pharm pre tests
Enoxaparin (Lovenox) 40 mg subcutaneous is prescribed to be administered twice within 24 hours. Which times of administration are best for the practical nurse (PN) to give the injections?
0700 and 1900
Which International Normalized Ratio (INR) value indicates that warfarin (Coumadin) therapy is at a therapeutic range?
2.1 to 3.0
Dietary trays usually arrive on the hospital unit at 7:30 AM. When should the practical nurse (PN) plan to administer NPH insulin 40 units subcutaneously to a client with diabetes mellitus?
6:30 and 7:00 AM
Dietary trays usually arrive on the hospital unit at 7:30 AM. When should the practical nurse (PN) plan to administer NPH insulin 40 units subcutaneously to a client with diabetes mellitus?
6:30-7am
how many days before surgery should pt stop taking plavix
7 days
The practical nurse (PN) is caring for a client who is receiving hydromorphone (Dilaudid) per patient-controlled analgesia (PCA) pump at 1 mg/hour basal rate for postoperative pain. The PCA pump is programmed for a 0.1 mg bolus dose and the lock out time is 6 minutes. Which finding should the PN report to the charge nurse?
9/10 pain
The practical nurse (PN) is orienting a new nurse at the immunization clinic. What information provided by the new nurse indicates a need for further orientation?
A 40-year-old client is encouraged to receive yearly influenza and pneumonia vaccinations
The practical nurse (PN) is orienting a new nurse at the immunization clinic. What information provided by the new nurse indicates a need for further orientation?
A 40-year-old client is encouraged to receive yearly influenza and pneumonia vaccinations.
Which client situation requires a response from the practical nurse?
A client who takes metformin (Glucophage) is scheduled for a test using iodine dye
A client who is transferred to the cardiac rehabilitation unit after a myocardial infarction is ready for discharge with a new prescription for metoprolol (Lopressor). The client asks, "I don't have high blood pressure, so why did my healthcare provider give me this medicine?" What information should the practical nurse (PN) provide?
A slower heart rate reduces the heart's oxygen demand.
Glipizide (Glucotrol) 10 mg BID is prescribed for a client with type 2 diabetes mellitus. Breakfast is served at 0800, and dinner is served at 1700. Which action should the practical nurse (PN) implement?
Administer 30 minutes before a meal BID if capillary glucose is greater than 70 mg/dl
A client with type 2 diabetes mellitus receives glargine (Lantus) insulin 10 units every evening and lispro (Humalog) insulin 5 units TID. Which information should the practical nurse (PN) reinforce in a teaching session?
Administer Humalog 15 minutes before each meal.
A postoperative client is receiving hydromorphone (Dilaudid) via an epidural administration. The practical nurse (PN) notes the client is constantly scratching his arms. Which action should the PN take?
Administer diphenhydramine (Benadryl) PRN
A client returns to the postoperative unit with prescriptions for morphine 5 mg IM q4 hours PRN pain and morphine 10 mg IM q4 hours PRN pain. At 1300, the practical nurse (PN) administers morphine 5 mg IM for the client's rated pain of "8" on a 0 to 10 scale. At 1500, the client rates the pain at "7." Which intervention should the PN implement?
Administer morphine 5 mg IM now.
Which prescription should the practical nurse administer for a client who is experiencing an acute episode of bronchial asthma?
Albuterol (Proventil).
Which information should the practical nurse (PN) reinforce with a client who is self-administering insulin injections?
Aspirate regular insulin in the syringe first when mixing insulins
Which information should the practical nurse (PN) reinforce with a client who is self-administering insulin injections?
Aspirate regular insulin in the syringe first when mixing insulins.
The practical nurse (PN) is administering a daily dose of nifedipine (Procardia) 60 mg extended release to a client with angina pectoris. Which finding should the PN consider withholding the medication?
BP 96/52
A postoperative client is receiving hydromorphone (Dilaudid) via an epidural administration. The practical nurse (PN) notes the client is constantly scratching his arms. Which action should the PN take?
Benadryl PRN
The practical nurse (PN) is reviewing the laboratory results for a client who is taking sulfasalazine (Azulfidine) for an exacerbation of inflammatory bowel disease (IBD). Before administering the next dose, which laboratory results warrant further action by the PN?
Blood urea nitrogen (BUN) is 30 mg/dL and creatinine is 1.5 mg/dL.
the PN observes a thick white-coating on the tongue of a pt who fluphenazine (Prolixin). What instructions should the PN reinforce with the client about this medication?
