse question?

Cimetidine

The home care nurse is reviewing the record of a client newly diagnosed with glaucoma who is scheduled for a home visit. The nurse notes that the primary health care provider (PHCP) has prescribed atropine sulfate and pilocarpine hydrochloride eye drops. The nurse would contact the PHCP before the home visit for which reason?

Clarify the prescription for the atropine sulfate.

Tobramycin sulfate is prescribed. The nurse is administering the medication by intermittent intravenous infusion every 8 hours. The nurse monitors the client for signs of an adverse effect related to this medication and determines that which, if noted on assessment, would indicate its presence?

Client complaint of ringing in the ears

A hospitalized client is diagnosed with scabies. The primary health care provider (PHCP) recommends that the client and the client's roommate be treated with lindane. Which finding, if noted on this client's chart, would alert the nurse to notify the PHCP before the treatment with lindane?

Client history of seizure disorders

A client with a clot in the right atrium is receiving a heparin sodium infusion at 1000 units/hour and warfarin sodium 7.5 mg at 5:00 p.m. daily. The morning laboratory results are as follows: activated partial thromboplastin time (aPTT), 32 seconds; international normalized ratio (INR), 1.3. The nurse would take which action based on the client's laboratory results?

Collaborate with the PHCP to obtain a prescription to increase the heparin infusion and administer the warfarin sodium as prescribed.

A client with valvular heart disease who has a clot in the right atrium is receiving a heparin sodium infusion at 1000 units/hr and warfarin sodium 7.5 mg at 1600 daily. The morning laboratory results are as follows: activated partial thromboplastin time (aPTT), 32 seconds; international normalized ratio (INR), 1.3. Which action would the nurse take based on the client's laboratory results?

Collaborate with the PHCP to obtain a prescription to increase the heparin infusion and continue the warfarin sodium as prescribed.

Which finding suggests to the nurse that a client with bleeding esophageal varices is experiencing a side or adverse effect of vasopressin therapy?

Complaints of chest pain

The nurse instructs a client taking aluminum hydroxide that a common side or adverse effect associated with administration of this medication is which effect?

Constipation

The primary health care provider has prescribed clonidine for a client with hypertension. The nurse would inform the client that which is a side effect of this medication?

Constipation

In preparation for cataract surgery, the nurse is to administer cyclopentolate eye drops at 0900 for surgery that is scheduled for 0915. What initial action would the nurse take in relation to the characteristics of the medication action?

Consult the surgeon, as there is not sufficient time for the dilative effects to occur.

Mycophenolate mofetil is prescribed for a client for prophylaxis of organ rejection following allogenic renal transplantation. Which instruction would the nurse provide to the client regarding administration of this medication?

Contact the primary health care provider (PHCP) if a sore throat occurs.

Dapsone is prescribed to treat toxoplasmosis in a client with acquired immunodeficiency syndrome. The nurse reinforces medication instructions and tells the client to perform which action?

Contact the primary health care provider (PHCP) if fever or a sore throat occurs.

The client with a traumatic brain injury (TBI) has begun to excrete copious amounts of dilute urine through the Foley catheter. The client's urine output for the previous shift was 3000 mL. The nurse expects that the primary health care provider will prescribe which medication?

Desmopressin

Oral rifaximin has been prescribed for a client with portosystemic encephalopathy. The nurse reviews the primary health care provider's prescription and determines that this medication has been prescribed for which purpose?

Destroy normal bacteria found in the bowel.

The nurse is monitoring a client with hypertension who is taking propranolol. Which assessment finding indicates a potential adverse complication associated with this medication?

Development of expiratory wheezes

A client who has sustained an eye injury has been prescribed prednisolone. The nurse would most carefully monitor for side and adverse effects of this medication if the client has which health problem listed on the medical record?

Diabetes mellitus

The nurse has just given a client a dose of an "as needed" (PRN) medication called loperamide. The nurse documents in the client's record that the client received this medication for complaints of what symptom?

Diarrhea

The nurse is providing discharge instructions to a client who will be taking tacrolimus daily following allogeneic liver transplantation. The nurse instructs the client that which is a frequent side effect related to this medication?

Diarrhea

A client with atrial fibrillation is taking digoxin and complains of having no appetite and experiencing diarrhea and blurry vision. The nurse notes that the client's serum potassium level is 3.0 mEq/L (3.0 mmol/L). Based on analysis of the data, what might the nurse expect to note when reviewing the digoxin level results?

Digoxin level higher than 2.0 ng/mL

The nurse is preparing to administer filgrastim by intravenous (IV) infusion. Which nursing action is the most appropriate for administering this medication?

Dilute the medication in 5% dextrose in water (D5W).

The nurse is preparing to administer an intravenous (IV) insulin injection. The vial of regular insulin has been refrigerated. On inspection of the vial, the nurse finds that the medication is frozen. Which would the nurse do?

Discard the insulin and obtain another vial.

A client is admitted to the hospital with a diagnosis of myocardial infarction (MI). The client is started on alteplase therapy. The nurse determines that teaching has been effective when the client's significant other states that the purpose of the medication is to perform which action?

Dissolve any clots in the coronary arteries.

The nurse has a prescription to give a client a scheduled dose of digoxin. Prior to administering the medication, the nurse would assess for which manifestations that could indicate digoxin toxicity?

Double vision, loss of appetite, and nausea

A primary health care provider (PHCP) prescribes isotretinoin for a client with severe acne. The nurse reviews the client's record and notifies the PHCP if which prescribed medication is noted on the medication record?

Doxycycline

The nurse is preparing the client's morning insulin isophane dose. The nurse notices a clumpy precipitate inside the insulin vial. What is the most appropriate nursing action related to this finding?

Draw the dose from a new vial.

The primary health care provider has prescribed regular insulin 6 units and NPH insulin 20 units subcutaneously to be administered every morning for a client diagnosed with diabetes mellitus. How would the nurse prepare to administer insulin?

Draw up the regular insulin first and then the NPH insulin in the same syringe.

A client is receiving amphotericin B by the intravenous (IV) route. The nurse determines that the client is having an adverse effect to the medication if which laboratory study result is noted?

Elevated serum creatinine

The nurse in the health care clinic is reviewing the record of a client with diabetes mellitus who was just seen by the primary health care provider (PHCP). The nurse notes that the PHCP has prescribed metformin. What preexisting disorder, if noted in the client's record, would indicate a need to collaborate with the PHCP before instructing the client to take the medication?

Emphysema

On assessment, a newborn is exhibiting cyanosis, tachypnea, nasal flaring, and grunting. Respiratory distress syndrome is diagnosed, and the primary health care provider (PHCP) prescribes surfactant replacement therapy. Through which route would the nurse prepare to administer this medication?

Endotracheally through the endotracheal tube

A pregnant client of 30 weeks' gestation is admitted to the hospital unit in preterm labor. The client asks the nurse about the purpose of betamethasone, which has been prescribed by the primary health care provider (PHCP). The nurse would tell the client that the medication will promote which action?

Enhance fetal lung maturity.

The client with peptic ulcer disease is prescribed medication therapy. The nurse explains the medications to the client and explains that sucralfate will help to heal the ulcer by doing what?

Enhancing mucosal defenses

A client who has been chronically taking acetylsalicylic acid (aspirin) for arthritis has been given a prescription for misoprostol. The nurse determines that the new medication is effective if the client states relief from which problem?

Epigastric pain

The nurse is preparing to administer a prescribed dose of cyclosporine by intravenous (IV) administration. Which priority item would the nurse have available during administration of this medication?

Epinephrine

The nurse reads that metoclopramide is prescribed for a client. Based on this prescription, the nurse expects to note that which diagnosis is documented?

Gastroparesis

A client who is in the postanesthesia care unit (PACU) has received a dose of ondansetron. The nurse evaluates that an adverse effect is occurring if which problem arises?

Headache

Atorvastatin has been prescribed for a client, and the client asks the nurse about the side and adverse effects of the medication. What would the nurse tell the client is a frequent side effect of this medication?

Headache

Zidovudine has been prescribed for a client, and the client asks the nurse about the side effects of the medication. The nurse responds that which is a common side effect of this medication?

Headache

Amikacin is prescribed for a client with a bacterial infection. The nurse instructs the client to contact the physician immediately if which occurs?

Hearing loss

Amikacin is prescribed for a client with a bacterial infection. The nurse instructs the client to contact the primary health care provider (PHCP) immediately if which occurs?

Hearing loss

A client has been taking omeprazole for 4 weeks. The ambulatory care nurse evaluates medication effectiveness by asking the client whether relief was obtained from which symptom?

Heartburn

A client with peptic ulcer disease has been taking omeprazole for 4 weeks. The ambulatory care nurse evaluates that the client is receiving the optimal intended effect of the medication if the client reports the absence of which symptom?

Heartburn

A client with psoriasis is being treated with calcipotriene cream. Administration of high doses of this medication can cause which side or adverse effect?

Hypercalcemia

The nurse is monitoring a client who is receiving epoetin alfa for adverse effects of the medication. Which finding indicates a side/adverse effect?

Hypertension

A burn client is receiving treatments of topical mafenide acetate to the site of injury. The nurse monitors the client, knowing that which finding indicates that a systemic effect has occurred?

Hyperventilation

A client newly diagnosed with diabetes mellitus is instructed by the primary health care provider to obtain glucagon for emergency home use. The client asks the home care nurse about the purpose of the medication. The nurse would instruct the client that the purpose of the medication is to treat which problem?

Hypoglycemia from insulin overdose

The nurse evaluates that the family of a client newly diagnosed with diabetes mellitus correctly understands the reason for having glucagon on hand for emergency home use if the family indicates that the purpose of the medication is to treat which complication?

Hypoglycemia from insulin overdose

A client who is taking chlorothiazide comes to the clinic for periodic evaluation. In monitoring the client's laboratory test results for medication side effects, what is the clinic nurse most likely to note if a side or adverse effect is present?

