Pharmacology proctored

A nurse is reinforcing teaching with a client who is prescribed a scopolamine patch for motion sickness. Which of the following client statements indicates an understanding of the teaching? "I may have a runny nose during therapy." "I should replace the patch every day." "I may experience diarrhea as a potential side effect." "I should place the patch behind my ear."

"I should place the patch behind my ear." The client should place the scopolamine patch behind the ear.

A nurse is reinforcing teaching with a client prior to removal of a leg cast. Which of the following statements should indicate to the nurse that the client understands the teaching?

"I will feel vibrations on my leg from the cast cutter."

A nurse is reinforcing discharge teaching a client who has Crohn's disease. Which of the following statements should the nurse include in the teaching?

"Maintain a low-residue diet"

A nurse is collecting data from an older adult client who has several concerns. Which of the following concerns should the nurse recognize as a normal change associated with aging?

"My food tastes bland even after I add seasoning."

A nurse is reinforcing teaching about pursed-lip breathing with a client who has a new diagnosis of COPD. The nurse should identify which of the following client statements indicates an understanding of the teaching?

"Pursed-lip breathing works best for activities like walking up stairs"

A nurse is reinforcing discharge teaching with a client who has leukemia and is receiving chemotherapy. Which of the following statements should the nurse include in the teaching?

"You should place your toothbrush in hydrogen peroxide overnight."

A client who has Pseudomonas aeruginosa is admitted to the hospital and is started on a therapeutic dose of gentamicin. When reviewing the medical history of the client, which of the following should cause the nurse to notify the primary care provider? History of alcohol use disorder Chronic renal insufficiency Type 2 diabetes mellitus Allergy to penicillin

Chronic renal insufficiency Gentamicin is nephrotoxic. Therefore, it is important for the nurse to notify the provider in order to monitor the client's BUN and serum creatinine levels.

a nurse is changing the dressing for a client who has an abdominal incision and a Hemovac drain. Which of the following actions should the nurse take?

cleanse the drainage plug with alcohol swabs

a nurse is caring for a client who is postoperative and has a Jackson-pratt drain. which of the following actions should the nurse take

compress the bulb reservoir and then close the drainage valve

a nurse is caring for a client who has been taking enalapril. the nurse should monitor the client for which of the following adverse effects?

cough

a nurse is preparing to assist a client out of bed 4 hr following a laparoscopic cholecystectomy. which of the following actions should the nurse take first

obtain the client's blood pressure

a nurse is contributing to the plan of care to promote a restful night's sleep for a client who has Alzheimer's disease. which of the following interventions should the nurse include in the plan

offer a small snack at bedtime

a nurse is assisting with an educational program for clients who has been newly diagnosed with diabetes mellitus. which of the following instructions should the nurse include in the program regarding insulin

opened insulin can be stored on a cool countertop away from light

a nurse is caring for a client who is 24 hr postoperative following an abdominal surgery. which of the following findings requires immediate attention from the nurse

oxygen saturation of 88%

a nurse is caring for a client following a gastrectomy. which of the following actions should the nurse take to decrease episodes of dumping syndrome

place the client in the supine position after meals

a nurse is reinforcing teaching with a client who has a new diagnosis of genital herpes. which of the following information should the nurse include in the teaching

the virus can be transmitted without lesions present

A nurse is preparing to administer diphenhydramine 50 mg PO at 2200 to a client who has difficulty swallowing pills and capsules. Available is diphenhydramine syrup 12.5 mg/5 mL PO. Which of the following nursing actions requires the completion of an incident report? Giving the medication at 2140 Administering the medication with grapefruit juice Giving the medication when the client's apical pulse is 58/min Administering 25 mL of the syrup

Administering 25 mL of the syrup This dose is higher than the client should receive. The correct dosage is 20 mL. Administering an incorrect amount of medication to a client requires completion of an incident report.