Brush your teeth and tongue, floss, gargle, and notify the healthcare provider.
The practical nurse (PN) discusses antihypertensive drug therapy with several clients diagnosed with high blood pressure. To improve client understanding, the PN should emphasize that which medication preserves renal function in a client with diabetes?
Captopril (Capoten).
The practical nurse (PN) reinforces preoperative instructions to a client scheduled for abdominal surgery. Which medication should the PN tell the client to stop taking 7 days prior to the surgery?
Clopidogrel (Plavix).
A client receives a prescription for an oral opioid analgesic for post-operative pain. Which adverse effect should the practical nurse (PN) monitor for in the client?
Constipation.
The healthcare provider prescribes an antibiotic for a male adolescent with an upper respiratory tract infection, who asks the practical nurse (PN) how long the prescribed antibiotics should be taken. What information should the PN provide?
Continue the medication until all of the prescription is taken.
The practical nurse (PN) is reinforcing teaching for a client who is receiving diltiazem (Cardizem), a calcium channel blocker. Which drug action should the practical nurse explain?
Decreased rate of contraction
Which therapeutic action should the practical nurse (PN) base an explanation to a client who is receiving a cardiac glycoside?
Decreased rate of contraction
A male client diagnosed with tuberculosis asks the practical nurse (PN) about his course of drug therapy. Which information should the PN provide?
Drug therapy requires compliance for 6 to 12 months.
Which prescription should the practical nurse (PN) administer for a client who is experiencing an anaphylactic reaction to an antibiotic?
Epinephrine (Adrenalin).
What side effect should the practical nurse (PN) report to the healthcare provider for a client who is taking prednisone (Deltasone)?
Gastric bleeding.
Which action should the practical nurse (PN) implement for a client who is recently diagnosed with myasthenia gravis?
Give neostigmine bromide (Prostigmin) before meals.
A client with increased intracranial pressure (ICP) is receiving an infusion of mannitol 25% (Osmitrol). Which finding indicates to the practical nurse (PN) that the medication is effective?
Glasgow Coma Scale (GCS) score of 15
A client who has been taking phenazopyridine (Pyridium) for symptoms of urethritis and cystitis comes to the clinic because her urine is reddish-orange. Which question should the practical nurse ask to determine if the medication has been effective?
Have you had any relief from urinary pain, burning, or urgency?
A female client with recurring headaches tells the practical nurse (PN) that she has been taking at least 4 grams of acetaminophen a day. Which laboratory studies should the PN review for this client?
Hepatic enzymes
Which co-morbidity of a client who is starting thyroid replacement should the practical nurse report to the healthcare provider?
History of dysrhythmias
The healthcare provider calls in a telephone prescription for digoxin (Lanoxin) of 2.5 mg PO now. The practical nurse (PN) questions the dosage, and the provider confirms that the dose is correct. Which action should the PN take?
Hold the administration of the drug dose and notify the charge nurse.
The practical nurse (PN) is reviewing the discharge plan for a client with mania who is receiving lithium carbonate (Eskalith). To achieve a stable serum level, which information should the PN reinforce with the client?
How to recognize symptoms of toxicity
The practical nurse (PN) is reviewing the discharge plan for a client with mania who is receiving lithium carbonate (Eskalith). To achieve a stable serum level, which information should the PN reinforce with the client?
How to recognize symptoms of toxicity.
A client who is receiving an antibiotic suddenly develops hives. The practical nurse should report that the client is most likely experiencing which type of drug response?
Hypersensitivity reaction.
Which client statement indicates to the practical nurse (PN) that a client understands discharge instructions about a new prescription for digoxin (Lanoxin)?
I will take my pulse for one-minute every day."
An elderly female client who is starting a pain management program using opioid analgesia receives a prescription for codeine 10 mg PO q4 hours PRN for pain, or codeine 15 mg PO q4 hours PRN for pain, or codeine 30 mg PO q4 hours PRN for pain. Which statement by the client is most important to consider when deciding on the dose to administer at this time?
I wonder if I will have to stop taking my diuretic for my kidney problem."
The practical nurse (PN) is caring for a client who is receiving dexamethasone (Decadron) after abdominal surgery.
Impaired healing
A client's tissue culture results indicate the wound is infected with methicillin-resistant Staphylococcus aureus (MRSA). What action should the practical nurse (PN) implement first?