Hypokalemia

An older client takes a stimulant laxative for ongoing management of chronic constipation. Which findings would the nurse expect to note when reviewing the client's laboratory results?

Hypokalemia

A client admitted to the hospital is taking abacavir. The nurse would monitor the client for which adverse effect of the medication?

Hypotension

A client admitted to the hospital is taking atenolol. The nurse monitors the client for which sign or symptom of an adverse effect of the medication?

Hypotension

Insulin lispro is prescribed for the client with diabetes mellitus, and the client is instructed to administer the insulin before meals. When would the nurse instruct the client to administer the insulin?

Immediately before eating

The nurse is caring for a client who has cytomegalovirus retinitis and is receiving foscarnet. Which assessment finding, if reported by the client, indicates a need for follow-up?

Impaired balance while ambulating

The nurse is instructing a client who is taking levothyroxine and tells the client that full therapeutic benefits will be seen when?

In 1 to 3 weeks

The nurse teaches the client being discharged to home with a prescription for a daily dose of prednisone to take the medication at which best time?

In the early morning

A client with acute seborrheic dermatitis of the back, chest, and legs is receiving treatments with salicylic acid. The nurse would monitor the client for which symptom that indicates the presence of systemic toxicity from this medication?

Increased respirations

A client has been taking glucocorticoids to control rheumatoid arthritis. Which laboratory abnormality is the client at risk for as a result of taking this medication?

Increased serum glucose

The client with acquired immunodeficiency syndrome (AIDS) and Pneumocystis jiroveci infection has been receiving pentamidine. The nurse caring for the client would monitor the client most closely for signs of which adverse effect of the medication?

Infection

A client who has been receiving pentamidine intravenously now has a fever with a temperature of 102° F (38.9° C). Keeping in mind that the client has a diagnosis of acquired immunodeficiency syndrome (AIDS) and Pneumocystis jiroveci pneumonia, the nurse would interpret that this fever is most associated with which condition?

Infection caused by leukopenic effects of the medication

A pediatric nurse has obtained ribavirin in powder form from the pharmacy to administer to a child with respiratory syncytial virus (RSV) infection. After preparing the medication, the nurse would administer it by which route?

Inhalation

Abacavir has been prescribed for a client, and the client asks the nurse about the action of the medication. How would the nurse respond?

Inhibits activity of HIV-1 reverse transcriptase

The nurse is completing a health history for an insulin-dependent client who has been self-administering insulin for 40 years. The client reports experiencing periods of hypoglycemia followed by periods of hyperglycemia. What is the most likely cause for this pattern of blood glucose fluctuation?

Injecting insulin at a site of lipodystrophy

The clinic nurse develops a plan of care for a client with emphysema who will be started on long-term corticosteroid therapy. Which specific instruction would the nurse include in the plan of care?

Instruct the client to return to the clinic for monitoring of blood glucose levels.

The nurse is preparing to administer exogenous surfactant to a premature infant who has respiratory distress syndrome. The nurse prepares to administer the medication by which route?

Intratracheal

Sodium hypochlorite solution is prescribed for a client with a wound on the left foot that is draining purulent material. Which action would the nurse plan to take?

Irrigate the wound with the solution.

The nurse is administering senna to an older client. What is the expected result of this medication?

It increases peristalsis.

The nurse is preparing to administer filgrastim to a client with a diagnosis of agranulocytosis. The client asks the nurse about the purpose of the medication. Which information would the nurse include in the response regarding action of this medication?

It promotes the growth of neutrophils.

The clinic nurse is performing an admission assessment on a client and notes that the client is taking azelaic acid to treat acne. The nurse determines that which client complaint may be associated with the use of this medication?

Itching

The clinic nurse is performing an admission assessment on a client and notes that the client is taking azelaic acid. The nurse determines that which client complaint may be associated with use of this medication?

Itching

The nurse is preparing to administer prescribed medications to a client with hepatic encephalopathy. The nurse anticipates that the primary health care provider's prescriptions will include which medication?

Lactulose

A client is seen in the clinic for complaints of skin itchiness that has persisted for several weeks. After an assessment, the client is determined to have scabies. Lindane is prescribed, and the nurse provides instructions to the client regarding the use of the medication. Which action would the nurse tell the client to take?

Leave the cream on for 8 to 12 hours, and then remove it by washing.

An outbreak of head lice infestation has occurred at a local school. The school nurse is providing instructions to the parents of the children attending the school regarding the application of the lotion. The nurse would tell the parents to take which action?

Leave the lotion on for 8 to 12 hours, and then wash the hair with nonmedicated shampoo.

When teaching a client with glaucoma about the effects of a miotic medication, the nurse would tell the client that the medication will produce which effect?

Lower intraocular pressure and improve blood flow to the retina

The clinic nurse is caring for a client with a diagnosis of scabies who has just been prescribed crotamiton. The nurse instructs the client to perform which action when applying this medication?

Massage the medication into the skin from the chin downward. Apply a second application in 24 hours, followed by a cleansing bath 48 hours after the second application.

A client reports frequent use of sodium bicarbonate to relieve heartburn after meals. The nurse would monitor the client for which condition that the client is at risk for with long-term frequent use of this medication?

Metabolic alkalosis

A client with a history of type 2 diabetes is admitted to the hospital with chest pain and scheduled for a cardiac catheterization. Which medication would need to be withheld for 24 hours before the procedure and for 48 hours after the procedure?

Metformin

A client with chronic kidney disease (CKD) who is receiving an antihypertensive medication is experiencing frequent hypotensive episodes. The nurse reviews the client's medication record, knowing that which medication would have the greatest tendency to cause hypotension?

Methyldopa

The nurse is caring for a client with an exacerbation of multiple sclerosis. Which medication(s) will the nurse expect to be prescribed to hasten recovery from the exacerbation?

Methylprednisolone and cyclophosphamide intravenously

The nurse is caring for a client with cancer. Morphine has been prescribed for the client. Specific to this medication, which intervention would the nurse include in the plan of care while the client is taking this medication?

Monitor bowel activity.

A client seen in the health care clinic is diagnosed with syphilis, and the primary health care provider prescribes an intramuscular injection of penicillin G benzathine. After administering the intramuscular injection of medication, the nurse would perform which action?

Monitor the client for 30 minutes.

Betaxolol hydrochloride eye drops have been prescribed for a client with glaucoma. Which nursing action is most appropriate related to monitoring for side and adverse effects of this medication?

Monitoring blood pressure

Betaxolol eye drops have been prescribed for a client with glaucoma. The home health nurse preparing to visit the client develops a plan of care that includes monitoring for the side/adverse effects of this medication by taking which assessment action?

Monitoring body weight

A child is diagnosed with impetigo. The primary health care provider prescribes a topical medication for treatment. The nurse anticipates that which medication will be prescribed?

Mupirocin

An opioid analgesic is administered to a client in labor. The nurse assigned to care for the client ensures that which medication is readily accessible in the event that respiratory depression occurs?

Naloxone

An opioid analgesic is administered to a client in labor. The nurse assigned to care for the client ensures that which medication is readily accessible should respiratory depression occur?

Naloxone

A client with gastrointestinal hypermotility has a prescription to receive atropine sulfate. The nurse would withhold the medication and question the prescription if the client has a history of which disease process?

Narrow-angle glaucoma

The nurse is monitoring a client who is receiving intravenous (IV) acyclovir. The nurse would monitor the client closely for which primary toxic effect of the medication?

Nephrotoxicity

A client with cardiac disease has begun taking propranolol, and the nurse provides information to the client about the medication. The nurse would tell the client to contact the primary health care provider (PHCP) if which symptoms develop?

Night cough and dyspnea

The nurse has been given a medication prescription to administer intravenous (IV) hydralazine. The nurse obtains which priority piece of equipment needed for use during administration of this medication?

Noninvasive blood pressure cuff

A client must begin medication therapy with mycophenolate mofetil to prevent organ rejection following renal transplantation. The nurse would provide which important teaching point to the client?

Notify the primary health care provider (PHCP) if a fever develops.

The nurse is caring for a client who suddenly starts to complain of palpitations, restlessness, and anxiety. The nurse obtains a stat electrocardiogram (ECG), which shows this rhythm. Refer to figure. The nurse would perform which actions in anticipation of appropriate medication therapy with amiodarone?

Obtain an infusion pump and prepare to administer 150 mg over 10 minutes followed by a maintenance dose.

The nurse provides instructions to a client who is taking levothyroxine. The nurse would tell the client to take the medication in which way?

On an empty stomach

Sucralfate is prescribed for a client. The nurse determines that the client understands the instructions for medication administration if the client states to take the medication at what time?

One hour before meals and again at bedtime

Tetracycline is prescribed for a client with severe acne. The nurse instructs the client regarding the importance of reporting which finding if it occurs?

Persistent diarrhea

A client is seen in the clinic complaining of anorexia and nausea. The primary health care provider (PHCP) suspects that the client may be experiencing digoxin toxicity. While waiting for test results to become available, the nurse would assess the client for which sign or symptom that would support a diagnosis of digoxin toxicity?

Photophobia

A client seen in the health care clinic for follow-up care is taking atorvastatin. The nurse would assess the client for which adverse effect of the medication?

Photosensitivity

The nurse is caring for a client who is taking warfarin. The nurse notes the presence of gross hematuria and large areas of bruising on the client's body. The nurse notifies the primary health care provider (PHCP) and ensures that which prescribed medication is available?

Phytonadione (vitamin K)

The nurse is planning to administer furosemide 40 mg by intravenous push (IVP) through an existing intravenous (IV) line. To deliver this medication safely, the nurse would perform which action?

Pinch the IV tubing above the injection port, and inject slowly over 1 to 2 minutes.

The nurse has a prescription to administer foscarnet intravenously to a client with acquired immunodeficiency syndrome (AIDS). What would the nurse plan to do before administering this medication?

Place the solution on a controlled infusion pump.