A nurse is caring for a client who has a new prescription for risperidone fto treat schizophrenia. Which of the following laboratory tests should the nurse plan to review prior to administering the first dose? Fasting blood glucose level Serum albumin level CD4 T-cell count Platelet count

Fasting blood glucose level A client taking risperidone is at risk for developing diabetes due to the metabolic effects of the medication. A fasting blood glucose level should be measured as a baseline prior to administration of the first dose, again 12 weeks later, and then annually.

a nurse is reviewing the medication record of a client who is taking digoxin. which of the following medications should the nurse identify as increasing the risk for the client to develop digoxin toxicity?

Furosemide

A nurse is monitoring a client who is receiving repaglinide for type 2 diabetes mellitus. Which of the following laboratory tests should the nurse plan to review to obtain information about the long-term therapeutic effect of this medication? Fasting blood glucose level 1-hr oral glucose tolerance test Urinary ketones Glycosylated HbA1c

Glycosylated HbA1c HbA1c measures the average of blood glucose levels over the past 2 to 3 months. Therefore, the nurse should review this laboratory test to obtain information about the long-term therapeutic effect of repaglinide.

A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus about glycosylated hemoglobin (HbA1c) testing. Which of the following information should the nurse include in the teaching?

HbA1c results measure glucose control for the prior 3 months.

A nurse is caring for a female client who is being treated for dehydration due to nausea and vomiting. Which of the following findings should the nurse report to the provider?

Heart rate 120/min

A nurse in a provider's office is reinforcing teaching with a client who has a prescription for diphenoxylate/atropine. Which of the following instructions should the nurse include in the teaching? This medication can turn your stools black. High doses of this medication can cause drowsiness. Avoid drinking grapefruit juice while taking this medication. You might have urinary frequency after taking two or more doses.

High doses of this medication can cause drowsiness. Diphenoxylate is an opioid, which can cause drowsiness.

A nurse is caring for a client who has a new prescription for eplerenone to treat hypertension. For which of the following adverse effects should the nurse monitor? Hematuria Hypernatremia Hyperkalemia Constipation

Hyperkalemia The client is at risk for increased potassium levels because eplerenone can cause potassium retention.

A nurse is monitoring an older adult client who has been receiving long-term hydrochlorothiazide therapy for recurring episodes of heart failure. Which of the following findings should the nurse recognize as an adverse effect of this medication? Hypokalemia Hyperchloremia Hypernatremia Hypocalcemia

Hypokalemia Hydrochlorothiazide can cause hypokalemia from excessive potassium excretion.

A nurse is assisting with the care of a client who is in preterm labor and is receiving magnesium sulfate by continuous IV infusion. Which of the following findings indicats magnesium toxicity? Urinary output 60 mL/hr Hyporeflexia Respirations 14/min Tachycardia

Hyporeflexia Magnesium sulfate depresses neuromuscular activity, leading to muscle weakness and paralysis. Therefore, hyporeflexia can indicate magnesium toxicity.

A nurse is reviewing the plan of care for an older adult client who is 1 day postoperative following a total hip arthroplasty. Which of the following interventions should the nurse contribute to the plan of care?

Keep an abduction pillow beneath the client's legs.

A nurse is reinforcing teaching with a client who is to start therapy with regular insulin and NPH insulin. Which of the following instructions should the nurse include in the teaching? a. Keep the open vials of insulin at room temperature b. inject the insulin into the intradermal tissue. c. aspirate the medication prior to administration d. administer the insulin in two separate injections.

Keep the open vials of insulin at room temperature

A nurse is reviewing the history of a client who is about to start taking cefotetan to treat a bacterial infection. Which of the following information from the client's medical record should the nurse report to the provider before the client begins receiving this medication? Hearing impairment Milk-protein allergy Tendon pain Penicillin allergy

Penicillin allergy Cefotetan is a cephalosporin, an antibiotic structurally similar to penicillins. It is possible that a client who has a severe allergy to penicillin could develop cross-reactivity and have an allergic reaction to cephalosporins.

A nurse is contributing to the plan of care for a client who has tuberculosis (TB). Which of the following interventions should the nurse include?