Implement contact isolation precautions
A client with Parkinson's disease has been taking antiparkinsonian medications for 3 months. Which client finding should the practical nurse (PN) identify as a therapeutic response?
Improved ability to perform activities
An older client who takes risperidone (Risperdal), an antipsychotic, is complaining of constipation. Which dietary changes should the practical nurse (PN) recommend?
Increase daily green vegetables and bran.
A male client whose postoperative patient-controlled analgesia (PCA) pump is discontinued receives a prescription for hydrocordone bitartrate with acetaminophen (Vicodin) 2 tablets PO every 4 hours for pain. One hour after receiving the prescribed dose of Vicodin, the client states he is having pain rated as "11" on a 0 to 10 pain scale. Which action should the practical nurse (PN) implement?
Inform the charge nurse about the client's status.
A client receives a prescription for c lotrimazole 1% (Gyne-Lotrimin ) vaginal cream for Candidiasis. Which information should the practical nurse provide the client?
Instill cream using the intravaginal applicator each night for 7 days
A client receives a prescription for c lotrimazole 1% (Gyne-Lotrimin ) vaginal cream for Candidiasis. Which information should the practical nurse provide the client?
Instill cream using the intravaginal applicator each night for 7 days.
The practical nurse (PN) should emphasize the importance of monitoring for which side effect(s) in a client who takes a daily antilipemic agent?
Liver dysfunction
What criterion provides the best indication to the practical nurse that albuterol (Ventolin) nebulizing treatment is effective for a client with asthma?
No wheezing is audible or auscultated.
A client with gastroesophageal reflux disease (GERD) is having symptoms of reflux despite taking omeprazole (Prilosec) 20 mg daily. What action should the practical nurse (PN) implement?
Notify the healthcare provider about the symptoms.
Which action should the practical nurse implement prior to administering furosemide (Lasix) 60 mg and hydrochlorothiazide (HydroDIURIL) 25 mg to a client?
Obtain the client's heart rate and blood pressure.
The practical nurse (PN) is caring for a client who overdosed with 10 tablets of buproprion (Wellbutrin) 150 mg tablets and a pint of vodka. Which priority action should the PN implement?
Pad side rails for seizure precaution
The practical nurse (PN) is caring for a client who overdosed with 10 tablets of buproprion (Wellbutrin) 150 mg tablets and a pint of vodka. Which priority action should the PN implement?
Pad side rails for seizure precaution.
The practical nurse (PN) is caring for a client who is receiving hydromorphone (Dilaudid) per patient-controlled analgesia (PCA) pump at 1 mg/hour basal rate for postoperative pain. The PCA pump is programmed for a 0.1 mg bolus dose and the lock out time is 6 minutes. Which finding should the PN report to the charge nurse?
Pain rating of 9 on a 0 to 10 pain scale.
Which action should the practical nurse implement when administering a buccal medication?
Place the medication between the upper molar teeth and cheek
Which action should the practical nurse implement when administering a buccal medication?
Place the medication between the upper molar teeth and cheek.
The practical nurse (PN) is preparing to administer medications and identifies that the pharmacy has delivered a substituted drug for one of the prescribed drugs. Which drug should the PN identify as the trade name equivalent for administration?
Prescribed morphine; dispensed Roxanol
A client who returns from surgery for bowel resection complains of severe pain around the incision. Which assessment is most important for the practical nurse (PN) to obtain prior to the administration of morphine sulfate?
Rate of respirations.
When caring for a client receiving warfarin (Coumadin), what action should the practical nurse implement?
Recommend the use of a soft toothbrush.
A client with tuberculosis (TB) asks the practical nurse (PN) the value of prescribed multidrug therapy is prescribed. What explanation should the PN provide?
Reduces development of TB resistant drugs.
A client who is admitted with diabetic ketoacidosis (DKA) and an initial serum glucose level of 300 mg/dl has a prescription of IV insulin per sliding scale. The nurse asks the practical nurse (PN) to retrieve the insulin from the automated medication dispensing system. Which insulin vial should the PN obtain?
Regular insulin (Humulin R).
A client with chronic stable angina receives a prescription for nitroglycerin (Nitro-Dur) 0.4 mg topical patch. The practical nurse (PN) applies the first patch at 0730. Which intervention should the PN take next?
Remove the patch at 1930.
A male client who is hypertensive is starting a new prescription for clonidine (Catapress) 0.4 mg PO daily. In reviewing common side effects, what information should the practical nurse (PN) provide the client?
Report problems with sexual function.