Intravenous (IV) antithymocyte globulin is prescribed to a client for treatment of transplant rejection. Which intervention is the priority in planning the administration of this medication?

Plan for a skin test dose to identify hypersensitivity.

The nurse is caring for a client who is receiving heparin sodium intravenously as a continuous infusion. Which laboratory finding requires immediate nursing intervention?

Platelet count of 98,000 mm3 (98 × 109/L)

A client is prescribed mupirocin intranasally twice daily. The nurse correlates this prescription with the client's medical record and expects to note which result specifically related to the indication for this medication?

Positive MRSA by polymerase chain reaction (PCR)

The nurse is caring for a client who has been prescribed intravenous metoclopramide. The nurse determines that the client likely is being treated for which condition?

Postoperative nausea and vomiting

A client with previously well-controlled diabetes mellitus has had fasting blood glucose levels ranging from 180 to 200 mg/dL. The client takes glyburide 5 mg orally daily. In reviewing the client's medication list, the home health care nurse suspects that which newly added medications could be contributing to the elevated blood glucose levels?

Prednisone

Tacrolimus is prescribed to a client for prevention of organ rejection after renal transplantation. Which prescription would the nurse anticipate to be prescribed, along with the tacrolimus, for this client?

Prednisone

A client in preterm labor is being started on intravenous magnesium sulfate to stop the contractions. Several hours later, when the nurse is performing an assessment, the following data are obtained: blood pressure, 110/66 mm Hg; pulse, 66 beats per minute; respirations, 10 breaths per minute; and deep tendon reflexes absent. What would the nurse do next?

Prepare to administer calcium gluconate as an antidote for magnesium toxicity.

The nurse has a prescription to give dexamethasone by the intravenous (IV) route to a client with cerebral edema. How would the nurse prepare this medication?

Preparing an undiluted direct injection of the medication

A client is admitted to a hospital with acute myocardial infarction and is started on tissue plasminogen activator (tPA) by infusion. Which parameter would the nurse determine requires the least frequent assessment to detect complications of therapy with tPA?

Presence of bowel sounds

A client receiving heparin sodium by continuous intravenous (IV) infusion removes the tubing from the pump to change his hospital gown. The nurse is concerned that the client received a bolus of medication. After requesting a prescription for a stat partial thromboplastin time (PTT), the nurse would check for the availability of which medication in the medication cart?

Protamine sulfate

Enoxaparin sodium is prescribed for a client after hip replacement surgery. Which medication would the nurse anticipate to administer in the event of enoxaparin sodium overdose?

Protamine sulfate

Intravenous heparin therapy is prescribed for a client with atrial fibrillation. While implementing this prescription, the nurse ensures that which medication is available on the nursing unit?

Protamine sulfate

Intravenous heparin therapy is prescribed for a client. While implementing this prescription, the nurse ensures that which medication is available on the nursing unit?

Protamine sulfate

The nurse is preparing to administer phytonadione to the client. Which laboratory value would the nurse monitor to evaluate the effectiveness of the medication?

Prothrombin time

Betaxolol eye drops have been prescribed for a client with glaucoma. The nurse monitoring this client for side/adverse effects of the medication would place highest priority on which assessment?

Pulse rate

A home health nurse is visiting a client who has been started on therapy with clotrimazole. The nurse determines the effectiveness of the medication by noting a decrease in which problem?

Rash

The home health nurse is visiting a client who has been started on therapy with clotrimazole. The nurse would monitor which item to monitor the effectiveness of this medication with each visit?

Rash

The home care nurse visits a client recently diagnosed with diabetes mellitus who is taking Humulin NPH insulin daily. The client asks the nurse how to store the unopened vials of insulin. The nurse would tell the client to take which action?

Refrigerate the insulin.

Epoetin alfa by the subcutaneous route is prescribed for a client. What is the most appropriate nursing action?

Refrigerate the medication until used.

A client has just taken a dose of trimethobenzamide hydrochloride. Which finding indicates that this client has had a therapeutic response to the medication?

Relief of nausea and vomiting

A client scheduled to undergo subtotal thyroidectomy is taking a potassium iodide solution. The client complains to the nurse about a brassy taste in the mouth when taking the medication. Which instruction would the nurse provide to the client?

Report the symptom to the primary health care provider (PHCP).

A client experiencing preterm labor at the 29th week of gestation has been admitted to the hospital. The client has a prescription to receive betamethasone but delivers too quickly for medication administration. As a result of not receiving this medication, which condition is most likely to develop in the preterm newborn?

Respiratory distress syndrome

Prior to administering a client's daily dose of digoxin to treat heart failure, the nurse reviews the client's laboratory data and notes the following results: serum calcium, 9.8 mg/dL (2.45 mmol/L); serum magnesium, 1.0 mEq/L (0.4 mmol/L); serum potassium, 4.1 mEq/L (4.1 mmol/L); serum creatinine, 0.9 mg/dL (79.5 mcmol/L). Which result would alert the nurse that the client is at risk for digoxin toxicity?

Serum magnesium level

A hospitalized client asks the nurse for sodium bicarbonate to relieve heartburn after a meal. The nurse reviews the client's medical record, knowing that the medication is contraindicated in which condition?

Serum pH 7.52 (7.52), bicarbonate 30 mEq/L (30 mmol/L)

A client rings the call bell and asks for medication to relieve postoperative gas pains. The nurse selects which medication to be given as prescribed on the medication sheet?

Simethicone

Trimethoprim-sulfamethoxazole is prescribed for a client. The nurse would instruct the client to report which symptom if it develops during the course of this medication therapy?

Sore throat

A nurse provides dietary instructions to a client who will be taking warfarin sodium. The nurse would tell the client to avoid which food item?

Spinach

Somatropin is administered to a client with growth failure. A nurse monitors the client, knowing that which is the expected therapeutic effect of this medication?

Stimulate linear growth.

A client has a prescription to receive enoxaparin. The nurse would plan to administer this medication by which route?

Subcutaneous

The nurse is preparing to administer filgrastim to the client. Which route of administration would the nurse determine is the most appropriate for this medication?

Subcutaneous

A client with chronic kidney disease has a medication prescription for epoetin alfa. The nurse would plan to administer this medication by which method?

Subcutaneously

A nurse is caring for a client recently diagnosed with type 2 diabetes mellitus who has been prescribed sustained-release glipizide. What is the most important point for the nurse to include in teaching this client about this medication?

Swallow the medication whole and never crush or chew it.

The client with gastroesophageal reflux disease (GERD) has a new prescription for pantoprazole. Which instruction would the nurse provide to the client?

Swallow the tablet whole.

A nurse provides instructions to a client taking fludrocortisone acetate. The nurse instructs the client to notify the primary health care provider (PHCP) if which manifestation occurs?

Swelling of the feet

A client is on enalapril for the treatment of hypertension. The nurse teaches the client to seek emergent care if which is experienced?

Swelling of the tongue

A client with human immunodeficiency virus infection is taking indinavir. The nurse plans to provide the client with which direction when providing instructions about the use of this medication?

Take the medication with water on an empty stomach.

A client with a history of gastroesophageal reflux disease (GERD) is diagnosed with peptic ulcer disease (PUD). The primary health care provider prescribes sucralfate in addition to the client's other medications. What teaching would the nurse include in this client's instructions?

Take the sucralfate before meals and at bedtime on an empty stomach.

The nurse is preparing to discharge a client who has had a parathyroidectomy. The discharge instructions include medication administration of oral calcium supplements that the client will need daily. Which statement by the nurse would be most appropriate regarding the oral calcium supplement therapy?

Take the tablets following a meal.

The client with acquired immunodeficiency syndrome (AIDS) has been prescribed raltegravir. The nurse determines that the client may be experiencing an adverse effect related to this medication if which assessment finding is noted?

Temperature of 101.2° F (38.4° C)

The client with acquired immunodeficiency syndrome and Pneumocystis jiroveci infection has been receiving pentamidine. The client develops a temperature of 101° F (38.3° C). The nurse continues to assess the client, knowing that this sign most likely indicates which condition?

That the client has developed another infection caused by leukopenic effects of the medication

An 8-year-old child is being treated with desmopressin. Understanding the purpose of this medication, the nurse would set which goal for this child?

The child will have 5 nights in sequence without enuresis.

A child with human immunodeficiency virus (HIV) infection is receiving zidovudine. Which finding indicates to the nurse that the child may be experiencing an adverse effect from the medication?

The child's skin is pale, and states is feeling tired.

A client taking an antihistamine is scheduled for allergy skin testing and tells the nurse in the primary health care provider's office that a dose was taken this morning. The nurse interprets this to mean that which adjustment needs to be made?

The client needs to reschedule the appointment.

The nurse is monitoring a client who is taking propranolol. Which assessment finding indicates a potential adverse complication associated with this medication?

The development of audible expiratory wheezes

A client with acquired immunodeficiency syndrome who is taking zidovudine 200 mg orally 3 times daily has severe neutropenia noted on follow-up laboratory studies. The nurse interprets that which change is likely to occur at this point?

The medication probably will be discontinued until laboratory results indicate bone marrow recovery.

The nurse is reviewing the use of diltiazem for clients with Prinzmetal's variant angina. The nurse would provide information based on which action of the medication?

The medication works by inhibiting calcium movement across cell membranes of cardiac and smooth muscle.

The nurse has completed client teaching on the use of thrombolytic medications in acute ischemic stroke. The nurse determines that the educational session was effective if the client states that thrombolytics are used for what purpose?

To dissolve clots

A client is diagnosed with iron-deficiency anemia, and ferrous sulfate is prescribed. The nurse would tell the client that it would be best to take the medication with which food?

Tomato juice

Pyrimethamine has been added to the medication regimen for a client with acquired immunodeficiency syndrome. On review of the client's record, the nurse notes this new prescription and plans care knowing that it has been prescribed to treat which condition?