Place the client in a negative-pressure airflow room

A nurse is reinforcing teaching with a client who is to start therapy using a nitroglycerin transdermal patch. Which of the following instructions should the nurse include? Cover the patch with a dry dressing. Apply another patch if experiencing chest pain. Leave each patch in place for 24 hr. Place the patch on a different site for each application.

Place the patch on a different site for each application. The client should place the patch on a different site for each application to prevent skin irritation.

A nurse is reviewing the chart of a client who is experiencing an adrenal crisis, which was precipitated by the client not taking her mediation for several days. The nurse should identify that withdrawal from which of the following medications potentiated the adrenal crisis?

Prednisone

A nurse is instilling timolol eyedrops for a client who has glaucoma. Which of the following actions is appropriate for the nurse to take after instilling the eyedrops? Press the nasolacrimal duct. Apply pressure to the upper eyelid. Ask the client to blink the eyes several times. Tell the client to keep the eyes open for at least 15 seconds.

Press the nasolacrimal duct. This action will prevent the medication from absorbing into systemic circulation.

A nurse is caring for a client who is in Buck's traction for a fractured hip. The client reports increased pain at the site of the fracture. Which of the following actions should the nurse take?

Reposition the client

A nurse is monitoring a client who has just returned to the unit following surgery. The client received an initial dose of morphine 5 mg IV bolus for pain relief. Which of the following adverse effects should the nurse report immediately to the provider? Emesis Sedation Respiratory rate 11/min Blood pressure 100/74 mm Hg

Respiratory rate 11/min ​When using the airway, breathing, circulation approach to client care, the priority finding is a respiratory rate of 11/min indicating respiratory depression.

A nurse is caring for a client who has just received a prescription for tolbutamide to treat diabetes mellitus. The nurse should question the prescription if the client reports which of the following medication allergies? Amoxicillin-clavulanate Trimethoprim/sulfamethoxazole Azithromycin Cephalexin

Trimethoprim/sulfamethoxazole Clients who have a hypersensitivity to sulfonamide antibiotics might also be allergic to sulfonylureas such as tolbutamide. Therefore, the nurse should question the client's prescription for tolbutamide.

A nurse is contributing to the plan of care for a client who has pericarditis. In which of the following positions should the nurse plan to place the client to decrease pain?

Upright, leaning forward

A nurse is collecting data from a client who has an obstructive pulmonary disorder. The nurse should document the sound as which of the following?

Wheezes

A nurse is reinforcing teaching with a female client who has a new prescription for isotretinoin. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) You will need to have your triglyceride levels monitored. You can have nosebleeds while taking this medication. You may receive a 90-day supply of this medication from the pharmacy. You will need to have two negative pregnancy tests prior to starting the medication. You will need to take a vitamin A supplement twice daily.

You will need to have your triglyceride levels monitored is correct. This medication can elevate triglyceride levels, so the client needs to have levels tested prior to treatment and periodically thereafter. You can have nosebleeds while taking this medication is correct. Due to the drying effects of this medication, nosebleeds are very common. You may receive a 90-day supply of this medication from the pharmacy is incorrect. This medication may only be dispensed in a 30-day supply. You will need to have two negative pregnancy tests prior to starting the medication is correct. Due to the potential for severe birth defects, assurance that the client is not pregnant is essential. You will need to take a vitamin A supplement twice daily is incorrect. Vitamin A enhances the risk of isotretinoin toxicity. The client should avoid supplements.

A nurse is planning to reinforce teaching regarding newborn immunizations to a client who is 24 hr postpartum. Which of the following teachings should the nurse plan to include? "Your baby will receive the first hepatitis B vaccine before discharge." "Your baby will receive the rotavirus vaccine if your blood titer is low." "Your baby will receive the first influenza virus vaccine at the 4-week checkup." "Your baby will receive the varicella vaccine if you have a history of chicken pox."