Morphine trade name
Roxanol
Top of Form A client is hospitalized with an asthma exacerbation and is being treated with methylprednisolone (Solu-Medrol) 125 mg q6 hours. Which laboratory value should the practical nurse (PN) to monitor?
Serum blood glucose.
A male client who has been receiving an antineoplastic drug has developed thrombocytopenia. What instructions should the practical nurse (PN) reinforce?
Shave with an electric razor.
The practical nurse (PN) is reinforcing information to a client about the use of an antiemetic to help manage nausea and vomiting during a course of chemotherapy. Which information is most important for the PN to provide?
Take at least 30 minutes before a chemotherapeutic agent is received.
The practical nurse (PN) is giving medications to a client with hyperlipidemia who receives a new prescription for cholestyramine (Questran). Which information should the PN reinforce with the client?
Take before meals and apart from other drugs
The healthcare provider prescribes hydromorphone (Dilaudid) 2 mg PO every 4 hours as needed for pain for a client with a kidney stone. When the client asks for pain medication, the practical nurse (PN) reviews a drug reference and finds the usual adult dosage, Dilaudid 1 to 4 mg every 4 to 6 hours. What information is most important for the PN to know prior to administering the analgesic?
The amount and time of the previous dose.
A 35-week gestation primigravida who takes lithium (Eskalith) tells the practical nurse (PN) that she would like to breastfeed her infant. What information should the PN provide to the client?
The drug is excreted in breast milk so use formula to feed the infant
A 35-week gestation primigravida who takes lithium (Eskalith) tells the practical nurse (PN) that she would like to breastfeed her infant. What information should the PN provide to the client?
The drug is excreted in breast milk so use formula to feed the infant.
Which information should the practical nurse (PN) provide a client who receives a new prescription for a benzodiazepine medication?
The interactions of alcohol consumption and CNS depressant drugs
An older client with a broken humerus received an IV dose of morphine in the emergent care center. Thirty minutes later, the client complained of feeling lightheaded and vomits once. The practical nurse (PN) understands which process is most likely the cause for these symptoms?
a side effect
A client returns to the postoperative unit with prescriptions for morphine 5 mg IM q4 hours PRN pain and morphine 10 mg IM q4 hours PRN pain. At 1300, the practical nurse (PN) administers morphine 5 mg IM for the client's rated pain of "8" on a 0 to 10 scale. At 1500, the client rates the pain at "7." Which intervention should the PN implement?
administer 5mg morphine IM now
An older male has a PRN prescription for lorazepam (Ativan) for intermittent agitation and confusion. After observing that the client is becoming increasingly restless and making inappropriate comments, what action should the practical nurse take?
administer as prescribed
The practical nurse (PN) is giving gabapentin (Neurontin) to a male client and asks him if he has a history of seizures. The client states he does not have seizures but has a history of chronic burning and numbing pain in both legs. What action should the PN take?
administer as prescribed
what medication should pn administer for pt having asthmatic attack
albutertol
The healthcare provider prescribes hydromorphone (Dilaudid) 2 mg PO every 4 hours as needed for pain for a client with a kidney stone. When the client asks for pain medication, the practical nurse (PN) reviews a drug reference and finds the usual adult dosage, Dilaudid 1 to 4 mg every 4 to 6 hours. What information is most important for the PN to know prior to administering the analgesic?
amount and time of previous dose
Top of Form Which finding by the practical nurse indicates that the client's use of ipratropium bromide (Atrovent) inhaler was effective?
bilateral breath sounds are clear
The practical nurse (PN) is caring for a client who is receiving a secondary infusion of procainamide (Pronestyl) IV. Which assessment should the PN obtain during the administration of the medication?
blood pressure
The practical nurse (PN) is administering a daily dose of nifedipine (Procardia) 60 mg extended release to a client with angina pectoris. Which finding should the PN consider withholding the medication?
bp 96/52
After a thyroidectomy, a client's facial muscles twitch when the practical nurse (PN) taps the skin surface in front of the ear. Which prescription should the PN administer?
calcium gluconate
Forty minutes after a client with pulmonary edema receives furosemide (Lasix) 40 mg, 50 ml of concentrated dark amber urine is in the indwelling urinary catheter's bedside drainage bag. What action should the practical nurse (PN) implement first?
check drainage system for kinks
A client who is admitted for bradycardia receives a prescription for atropine. Which client information should the practical nurse report to the healthcare provider?