Toxoplasmosis

The nurse is monitoring a client receiving cyclosporine. Which sign or symptom would indicate to the nurse that the client is experiencing an adverse effect of this medication?

Tremors

The nurse would tell the client who is taking levothyroxine to notify the primary health care provider (PHCP) if which problem occurs?

Tremors

The nurse would tell the client, who is taking levothyroxine, to notify the primary health care provider (PHCP) if which problem occurs?

Tremors

Isotretinoin is prescribed for a client with severe acne. Before the administration of this medication, the nurse anticipates that which laboratory test will be prescribed?

Triglyceride level

The client who is seropositive for human immunodeficiency virus (HIV) has been taking ritonavir. The nurse tells the client that which follow-up laboratory study will be necessary while taking this medication?

Triglyceride level

A 2-year-old with Pneumocystis jiroveci pneumonia is to begin treatment with highly active antiretroviral therapy (HAART). The nurse anticipates that the primary health care provider will prescribe which combination?

Two nucleoside analogues and one protease inhibitor

The nurse administered intravenous bumetanide to a client being treated for heart failure. Which outcome indicates that the medication has achieved the expected effect?

Urine output increases from 10 mL/hr to greater than 50 mL hourly.

The nurse is preparing to administer heparin sodium subcutaneously. Which nursing action is the most appropriate?

Use a 25- to 27-gauge, ½-inch (1.3 cm) needle.

A child has been prescribed tetracycline hydrochloride. The nurse providing medication information to the parent would plan to emphasize which instruction about giving this medication to the child?

Use a straw when giving the medication.

The nurse is creating a plan of care for a client who is receiving amphotericin B intravenously. A main component of the plan of care is monitoring for adverse effects related to the administration of this medication. Which would the nurse include in a list of manifestations to watch for?

Visual difficulties

A client with severe acne is seen in the clinic, and the primary health care provider (PHCP) prescribes isotretinoin. The nurse reviews the client's medication record and would collaborate with the PHCP about the prescription if the client is also taking which medication?

Vitamin A

A client with gastroesophageal reflux disease has a new prescription for metoclopramide. On review of the chart, the nurse identifies that this medication can be safely administered with which condition?

Vomiting following cancer chemotherapy

A calcium carbonate antacid has been prescribed for a client, and the nurse provides instructions to the client about the medication. The nurse would tell the client that it is best to take the antacid with which item?

Water

Levofloxacin is prescribed for a client. While teaching the client about the medication, what would the nurse tell the client to take the medication with?

Water

Azithromycin is prescribed for a client. The nurse provides instructions to the client about the medication and emphasizes that it is best to take the medication with which item?

Water on an empty stomach

The nurse is providing instructions to a client with chronic atrial fibrillation who is being started on quinidine sulfate. The nurse would plan to provide which instruction to the client?

Wear a MedicAlert bracelet.

A burn client has been having 1% silver sulfadiazine applied to burns twice a day for the past 3 days. Which laboratory abnormality indicates that the client is experiencing a side or adverse effect of this medication?

White blood cell count of 3000 mm3 (3 × 109/L)

Silver sulfadiazine is prescribed for a client with a burn injury. Which laboratory finding requires the need for follow-up by the nurse?

White blood cell count of 3000 mm3 (3.0 × 109/L)

Ketoconazole is prescribed for a client. The nurse prepares to administer the medication by which method?

With food

Aluminum hydroxide is prescribed for a client with chronic kidney disease (CKD). The nurse would instruct the client to take this medication at what time?

With meals

The nurse is teaching a client how to mix regular insulin and NPH insulin in the same syringe. Which action, if performed by the client, indicates the need for further teaching?

Withdraws the NPH insulin first

The nurse is teaching a client with diabetes mellitus how to mix regular insulin and NPH insulin in the same syringe. Which action, if performed by the client, indicates the need for further teaching?

Withdraws the NPH insulin first

A 56-year-old adult client with heart failure is receiving digoxin. The nurse is auscultating the apical heart rate before giving digoxin and notes that the heart rate is 48 beats/minute. Which action would the nurse take?

Withhold the digoxin, and assess for signs of decreased cardiac output and digoxin toxicity.

The nurse is about to administer the next intravenous dose of tobramycin when the client complains of vertigo and a ringing in the ears. What is the most appropriate nursing action?

Withhold the dose and call the primary health care provider (PHCP).

A primary health care provider (PHCP) writes a prescription for digoxin, 0.25 mg daily. The nurse teaches the client about the medication and tells the client that it is most important to be sure to implement which measure?

Withhold the medication and call the PHCP if the pulse is slower than 60 beats/min.

The nurse monitors the client taking octreotide acetate for acromegaly for which most common side or adverse effect of this medication?

Diarrhea

A client has an as-needed prescription for loperamide hydrochloride. For which condition would the nurse administer this medication?

An episode of diarrhea

A client with gastroenteritis has an as-needed prescription for loperamide hydrochloride. For which condition would the nurse administer this medication?

An episode of diarrhea

A client has been given a prescription for sulfasalazine. Which allergy would the nurse assess for in the client prior to administration?

Sulfonamides or salicylates

The home care nurse instructs a client on how to administer enoxaparin subcutaneously. Which statement, if made by the client, indicates an understanding of how to administer this medication?

"A syringe that has a small 5/8 in (1.5 cm) needle is used to administer the injection."

A client is admitted to the emergency department with a diagnosis of myocardial infarction (MI). The primary health care provider (PHCP) prescribes the administration of alteplase. The registered nurse (RN) preceptor is orienting a new RN in the use of this medication. Which statement by the new RN indicates that teaching has been effective?

"Administer the medication within 4 to 6 hours after onset of chest pain."

The nurse notes that a client is taking lansoprazole. Which question by the nurse helps to determine that this medication is effective?

"Are you experiencing any heartburn?"

The nurse is preparing to give a client directions for proper use of aluminum hydroxide tablets. Which instruction would the nurse provide to the client?

"Chew the tablet thoroughly and then drink 8 ounces of water."

The nurse provides instructions to a client who has a prescription for ticlopidine. Which statement made by the client indicates a need for further teaching?

"Food will affect the medication, so I need to take the medication on an empty stomach."

The nurse is caring for a client receiving gentamicin intravenously. What statement made by the client would most concern the nurse?

"I am experiencing ringing in my ears."

The nurse is providing education to a client who is being started on atenolol. Which statement by the client indicates that teaching has been effective?

"I am taking this medication for hypertension."

A hypertensive client has been prescribed clonidine hydrochloride, a transdermal patch. The nurse provides written instructions to the client on the use of the patch. Which statement by the client indicates the need for further instruction?

"I need to change the patch every 24 hours."

The nurse is providing discharge teaching for a client newly diagnosed with type 2 diabetes mellitus who has been prescribed metformin. Which client statement indicates the need for further teaching?

"I need to constantly watch for signs of low blood sugar."

The nurse is caring for a client after insertion of an implanted insulin pump. Which statement by the client indicates a need for further instruction?

"I need to make sure I still give my insulin before I eat."

A medication has been prescribed for a client with hypoparathyroidism for management of hypocalcemia. The client arrives at the clinic for follow-up evaluation and complains of chronic constipation since beginning the medication. The nurse provides information to the client regarding measures to alleviate the constipation and determines that the client needs additional information when the client makes which statement?

"I will add ½ ounce of mineral oil to my daily diet."

Collagenase is prescribed for a client with a severe burn to the hand. The home care nurse provides instructions to the client regarding the use of the medication. Which client statement indicates an accurate understanding of the use of this medication?

"I will apply the ointment once a day and cover it with a sterile dressing."

The nurse asks a nursing student to describe the procedure for administering erythromycin ointment to the eyes of a newborn. Which student statement indicates that further teaching is needed about administration of the eye medication?

"I will flush the eyes after instilling the ointment."

Mineral oil has been prescribed for constipation in a pediatric client, and the nurse teaches about administration of the mineral oil. Which statement by the parent indicates that teaching was effective?

"I will mix the mineral oil with a chilled drink before administration."

A nurse caring for a 23-year-old client newly diagnosed with type 1 diabetes mellitus teaches the client insulin administration. Which statement by the client indicates a need for further teaching?

"I will rotate my insulin injection between my arms, thighs, and abdomen on a daily basis."

A client with chronic atrial fibrillation is being started on quinidine sulfate as maintenance therapy for dysrhythmia suppression, and the nurse provides instructions to the client about the medication. Which statement by the client indicates a need for further instruction?

"I will stop taking the prescribed anticoagulant after starting this new medication."

Cortisone acetate is prescribed for a client with adrenal insufficiency. The nurse provides instructions to the client regarding the medication. Which statement, if made by the client, indicates a need for further instruction?

"I will stop the medication when I feel better."

The nurse provides discharge instructions to a client with atrial fibrillation who is taking warfarin sodium. Which statement by the client reflects the need for further teaching?

"I will take coated aspirin for my headaches."

A client with constipation has been directed to take oral bisacodyl. The nurse instructs the client on how to receive the most rapid effect from the medication. The client demonstrates understanding of use of this medication by stating that which method will produce the most rapid effect?

"I will take it on an empty stomach."

A client receives education regarding self-administration of enoxaparin on discharge to home. The client complains, "I feel as if the primary health care provider is discharging me too soon if I still have to take injections at home." Which response would the nurse make?

"Research shows that it is best for clients to administer this medication at home rather than stay in the hospital."

The nurse provides medication instructions to a client who has a prescription for sucralfate to be taken 4 times daily. Which statement by the client indicates teaching was effective?

"Side effects are minimal, and I need to take it an hour before meals and at bedtime."

The nurse is providing instructions to the client newly diagnosed with diabetes mellitus who has been prescribed pramlintide. Which instruction would the nurse include in the discharge teaching?

"Take your prescribed pills 1 hour before or 2 hours after the injection."

A topical corticosteroid is prescribed for an infant with dermatitis in the gluteal area. The nurse provides instructions to the parent regarding the use of the medication. Which statement by the parent indicates an understanding of the use of the medication?