Your baby will receive the first hepatitis B vaccine before discharge." The newborn should receive the first hepatitis B vaccine at birth, with the next two doses at least 2 months apart.

a nurse is planning care for a group of clients after receiving change-of-shift report. which of the following clients should the nurse plan to see first?

a client who is dehydrated, has mental confusion, and was found getting out of bed several times during the night

A nurse is reinforcing teaching with a client who is to start therapy with nitroglycerin transdermal patch. Which of the following statements by the client indicates understanding of the teaching? a. "while using the patch, I will be careful when rising from a chair." b. "I should leave the patch in place for 24 hours." c. "I should apply the patch to the same location with each application." d. "I will apply a new patch if I have chest pain."

a. "while using the patch, I will be careful when rising from a chair."

a nurse is reinforcing teaching with a client who has osteoporosis and a new prescription for calcitonin. which of the following statements should the nurse make to describe the effect of calcitonin in treating osteoporosis

calcitonin will slow the breakdown of bone in your body

A nurse is reinforcing teaching with a client who has bipolar disorder and a new prescription for lithium. Which of the following instructions should the nurse include in the teaching? a. Take the medication on empty stomach b. Monitor for signs of hyperthyroidism c. Watch for signs of urinary retention d. maintain a consistent sodium intake

d. maintain a consistent sodium intake

a client has been taking digoxin for one month. Then there should recognize with The following as a manifestation of digoxin toxicity? a. pulse rate of 100/min b. Blood pressure 140/90 mm Hg c. Wheezing d. vomiting

d. vomiting

a nurse is preparing to instill antibiotic eardrops for a client who has otitis extrerna. Which of the following actions should the nurse take? a. chilled medication before instilling it. b. use a cotton swab to remove any debris before instilling the eardrops. c. Pack the auditory canal with a cotton ball after instilling the drops. d. wiggle the earlobe after instilling the eardrops

d. wiggle the earlobe after instilling the eardrops

a nurse is caring for a client who has just returned to the unit following a bronchoscopy. Which of the following findings should the nurse report to the provider?

diminished breath sounds

a home health nurse is caring for a client who has COPD. the client tells the nurse that he becomes short of breath while eating despite the use of home oxygen. which of the following instructions should the nurse include?

drink beverages at the end of meals

a nurse is reinforcing teaching with a client who has circulatory compromise in the lower extremities due to peripheral vascular disease. which of the following actions should the nurse take

educate the client about choosing low-fat, low-cholesterol foods

a nurse is reviewing the laboratory reports of a client who reports chest pain. which of the following laboratory results indicates the client is experiencing a myocardial infarction

elevated troponin

a nurse is caring for a client who has dementia due to Alzheimer's disease. which of the following actions should the nurse take to reduce the client's confusion

encourage reminiscence of past experiences

a nurse is reinforcing teaching with a client who has asthma and a new prescription for a corticosteroid. which of the following findings should the nurse include as an adverse effect of the medication

frequent colds

a nurse is assisting with the care of a client who had a stroke and is unable to speak. the nurse should identify that the client's injury occurred in which of the following lobes of the brain?

frontal lobe

a nurse is reinforcing teaching with a client who has a new diagnosis of tuberculosis (TB) and a prescription for isoniazid and rifampin. which of the following information should the nurse include in the teaching

household family members should be tested for TB

a nurse is reinforcing teaching with a client who has microcytic anemia and is prescribed a daily iron supplement. the nurse tells the client to consume foods containing cit C when taking the supplement to enhance iron absorption. which of the following client food choices indicates an understanding of the teaching?

i cup boiled broccoli

nurse is preparing to administer an influenza vaccine to a client. which of the following statements by the client should cause the nurse to postpone administration of the vaccine

i had a low fever this morning

a nurse is reinforcing teaching with a client who has chronic kidney disease about disease management. which of the following statements by the client indicates an understanding of the teaching

i will limit my daily intake of protein

a nurse is admitting a client who is suspected of having active tuberculosis (TB). which of the following actions should the nurse take first

institute airborne precautions

a nurse is caring for a client who is postoperative following a transurethral resection of the prostate (TURP) and is receiving continuous bladder irrigation. The nurse notes decreased output from the urethral catheter. which of the following provider prescriptions should the nurse expect?