chronic diarrhea and diverticulitis
how long should antibiotics be taken
continue until all medication gone
The practical nurse (PN) is reinforcing teaching for a client who is receiving diltiazem (Cardizem), a calcium channel blocker. Which drug action should the practical nurse explain?
decreased rate of contraction
Which therapeutic action should the practical nurse (PN) base an explanation to a client who is receiving a cardiac glycoside?
decreased rate of contraction
what actions do cycloplegic and mydriatics ophthalmic perform
dilates pupils
For the past 3 months, a client has taken prednisone (Deltasone) 40 mg PO daily. What information is most important for the practical nurse (PN) to reinforce with the client about this medication?
dont abruptly stop taking medication
A male client who has been receiving an antineoplastic drug has developed thrombocytopenia. What instructions should the practical nurse (PN) reinforce?
electric razor
An older adult client receives a prescription for hydrochlorothiazide (HydroDIURIL), a thiazide diuretic for the treatment of heart failure. Which side effect(s) should the practical nurse reinforce with the client? (Select all that apply.)
fatigue, dehydration
Serious side effect that of prednisone that pn should report to hcp
gi bleeding
A female client tells the practical nurse (PN) that she started taking an over-the-counter herbal supplement, St. John's Wort (Hypericum perforatum), last week. Which question should the PN ask the client?
have you felt sad or depressed
Which adverse effect should the practical nurse monitor for in a client who is taking amikacin (Amikin)?
hearing loss
female client with recurring headaches tells the practical nurse (PN) that she has been taking at least 4 grams of acetaminophen a day. Which laboratory studies should the PN review for this client?
hepatic enzymes
Which co-morbidity of a client who is starting thyroid replacement should the practical nurse report to the healthcare provider?
hx of dysrhythmias
The practical nurse (PN) is caring for a client who is receiving dexamethasone (Decadron) after abdominal surgery. Which finding should the PN report to the charge nurse?
impaired healing
The practical nurse (PN) administers isoproterenol (Isuprel) to a client with heart block. The PN should evaluate the client for which physiological response?
increased HR
The practical nurse (PN) administers isoproterenol (Isuprel) to a client with heart block. The PN should evaluate the client for which physiological response?
increased heart rate
A male client whose postoperative patient-controlled analgesia (PCA) pump is discontinued receives a prescription for hydrocordone bitartrate with acetaminophen (Vicodin) 2 tablets PO every 4 hours for pain. One hour after receiving the prescribed dose of Vicodin, the client states he is having pain rated as "11" on a 0 to 10 pain scale. Which action should the practical nurse (PN) implement?
inform charge nurse about pt status
Pt education for new prescription for benzodiazepine?
interaction of alcohol and cns depressants
Top of Form A client with type 1 diabetes mellitus received an early AM dose of regular insulin per sliding scale. At 1000, the practical nurse (PN) should report which signs indicative of hypoglycemia?
irritability and confusion
A client who is comatose is admitted after an overdose of baclofen (Lioresal). What nursing action should the practical nurse (PN) implement?
monitor for signs of respiratory distress
The practical nurse (PN) is reinforcing medication teaching to a client who receives a prescription for lovastatin (Mevacor). Which symptom should the PN tell the client to report immediately?
muscle aching
The practical nurse (PN) is unable to arouse a client who is receiving meperidine (Demerol) for postoperative pain. The client is stuporous, has constricted pupils, and a respiratory rate of 8 breaths/minute. Which PRN prescription should the PN give the client?
naloxone/narcan
The practical nurse (PN) is unable to arouse a client who is receiving meperidine (Demerol) for postoperative pain. The client is stuporous, has constricted pupils, and a respiratory rate of 8 breaths/minute. Which PRN prescription should the PN give the client?
narcan
Pt requesting prescription for viagra should disclose use of
nitrates
What criterion provides the best indication to the practical nurse that albuterol (Ventolin) nebulizing treatment is effective for a client with asthma?
no wheezing is audible or auscultated
Which action should the practical nurse implement prior to administering furosemide (Lasix) 60 mg and hydrochlorothiazide (HydroDIURIL) 25 mg to a client?
obtain HR and BP
After an albuterol (Ventolin) nebulizer treatment is given to a client with asthma, what finding by the practical nurse indicates that the treatment was effective?
peak flow is raised to 80% personal best
The healthcare provider prescribes celecoxib (Celebrex), a nonsteroidal antiinflammatory drug (NSAID), for a client with osteoarthritis. Which finding in the client's history should the practical nurse (PN) report?