"The medication will help relieve the inflammation."

Thyroid replacement therapy is prescribed for the client diagnosed with hypothyroidism. The client asks the nurse when the medication will no longer be needed. Which is the appropriate nursing response?

"The medication will need to be continued for life."

A client with a peptic ulcer is diagnosed with a Helicobacter pylori infection. The nurse is teaching the client about the medications prescribed, including clarithromycin, esomeprazole, and amoxicillin. Which statement by the client indicates the best understanding of the medication regimen?

"The medications will kill the bacteria and stop the acid production."

A primary health care provider (PHCP) prescribes warfarin sodium for a client. The home care nurse visits the client at home and teaches the client about the medication and its administration. Which statement by the client indicates a need for further teaching?

"The urine normally changes to orange."

A client has just been given a prescription for diphenoxylate with atropine. The nurse determines that the client understands important information about this medication if the client makes what statement?

"This medication contains a habit-forming ingredient."

Abacavir has been prescribed for a client, and the nurse provides instructions about the medication. Which statement by the client indicates the need for further instruction?

"This medication will reduce the risk of transmitting the infection to others."

The nurse has given instructions to a client with biliary disease who has just been prescribed cholestyramine. Which statement by the client indicates a need for further instruction?

"This medication would only be taken with water."

The nurse has given the client with atrial fibrillation instructions to take 1 aspirin daily. The client says to the nurse, "Why do I need to take this? I don't get any pain with my heart rhythm. "Which response by the nurse is the most appropriate?

"This will help prevent clot formation in your heart as a result of your heart's rhythm."

A client with glaucoma is receiving acetazolamide. The nurse educator provides education to a group of nurses about the indications for and effect of this medication. Which statement by one of the nurses indicates that the teaching has been effective?

"This works to decrease intraocular pressure."

A client scheduled to take a subcutaneous anticoagulant at home says to the nurse, "I'm not sure I will be able to take this medication at home." Which statement by the nurse is appropriate?

"What are your concerns about taking this medication at home?"

The nurse is providing dietary instructions to the client with anemia. The client tells the nurse that the iron pills are very expensive and that it will be difficult to pay for the pills and buy the proper food. What is the most appropriate nursing response?

"Would you like for me to check into some other options for you?"

The nurse teaches the client who is newly diagnosed with diabetes insipidus about the prescribed intranasal desmopressin. Which statements by the client indicate understanding? Select all that apply.

- "I need to decrease my oral fluids when I start this medication." - "I need to report headache and drowsiness to my doctor since these symptoms could be related to my desmopressin."

Potassium chloride intravenously is prescribed for a client with hypokalemia. Which actions would the nurse take to plan for preparation and administration of the potassium? Select all that apply.

- Obtain an intravenous (IV) infusion pump. - Monitor urine output during administration. - Monitor the IV site for signs of infiltration or phlebitis. - Ensure that the medication is diluted in the appropriate volume of fluid. - Ensure that the bag is labeled so that it reads the volume of potassium in the solution.

The nurse is preparing to care for a client admitted to the emergency department with a diagnosis of diabetic ketoacidosis (DKA). The nurse gathers supplies and obtains which type of insulin, anticipating that it will be initially prescribed for the client? Click on the image to indicate your answer.

1

A client with hypertension has a new prescription for a medication called moexipril. The nurse plans to provide written directions that tell the client to take the medication at which time?

1 hour before meals

Azithromycin has been prescribed for a client. The nurse would instruct the client to take the medication in which way?

1 hour before meals

A client has a prescription for sucralfate, orally 4 times daily. The nurse writes which schedule for this medication on the medication administration record?

1 hour before meals and at bedtime

A client with diabetes mellitus is self-administering NPH insulin from a vial that is kept at room temperature. The client asks the nurse about the length of time an unrefrigerated vial of insulin will maintain its potency. What is the most appropriate response to the client?

1 month

The nurse monitors the blood glucose level of the client who received NPH insulin at 7:00 a.m. with an understanding that the client may experience a hypoglycemic reaction during which time frame?

11:00 a.m. to 7:00 p.m.

A pregnant client who has human immunodeficiency virus (HIV) infection is being seen in the antenatal clinic. The nurse expects the primary health care provider (PHCP) to initiate zidovudine at how many weeks of gestation?

14

A client with diabetes mellitus received 20 units of Humulin N insulin subcutaneously at 0800. At what time would the nurse plan to assess the client for a hypoglycemic reaction?

1700

A client received 20 units of Humulin N insulin subcutaneously at 08:00. At what time would the nurse plan to assess the client for a hypoglycemic reaction?

17:00

A client with a history of heart failure who is receiving digoxin daily has a serum potassium level of 3 mEq/L (3 mmol/L) and is complaining of anorexia. The primary health care provider orders a serum digoxin level to be done. The nurse checks the results and would expect to note which level that is outside the therapeutic range?

2.2 ng/mL

A client who is receiving digoxin daily has a serum potassium level of 3 mEq/L (3 mmol/L) and reports anorexia. The cardiologist prescribes a serum digoxin level to be done. Which level would the nurse recognize as being outside of the therapeutic range?

2.2 ng/mL (2.8 nmol/L)

The nurse is reviewing the laboratory results for a client who arrives at the health care clinic for follow-up assessment after being diagnosed with atrial fibrillation. The international normalized ratio (INR) is analyzed because the client has been taking warfarin sodium since discharge from the hospital. The nurse determines that the INR range is at an appropriate level if what value is noted on the laboratory report?

2.3

The nurse is monitoring the laboratory test results for a client who is taking warfarin sodium after mechanical heart valve replacement. The nurse would expect the international normalized ratio (INR) for this client to be at what value in order to be therapeutic?

3.0

The nurse is caring for a client admitted to the hospital who is receiving an aminoglycoside twice a day, intravenously, for an infection. The nurse is planning to obtain blood for a peak aminoglycoside level. When would the blood be drawn?

30 minutes after completing the infusion

A client admitted to the medical nursing unit has a diagnosis of gastroesophageal reflux disease (GERD). Metoclopramide has been prescribed 4 times a day. When would the nurse schedule administration of the medication?

30 minutes before meals and at bedtime

A hospitalized client with diabetes mellitus receives NPH insulin in the morning. The nurse monitors the client for hypoglycemia, knowing that the peak action is expected to occur how soon after the medication administration?

4 to 12 hours after administration

The adult client with hepatic encephalopathy has a serum ammonia level of 200 mcg/dL (120 mcmol/L) and receives treatment with lactulose. The nurse determines that the client had the best and most realistic response if the serum ammonia level changed to which value after medication administration?

90 mcg/dL (54 mcmol/L)

A client arrives at the clinic complaining of fatigue, lack of energy, constipation, and depression. Hypothyroidism is diagnosed, and levothyroxine is prescribed. What is an expected outcome of the medication?

Achieves normal thyroid hormone levels

The nurse administers 20 units of insulin isophane recombinant to a hospitalized client with diabetes mellitus at 7:00 a.m. The nurse would monitor the client most closely for a hypoglycemic reaction at which time?

4:00 p.m.

A client with severe preeclampsia is receiving intravenous magnesium sulfate. The nurse is reviewing the laboratory results and determines that which magnesium level is within the therapeutic range?

5 mEq/L (2.5 mmol/L)

Somatropin, a growth hormone, is prescribed for a client. The nurse reviews the assessment data in the client's health record, knowing that the medication would be contraindicated for which client?

A 20-year-old with growth failure

The client is receiving tobramycin intravenously every 8 hours. Which finding would indicate to the nurse that the client is experiencing an adverse medication effect?

A blood urea nitrogen (BUN) level of 30 mg/dL (10.8 mmol/L)

The nurse is monitoring a client receiving glipizide. The nurse knows that which finding would indicate a therapeutic outcome for this client?

A decrease in polyuria

A client has begun medication therapy with pancrelipase. Which finding indicates that the medication has been effective?

A decrease in the amount of fat in the stools

The nurse is reviewing the assessment findings for a client who has been taking spironolactone for treatment of hypertension. Which, if noted in the client's record, would indicate that the client is experiencing an adverse effect related to the medication?

A potassium level of 5.8 mEq/L (5.8 mmol/L)

A client has been told by a primary health care provider to take psyllium daily. The nurse would tell the client to take the medication with which item?

A total of two glasses of liquid

A burn-injured client is receiving treatments of topical mafenide acetate to the site of injury. The nurse would monitor the client for which systemic effect that can occur from the use of this medication?

Acidosis

The nurse is caring for a postpartum client with a diagnosis of deep vein thrombosis who is receiving a continuous intravenous infusion of heparin sodium. Review of which laboratory result is the most important by the nurse?

Activated partial thromboplastin time (aPTT)

A client with atrial fibrillation is receiving a continuous heparin infusion at 1000 units/hour. The nurse determines that the client is receiving the therapeutic effect based on which results?

Activated partial thromboplastin time of 60 seconds

A client with atrial fibrillation is receiving a continuous heparin infusion at 1000 units/hr. Which result would indicate to the nurse that the client is receiving a therapeutic dose?

Activated partial thromboplastin time of 60 seconds

A client has begun taking a stimulant laxative. In monitoring the client for medication side and adverse effects, the nurse is likely to note which finding?

Abdominal cramps

A nurse is providing teaching regarding acarbose. The nurse would tell the client that which expected side or adverse effect(s) may occur with this medication?

Abdominal distention and diarrhea

A client diagnosed with severe preeclampsia is receiving magnesium sulfate by continuous intravenous infusion. Which assessment finding would indicate that the medication should be discontinued?

Absence of deep tendon reflexes

A client has been given lansoprazole for the chronic management of Zollinger-Ellison syndrome. The nurse instructs the client to take which product for pain while taking this medication?

Acetaminophen

A client is taking lansoprazole. The nurse anticipates that the primary health care provider will advise the client to take which product if needed for a headache?

Acetaminophen

A client is taking ticlopidine hydrochloride. The nurse would tell the client to avoid which substance while taking this medication?

Acetylsalicylic acid

A client arrives at the clinic complaining of fatigue, lack of energy, constipation, and depression. Following diagnostic studies, hypothyroidism is diagnosed and levothyroxine is prescribed. The nurse informs the client that which is the expected outcome of the medication?

Achieve normal thyroid hormone levels.

A client is diagnosed with herpes simplex virus type 1 (HSV 1). The primary health care provider prescribes a topical medication for treatment. The nurse anticipates that which medication will be prescribed?

Acyclovir

A hospitalized client with a history of angina pectoris complains of substernal chest pain. The nurse checks the client's blood pressure and administers nitroglycerin, gr 1/4 sublingually. Five minutes later, the client is still experiencing chest pain. If the blood pressure remains stable, the nurse would take which action next?

Administer another nitroglycerin tablet.

A client with diabetes mellitus calls the clinic and reports being nauseated during the night. The client asks the nurse if the morning insulin would be administered. Which is the most appropriate nursing response?

Administer the full dose as prescribed.

The nurse notes a persistent dry cough in an adult client being seen in the ambulatory clinic. When questioned, the client states that the cough began approximately 2 months ago. On further assessment, the nurse learns that the client began taking quinapril shortly before the time that the cough began. How would the nurse interpret the development of the cough?

An expected although bothersome side effect of therapy

A primary health care provider has just prescribed foscarnet to be given intravenously. The nurse would obtain which piece of equipment to administer this medication?

An infusion pump

Atenolol has been prescribed for a hospitalized client. The nurse would check which item before administering this medication?

Apical heart rate

Glyburide is prescribed for a client with type 2 diabetes mellitus. What is the most important instruction the nurse would provide to the client?

Assess for signs of hypoglycemia.

A client is receiving tacrolimus to prevent organ rejection. Which is a nursing consideration associated with this medication?

Assess platelet count for thrombocytopenia.

The nurse is monitoring a client receiving muromonab-CD3. Which finding is a priority assessment required in monitoring for adverse effects of this medication?

Assessing lung sounds

Rho(D) immune globulin is prescribed for a client after delivery, and the nurse provides information to the client about the purpose of the medication. The nurse determines that the client understands the purpose if the client states that it will protect the next baby from which condition?

Being affected by Rh incompatibility

A client in preterm labor (31 weeks) who is dilated to 4 cm has been started on magnesium sulfate, and contractions have stopped. If the client's labor can be inhibited for the next 48 hours, the nurse anticipates a prescription for which medication?

Betamethasone

A home care nurse is visiting a client who was discharged to home with a prescription for continued administration of enoxaparin subcutaneously. What is the nurse's priority assessment for this client?

Bleeding gums or bruising

A client with portosystemic encephalopathy is receiving oral lactulose daily. The nurse would check which item to determine that this medication has been effective?

Blood ammonia level

Cyclosporine is prescribed for the client following allogenic kidney transplantation. The nurse would provide which instruction to the client regarding the medication?

Blood levels of the medication will need to be measured periodically.

A client has been prescribed betaxolol eye drops for the treatment of glaucoma. The ambulatory care nurse determines that the client understands proper medication use if the client states the need to return to the office for monitoring of what item?

Blood pressure

A client is scheduled for a dose of ramipril. The nurse would check which measurement before administering the medication?

Blood pressure

A client is scheduled to receive a first dose of pentamidine intravenously. What would the nurse plan to carefully monitor as the priority during administration of the first dose?

Blood pressure

The nurse is performing an admission assessment on a client who has a history of glaucoma and uses latanoprost eye drops. Which assessment finding would indicate a side/adverse effect of these eye drops?

Brown pigmentation of the iris

A client is receiving zalcitabine. The nurse would monitor the results of which study to determine the effectiveness of this medication?

CD4+ cell count

A nurse is caring for a client with a diagnosis of hyperthyroidism. Laboratory studies are performed, and the serum calcium level is 12.0 mg/dL (3 mmol/L). Which medication would the nurse anticipate to be prescribed for the client?

Calcitonin

The nurse prepares to teach a client with subarachnoid hemorrhage about the effects of nimodipine. The nurse plans to explain which information about the type and action of this medication?

Calcium channel blocker that will decrease spasm in cerebral blood vessels

A client who is scheduled to have warfarin sodium therapy has a prothrombin time (PT) of 28 seconds (28 seconds). What is the most appropriate nursing intervention at this time?

Call the primary health care provider (PHCP).

The primary health care provider (PHCP) writes a prescription for atorvastatin for a client who was admitted to the hospital. The nurse contacts the PHCP to verify the prescription if which finding is noted in the assessment data?

Carcinoid of the liver

A client having a myocardial infarction is receiving alteplase therapy. Which action would be carried out by the nurse to monitor for the most frequent side/adverse effect?

Check for signs of bleeding.

Atenolol hydrochloride is prescribed for a hospitalized client. The nurse would perform which action as a priority before administering this medication?

Check the client's blood pressure.

A client with glaucoma is given a prescription for a pilocarpine ocular system. The nurse plans to provide which instruction to the client on how to use the medication?

Check the eye each morning to make sure that the system is in place.

A client with Crohn's disease is scheduled to receive an infusion of infliximab. What intervention by the nurse will determine the effectiveness of treatment?

Checking the frequency and consistency of bowel movements

A client with a history of coronary artery disease has developed diabetes insipidus as a result of cranial surgery. The client's medication therapy will include vasopressin. The nurse monitors this client most carefully for which sign or symptom that indicates a side or adverse effect of this medication?

Chest pain

The nurse is providing instructions to the client who is taking antacid tablets. How would the nurse instruct the client to take this medication?

Chew the tablet thoroughly.

The nurse is caring for a client with a urinary tract infection (UTI). The culture report reveals the presence of Pseudomonas aeruginosa. The nurse anticipates that which medication will be prescribed to treat the infection?

Ciprofloxacin

Fenofibrate is prescribed for a client with hyperlipidemia. The nurse reviews the client's medical history for the presence of what condition that contraindicates the use of this medication?

Cirrhosis of the liver

A primary health care provider (PHCP) prescribes quinidine gluconate for a client. The nurse decides to withhold the medication and contact the PHCP if which assessment finding is documented in the client's medical record?

Complete atrioventricular (AV) block

A client with acquired immunodeficiency syndrome (AIDS) has been started on therapy with zidovudine. The nurse would monitor the results of which laboratory blood study for adverse effects of therapy?

Complete blood cell (CBC) count

Zidovudine has been prescribed for a client. The nurse would tell the client that which blood test will be done periodically while the client is taking this medication?

Complete blood cell (CBC) count

A client is told by the primary health care provider to take aluminum hydroxide as needed for heartburn. The nurse advises the client to watch for which common side effect of this medication?

Constipation

A client taking verapamil has been given information about side effects of this medication. The nurse determines that the client understands the information if the client states to watch for which most common side effect of this medication?

Constipation

A client with chronic kidney disease is receiving ferrous sulfate. The nurse instructs the client that which finding is a common side/adverse effect associated with this medication?

Constipation

A client with a burn injury is applying mafenide acetate cream to the wound. The client calls the primary health care provider's (PHCP's) office and tells the nurse that the medication is uncomfortable and is causing a burning sensation. The nurse would instruct the client to take which action?

Continue with the treatment, as this is expected.

Vasopressin is prescribed for a client with diabetes insipidus. The nurse would be particularly cautious in monitoring a client receiving this medication if the client has which preexisting condition?

Coronary artery disease

A client has been receiving foscarnet as part of therapy for the treatment of cytomegalovirus (CMV) retinitis and acquired immunodeficiency syndrome (AIDS). The home care nurse would periodically review results of which laboratory blood test to assess for adverse effects to this medication?

Creatinine concentration

The nurse is collecting data from a client with a history of renal transplantation. The nurse understands that which medication is the medication of choice for preventing organ rejection?

Cyclosporine

A client who has begun taking betaxolol demonstrates an effective response to the medication as indicated by which nursing assessment finding?

Decrease in blood pressure from 142/94 mm Hg to 128/82 mm Hg

An ambulatory care client with allergic dermatitis has been given a prescription for a tube of diphenhydramine 1% to use as a topical agent. The nurse determines that the medication was effective if which finding was noted?

Decrease in urticaria

A client is started on tolbutamide once daily. The nurse would instruct the client to monitor for which intended effect of this medication?

Decreased blood glucose

A client who began medication therapy with prazosin hydrochloride 1 week earlier arrives at the health care clinic for follow-up evaluation and care. The nurse interprets that the client is experiencing the expected benefit of therapy if which is noted?

Decreased blood pressure

A client is receiving scheduled doses of lovastatin. The nurse determines that the medication is having the intended effect if which is noted?

Decreased cholesterol level

A sulfonamide is prescribed for a client with a urinary tract infection. The client has diabetes mellitus and is receiving tolbutamide. Because the client will be taking these two medications, which prescription would the nurse anticipate for this client?

Decreased dosage of tolbutamide

A client with a severe allergic reaction is prescribed intravenous corticosteroids. The nurse would expect that which desired effect will be achieved?

Decreased inflammation

Atenolol has been prescribed for a client with hypertension, and the client asks the nurse about the side effects of the medication. What would the nurse tell the client is an occasional side effect of this medication?

Decreased libido

Lactulose is prescribed for a client with a diagnosis of hepatic encephalopathy. The nurse would determine that this medication is effective if serum diagnostics reveal which finding?

Decreased serum ammonia level

A client is receiving amphotericin B by the intravenous (IV) route. During ongoing therapy with this medication, the nurse would most closely assess the client for which finding that indicates a complication?

Decreased urine output

The nurse in the postpartum unit notes that a new parent was given methylergonovine intramuscularly following delivery. What assessment finding indicates that the medication was effective?