peptic ulcer disease
When should the practical nurse (PN) withhold administration of oral levothyroxine (Levothroid)?
pulse greater than 100/min
A client is hospitalized with an asthma exacerbation and is being treated with methylprednisolone (Solu-Medrol) 125 mg q6 hours. Which laboratory value should the practical nurse (PN) to monitor?
serum blood glucose
An older client with a broken humerus received an IV dose of morphine in the emergent care center. Thirty minutes later, the client complained of feeling lightheaded and vomits once. The practical nurse (PN) understands which process is most likely the cause for these symptoms?
side effect
A client who is comatose is admitted after an overdose of baclofen (Lioresal). What nursing action should the practical nurse (PN) implement?
signs for respiratory arrest
oral contraceptives should be avoided by what group of women?
smokers
What action should a pn implement for a pt on warfarin
soft tooth brush
A client receives a prescription for nystatin (Mycostatin) oral suspension for the treatment of oral thrush. Which information should the practical nurse (PN) provide?
swish then swallow
The practical nurse (PN) should reinforce what time frame with a client about self-administration of lispro insulin (Humalog)?
take within 15 minutes of beginning a meal
A client with hypertension receives a prescription for irbesartan (Avapro). Which finding by the practical nurse indicates that the client needs additional instruction regarding the medication?
using a salt substitute with potassium
The practical nurse (PN) is caring for a client who has been taking prednisone (Deltasone) daily for a year. Which adverse effect should the PN document in the client's record?
weight gain
An older client who is receiving digoxin (Lanoxin) 0.25 mg PO at 0800 has an apical pulse of 68 beats/minute and respirations of 16 breaths/minute. The practical nurse (PN) identifies that the client's serum digoxin level is 3.2 ng/ml. What action should the practical nurse implement?
withhold dose of digoxin
The practical nurse (PN) is preparing the next secondary infusion of gentamicin IV q18 hours for an older client. The PN reviews the client's serum values for gentamicin, which is 14 ug/ml (therapeutic range is 4-10 ug/ml.) Which action should the practical nurse take?
withhold the dose and report findings to charge nurse
The practical nurse (PN) should recommend that o ral contraceptives be avoided in which group of women?
women who smoke
When should the practical nurse (PN) withhold administration of oral levothyroxine (Levothroid)?
The pulse is greater than 100 beats/minute.
What assessment is most important for the practical nurse (PN) to obtain prior to initiating medication therapy with phenelzine (Nardil) for a client with depression?
Understanding of diet modification.
The practical nurse (PN) is administering medications to several clients. Which client statement indicates that additional action should be taken by the PN?
While on fluorouracil (5-FU) chemotherapy, the client reports tarry, loose stools.
The practical nurse (PN) is administering secondary infusions of vancomycin (Vancocin) and gentamicin (Garamycin) to a client with kidney infection and colitis due to Clostridium difficile . Which laboratory results should the PN review before administering the medications?
BUN and Creatinine
A client is receiving a nitroglycerin transdermal patch daily. Which assessment finding indicates that the practical nurse (PN) should withhold the next dose?
Blood pressure 90/60 mmHg.
The practical nurse (PN) is caring for a client with hypokalemia who is receiving IV potassium chloride (KCl). Which finding should the PN identify as a therapeutic response?
Bowel sounds auscultated at 20 gurgles/minute.
Common side effect of adderall
difficulty sleeping
The practical nurse asks a male client who came to the clinic with an upper respiratory infection if he has any drug allergies. The client cannot remember if he does or if he ever received penicillin. After administering the injection of penicillin, the PN tells the client to stay for 30 minutes of observation. Which finding should the PN identify that is indicative of a reaction to the medication?
rash, itching, hives
Insulin administered on sliding scale
regular (humalog)
A client with chronic stable angina receives a prescription for nitroglycerin (Nitro-Dur) 0.4 mg topical patch. The practical nurse (PN) applies the first patch at 0730. Which intervention should the PN take next?
remove patch at 1930
A client who sustains a severe blunt head trauma during a motor vehicle collision receives a prescription for phenytoin (Dilantin). Which therapeutic response should the practical nurse (PN) observe in the client?
seizure free for 24 hrs
A client with hyperkalemia receives a prescription for sodium polystyrene sulfonate (Kayexalate). Which finding should the practical nurse (PN) monitor to evaluate the effectiveness of the prescription?
serum K level