Decreased uterine bleeding

The nurse is assigned to care for clients who take estrogen or progestins. For which complication would the nurse monitor these clients?

Deep vein thrombosis (DVT)

The nurse is caring for a client who was just admitted to the hospital for the treatment of iron overload. The nurse anticipates that the primary health care provider will prescribe which medication to treat the iron overload?

Deferoxamine

An aminoglycoside, given by intermittent intravenous infusion, is prescribed for a client with an infection. Which finding would indicate to the nurse that the client is experiencing an adverse effect of the medication?

Difficulty hearing

A client is prescribed a liquid iron preparation that has the potential to stain the teeth. The nurse would instruct the client to take which action to prevent staining of the teeth?

Dilute the iron in juice, drink it through a straw, and rinse the mouth afterward.

The nurse is preparing a dose of 10 units of regular insulin and 35 units of NPH insulin for a client with type 1 diabetes mellitus. The nurse obtains an insulin syringe, gently rotates the insulin solutions, cleans the tops of the vials of insulin, and injects an amount of air equal to the dose prescribed into each vial. What is the next nursing action?

Draws up 10 units of regular insulin and checks the syringe contents with another nurse before drawing up the NPH insulin

The nurse is providing discharge instructions to a client receiving trimethoprim-sulfamethoxazole. Which instruction would be included in the list?

Drink 8 to 10 glasses of water per day.

A client receives a dose of scopolamine. The nurse determines that which sign or symptom later displayed by the client is a result of medication side and adverse effects?

Dry mouth

A daily dose of prednisone is prescribed for a client. The nurse provides instructions to the client regarding administration of the medication and would instruct the client that which time is best to take this medication?

Early morning

A client is receiving heparin sodium by continuous intravenous (IV) infusion. The nurse would notify the primary health care provider if ongoing nursing assessment reveals which finding?

Ecchymosis

Gemfibrozil is prescribed for a client. Which laboratory finding would alert the nurse to the need to withhold the medication and contact the primary health care provider?

Elevated liver function tests

The clinic nurse is providing medication instructions to a client who will be receiving hydroxychloroquine sulfate. The nurse instructs the client about the importance of returning to the clinic in 6 months for which follow-up test?

Eye examination

The nurse is teaching a client with hyperthyroidism about the prescribed medication, propylthiouracil. The nurse determines that teaching has been successful if the client states to report which symptom to the primary health care provider (PHCP)?

Fever

A client diagnosed with hypothyroidism is taking levothyroxine. The client returns to the clinic 1 week after beginning the medication and tells the nurse that the medication has not helped. What is the appropriate nursing response to the client?

Full therapeutic effect may take 1 to 3 weeks.

A client who is human immunodeficiency virus (HIV) seropositive has been taking stavudine. The nurse would monitor which most closely while the client is taking this medication?

Gait

A client who is human immunodeficiency virus seropositive has been taking stavudine. The nurse would monitor which most closely while the client is taking this medication?

Gait

Metformin is prescribed for a client with type 2 diabetes mellitus. The nurse would tell the client that which is the most common side or adverse effect of the medication?

Gastrointestinal (GI) disturbances

Metformin is prescribed for a client with type 2 diabetes mellitus. What is the most common side effect that the nurse would include in the client's teaching plan?

Gastrointestinal disturbances

A child with severe seborrheic dermatitis is receiving treatments of topical corticosteroid applied over an extensive area of the body, followed by the application of an occlusive dressing. The nurse would monitor the child closely, knowing that which systemic effect can occur as a result of this treatment?

Growth retardation

The nurse notes in the medication record that a client is taking calcium carbonate chewable tablets. Based on the data, the nurse would ask the client about a history of which symptom?

Heartburn

A client with a history of duodenal ulcer is taking calcium carbonate chewable tablets. Which finding indicates that the client is experiencing optimal effects of the medication?

Heartburn is relieved.

A client with chronic kidney disease is receiving epoetin alfa. Which laboratory result would indicate a therapeutic effect of the medication?

Hematocrit of 33% (0.33)

The nurse notes that a client is receiving lamivudine. The nurse determines that this medication has been prescribed to treat which condition?

Human immunodeficiency virus (HIV)

The nurse is collecting subjective and objective data from a client and notes that the client is taking zidovudine. The nurse determines that this medication has been prescribed to treat which condition?

Human immunodeficiency virus (HIV) infection

The nurse is caring for a client who is receiving growth hormone replacement therapy. The nurse monitors the client for which adverse effect of this therapy?

Hyperglycemia

The nurse is administering a dose of triamterene to a client with heart failure. What is the most significant adverse effect of this medication for which the client would be monitored?

Hyperkalemia

The nurse is reviewing the record of a client who arrives at the health care clinic. The nurse notes that irbesartan has been prescribed for the client. The nurse would suspect that the client has which condition?

Hypertension

The primary health care provider (PHCP) writes a prescription for lisinopril for a hospitalized client with hypertension. The nurse caring for the client determines that the medication has been prescribed to treat which disorder?

Hypertension

The nurse has the following prescription for a postcraniotomy client: "dexamethasone 4 mg by the intravenous (IV) route now." How does the nurse administer the medication?

IV push over 1 minute

A client has been prescribed pindolol for hypertension. The nurse provides anticipatory guidance, knowing that which common side effect of this medication may decrease client compliance?

Impotence

The nurse gave an intramuscular dose of methylergonovine to a client following delivery of an infant. The nurse determines that this medication had the intended effect if which finding is noted?

Improved uterine tone

Azathioprine is prescribed for a client to suppress rejection of a renal transplant. In planning for administration of the medication, the nurse understands that which description is the mechanism of action of this medication?

It inhibits the proliferation of B and T lymphocytes.

The physician prescribed tetracycline for a 5-year-old pediatric client. The nurse questions this prescription for what reason?

It is contraindicated in children younger than 8 years of age.

Mafenide acetate is prescribed for a client with a burn injury to the hand. Which would the nurse include in the instructions to the client regarding the use of this medication?

It is normal to experience local discomfort and stinging and burning after the medication is applied.

The nurse is reviewing the prescriptions for a newly admitted client. The nurse sees a prescription for intravenous pantoprazole but does not see any gastrointestinal conditions in the medical record. How would the nurse interpret this prescription?

It is used as a prophylactic measure.

Atorvastatin has been prescribed for a client. The nurse tells the client that which blood test will be done periodically while the client is taking this medication?

Liver function studies

The nurse has conducted medication instructions with a client receiving lovastatin. Which periodic blood study will be necessary and included in the client's instructions?

Liver function studies

Abacavir has been prescribed for a client. The nurse tells the client that which blood test will be done periodically while the client is taking this medication?

Liver function tests

A client is experiencing diarrhea. The nurse reviews the client's "as needed" (PRN) medication prescription sheet and would plan to administer which medication for this problem?

Loperamide

The nurse provides instructions to a client who will be taking cyclosporine oral solution. Which action would the nurse tell the client to do?

Mix the concentrate with orange juice.

A client who has had a myocardial infarction has a prescription to take a powdered form of psyllium after discharge. The nurse would plan to include which information when teaching the client about this medication?

Mix the medication with a full glass of water or juice.

A client with recurrent constipation has been prescribed psyllium, powdered form. Teaching provided by the nurse would include which instruction?

Mix the powder with a full glass of water or juice followed by drinking an additional glass of liquid.

Cyclosporine is prescribed to be administered by the intravenous (IV) route. Which is an inappropriate action in preparing and administering this medication?

Mixing 1 mL of concentrate in 10 mL of 0.9% sodium chloride and administering by bolus injection

A client is diagnosed with an ST segment elevation myocardial infarction (STEMI) and is receiving a tissue plasminogen activator, alteplase. Which action is a priority nursing intervention?

Monitor for signs of bleeding.

The nurse would educate the client receiving pravastatin to immediately report which finding?

Muscle pain

A client in the postanesthesia care unit (PACU) has a prescription for droperidol. The nurse determines that this medication has been prescribed to treat which condition?

Nausea

Abacavir has been prescribed for a client, who asks the nurse about the side effects of the medication. What would the nurse tell the client is a frequent side effect of this medication?

Nausea

A client has an as-needed prescription for ondansetron. For which condition(s) would the nurse administer this medication?

Nausea and vomiting

A client has received a dose of dimenhydrinate. The nurse evaluates the effect of the medication by noting whether the client obtained relief from what symptom?

Nausea and vomiting

A client has received a dose of dimenhydrinate. The nurse would observe relief of what sign or symptom to evaluate that the medication has been effective?

Nausea and vomiting

A client with gastroenteritis has an as-needed prescription for ondansetron. For which condition(s) would the nurse administer this medication?

Nausea and vomiting

The nurse is educating a client about medroxyprogesterone. The nurse would provide the client with which information about the medication?

Needs to be administered intramuscularly every 3 months

The nurse is caring for a client with heart failure who was prescribed furosemide. The nurse would monitor the client for damage of which kidney structure?

Nephron

A client admitted to the hospital is taking zidovudine. The nurse monitors the client for which adverse effect of the medication?

Neurotoxicity

The nurse is reviewing the primary health care provider's (PHCP's) prescriptions for a client recently admitted to the hospital and notes that the PHCP has prescribed ticlopidine therapy. Which finding on the client's record would indicate a need to contact the PHCP before initiating the medication prescription?

Neutropenia

The nurse is reviewing the laboratory test results for a client who is receiving filgrastim. Which reported value would indicate an effective response to this medication?

Neutrophil count of 10,000 mm3 (10 × 109/L)

A client with a gastric ulcer has a prescription for sucralfate 1 gram by mouth 4 times daily. The nurse would schedule the medication for which times?

One hour before meals and at bedtime

A nurse is administering a prescribed dose of dexamethasone to a client following cranial surgery. Which would the nurse implement to assess for a common side effect of this medication?

Perform blood glucose monitoring.

Methylergonovine is prescribed for a client with postpartum hemorrhage. Before administering the medication, the nurse would contact the obstetrician who prescribed the medication if which condition is documented in the client's medical history?

Peripheral vascular disease

Methylergonovine is prescribed for a client with postpartum hemorrhage. Before administering the medication, the nurse would contact the primary health care provider who prescribed the medication if which condition is documented in the client's medical history?

Peripheral vascular disease

The nurse is caring for a client who is receiving dopamine. Which potential problem is a priority concern for this client?

Peripheral vasoconstriction

The nurse is providing medication information to a client who is beginning medication therapy with enalapril. The nurse would tell the client that which is an anticipated, although unpleasant, side effect of this medication?

Persistent dry cough

Cyclosporine is prescribed for a client who received a kidney transplant. The nurse would be most concerned if a review of the medical record revealed that the client currently is taking which prescribed medication?

Phenytoin

The client in the preoperative holding area has been given a dose of scopolamine. Which intended effect is this medication likely being used for with this client?

Preanesthetic amnesia

A client with diabetes mellitus visits a health care clinic. The client's diabetes mellitus previously had been well controlled with glyburide daily, but recently the fasting blood glucose level has been 180 to 200 mg/dL (10 to 11.1 mmol/L). Which medication, if added to the client's regimen, may have contributed to the hyperglycemia?

Prednisone

A client with diabetes mellitus visits a health care clinic. The client's diabetes mellitus previously had been well controlled with glyburide daily, but recently the fasting blood glucose level has been 180 to 200 mg/dL (10.2 to 11.4 mmol/L). Which medication, if added to the client's regimen, may have contributed to the hyperglycemia?

Prednisone

A client is receiving ganciclovir. Which nursing action is appropriate during the time the client is receiving this medication?

Providing the client with a soft toothbrush and an electric razor

A client is being discharged to home with enoxaparin for short-term therapy. What would the nurse explain to the family about the medication action?

Reduces the risk of deep vein thrombosis

A client has begun medication therapy with pancrelipase. The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed?

Reduction of steatorrhea

A client with chronic pancreatitis has begun medication therapy with pancrelipase. The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed?

Reduction of steatorrhea

A client is taking docusate sodium. Which finding by the nurse indicates that treatment has been effective?

Regular bowel movements

The emergency department nurse is caring for a client admitted with diabetic ketoacidosis. The physician prescribes intravenous (IV) insulin. The nurse plans to prepare which type of insulin for the client?

Regular insulin

A client who uses nonsteroidal anti-inflammatory drugs (NSAIDs) has been taking misoprostol. The nurse determines that the misoprostol is having the intended therapeutic effect if which finding is noted?

Relief of epigastric pain

A client with gastritis who uses nonsteroidal antiinflammatory drugs (NSAIDs) has been taking misoprostol. The nurse determines that the misoprostol is having the intended therapeutic effect if which finding is noted?

Relief of epigastric pain

Dapsone is prescribed for a client with acquired immunodeficiency syndrome (AIDS) for the treatment of toxoplasmosis. The nurse provides medication instructions and determines that the client understands the instructions if the client states that which action is necessary?

Report a sore throat to the primary health care provider (PHCP).

A client with preeclampsia is receiving magnesium sulfate. The nurse would assess the client closely for which sign of magnesium toxicity?

Respiratory rate of 10 breaths/minute

A client is scheduled to take ticlopidine. The nurse plans to take which action before implementing this medication therapy?

Review the results of the complete blood cell (CBC) count.

Lisinopril has been prescribed for a client with hypertension. What would the nurse instruct the client about this medication?

Rise slowly from a reclining to a sitting position.

A woman with preeclampsia is receiving magnesium sulfate. Which indicates to the nurse that the magnesium sulfate therapy is effective?

Seizures do not occur.

The nurse is reviewing the results of serum laboratory studies drawn on a client with acquired immunodeficiency syndrome (AIDS) who is receiving didanosine. The nurse interprets that the client may have the medication discontinued by the primary health care provider if which elevated result is noted?

Serum amylase level

The nurse is reviewing the results of serum laboratory studies drawn on a client with acquired immunodeficiency syndrome who is receiving didanosine. The nurse interprets that the client may have the medication discontinued by the primary health care provider if which elevated result is noted?

Serum amylase level

A client has been given a prescription for a course of azithromycin. The nurse would tell the client that this medication will relieve which problem?

Signs and symptoms of infection

A client is receiving acyclovir by the intravenous (IV) route for treatment of cytomegalovirus (CMV) infection. After reconstituting the powder dispensed by the pharmacy, the nurse would administer this medication via which method?

Slow IV infusion over 1 hour

Atenolol has been prescribed for a client, and the client asks the nurse about the action of the medication. How would the nurse respond regarding the action of this medication?

Slows the heart rate

Zidovudine has been prescribed for a client who asks the nurse about the action of the medication. The nurse responds that this medication performs which function?

Slows the replication of human immunodeficiency virus (HIV)

A client who has been taking iodine solution is admitted to the emergency department, and an iodine overdose is suspected. Gastric lavage is initiated to remove the iodine from the stomach. In addition to treatment with gastric lavage, the nurse anticipates that which medication will be administered?

Sodium thiosulfate

Glyburide daily is prescribed for a client. What instruction would the nurse include in the client's teaching plan?

Take the medication in the morning before breakfast.

A client who has been diagnosed with pneumonia has been given a prescription for erythromycin. Client teaching about this medication would include which best instruction?

Take the medication on an empty stomach.

Acarbose is prescribed for a client diagnosed with type 2 diabetes mellitus. What would the nurse include in the client's instructions?

Take the medication with the first bite of each meal.

Acarbose is prescribed to treat a client with type 2 diabetes mellitus. Which instruction would the nurse provide when teaching the client about this medication?

Take the medication with the first bite of each regular meal.

The nurse is providing instructions to a client with a diagnosis of Addison's disease regarding the administration of prescribed glucocorticoids. The nurse would provide which instruction to the client?

That an increased dose of medication may be needed during times of stress

What would the nurse teach a client about an expected outcome of nesiritide administration?

The client will have an increase in urine output.

The nurse provides instructions to a client with hypertension about newly prescribed furosemide. Which information would the nurse use to provide instructions in this teaching session?

The medication acts on the loop of Henle in the nephron.

A client receiving a dose of intravenous vancomycin begins to experience chills, tachycardia, syncope, and flushing of the face and trunk. What is the nurse's best interpretation of these findings?

The medication is infusing too rapidly.

Pancreatin is prescribed for a client with postgastrectomy syndrome. Which assessment finding would indicate a therapeutic effect of this medication?

The stool is less fatty and decreases in frequency.

A client who is taking a stimulant laxative develops abdominal cramps. The nurse interprets that this clinical manifestation most likely indicates the presence of which problem?

This is a common side effect of this medication.

A thrombolytic is administered in the hospital emergency department to a client who has had a myocardial infarction. The client's spouse asks the nurse about the purpose of the medication. The nurse bases the response on which fact regarding this medication?

Thrombolytics act to dissolve thrombi that have already formed.

A client is receiving somatropin. The nurse would monitor which most significant laboratory study during therapy with this medication?

Thyroid-stimulating hormone level

Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the client, knowing that which finding indicates the presence of systemic toxicity from this medication?

Tinnitus

The nurse is providing discharge instructions to the parent of a child who has been prescribed tetracycline hydrochloride. The nurse stresses to the mother the importance of which measure in giving this medication to the child?

Use a straw when giving the medication.

A pregnant client is receiving oxytocin for the induction of labor. The nurse would immediately discontinue the oxytocin infusion if which is noted in the client?

Uterine hyperstimulation

A client is receiving amoxicillin orally every 8 hours. Which finding would indicate to the nurse that the client is experiencing a frequent minor side effect related to the medication?

Vaginal drainage

A client with a respiratory tract infection is receiving intravenous tobramycin sulfate. The nurse would assess for which adverse effect of this medication?

Vertigo

A client is receiving tobramycin. The nurse evaluates that the medication therapy is effective if which laboratory test result is noted?

WBC count of 8000 mm3 (8 × 109/L) and a creatinine level of 0.9 mg/dL (79.5 mcmol/L)

A client is seen in the clinic for a complaint of scalp itching that has been persistent over the past several weeks. After an assessment, it is determined that the client has head lice. Permethrin shampoo is prescribed, and the nurse provides instructions to the client regarding the use of the medication. The nurse would tell the client to take which measure?

Wash, rinse, and towel-dry the hair before applying.

The primary health care provider (PHCP) prescribes semaglutide for a client with type 1 diabetes mellitus who takes insulin. The nurse would plan to take which most appropriate intervention?

Withhold the medication and call the PHCP, questioning the prescription for the client.

Potassium iodide is prescribed for a client with thyrotoxic crisis. The client calls a clinic nurse and complains of a brassy taste in the mouth. Which instruction would the nurse provide the client?

Withhold the medication and notify the primary health care provider (PHCP).

The nurse is caring for a postrenal transplantation client taking cyclosporine. The nurse notes an increase in one of the client's vital signs, and the client is complaining of a headache. What vital sign is most likely increased?

blood pressure

The primary health care provider prescribes the instillation of mydriatic eye drops to both eyes of a client. The nurse administers the eye drops and monitors the client for an effective response from the medication, as indicated by which response? Click on the image to indicate your answer.

blue eyes, big pupils

Pilocarpine hydrochloride is prescribed for a client with glaucoma. The nurse checks the medication supply room to ensure that atropine sulfate is available for administration in the event that systemic toxicity occurs from the use of pilocarpine hydrochloride. The nurse also monitors for which sign of systemic toxicity?

bradycardia

A man has developed atrial fibrillation and has been placed on warfarin. The nurse is doing discharge dietary teaching with the client and determines that the client needs additional education if he states that he would choose which food while taking this medication?

broccoli

A client taking an oral laxative wants to obtain a rapid effect from the medication. How would the nurse instruct the client to take the medication?

on an empty stomach