irrigate the urethral catheter with 0.9% sodium chloride

a nurse is caring for a client who has neutropenia. which of the following nursing interventions should the nurse implement?

limit visitors to healthy adults

a nurse is preparing a client for a cardiac catheterization. Which of the following actions should the nurse take first

verify the client has given informed consent

a nurse is reviewing the medical record of a client who is postoperative. which of the following findings should the nurse identify as a complication of surgery

wbc count of 15,000/mm3

a nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for regular and NPH insulin. which of the following instructions on preparing the insulins should the nurse include

withdraw the regular insulin before withdrawing the NPH insulin

a nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily. While taking the client's apical pulse, the nurse notes a rate of 58/min. which of the following actions should the nurse take?

withhold the dose

a nurse in a clinic is assisting with the development of a pamphlet about STIs. which of the following information should the nurse recommend to include in the pamphlet?

women have a higher risk of contracting STIs than men

a nurse is reinforcing teaching regarding the use of a continuous passive motion (CPM) machine with a client who is scheduled for a total knee arthroplasty. which of the following information should the nurse include in the teaching (select all)

your knee is flexed and extended as prescribed by your provider the machine is padded with sheep skin

A client who is experiencing nausea related to chemotherapy is being discharged with a prescription for ondansetron. The nurse should include which of the following information when reinforcing discharge teaching? "This medication may cause involuntary hand movements." "Avoid driving while taking this medication." "Use caution if taking Tylenol." "Take this medication after each chemotherapy treatment."

"Avoid driving while taking this medication." Adverse effects of ondansetron include headache and dizziness. The client should avoid driving or using heavy machinery.

A nurse is reinforcing teaching with a client who is using phenylephrine nasal spray three times daily and reports rebound congestion. Which of the following instructions should the nurse include to reduce the effects of rebound congestion? "Decrease the frequency to twice daily." "Continue use for one more week." "Discontinue use in the left nostril, then in the right nostril." "Add oxymetazoline nasal spray to relieve symptoms."

"Discontinue use in the left nostril, then in the right nostril." Discontinuing the drug one nostril at a time can overcome rebound congestion.

A nurse is reinforcing teaching about benzodiazepine withdrawal with an older adult client who discontinued takeing lorazepam after taking it for 3 months. Which of the following instructions should the nurse include? "Increase your fiber intake with each meal." "Have someone assist you with ADLs." "Watch for increased drowsiness." "Limit your daily fluid intake to 1,500 mL."

"Have someone assist you with ADLs." Lorazepam withdrawal causes tremors and dizziness, making ADLs difficult to perform.

a nurse in a health clinic is reinforcing teaching a client who has tuberculosis (TB) about transmission of the disease. which of the following client statements indicates an understanding of the teaching?

"I inhaled the infected droplets that were in the air."

A nurse in a community health clinic is preparing to administer the varicella immunization to a young adult female client who has not previously had chickenpox or its vaccine. The nurse should withhold the immunization and collect additional data when the client makes which of the following statements? "I am allergic to neomycin." "I am taking antibiotics for my acne." "My irritable bowel syndrome has been acting up the last few days." "I have been taking an oral contraceptive for the last 6 months."

"I am allergic to neomycin." A hypersensitivity to neomycin is a contraindication for receiving the varicella vaccine.

A nurse is reinforcing teaching about nutrition choices with a client who has leukemia and is receiving chemotherapy. The nurse should identify which of the following statements by the client indicates an understanding of the teaching?

"I drink bottled water."

A nurse is reinforcing teaching with a client who has a new prescription for a beclomethasone inhaler. Which of the following client statements indicates an understanding of the teaching? "I should avoid rinsing my mouth after each use." "I will hold my breath for 5 seconds after administering the medication." "I should wait 30 seconds between puffs." "I will clean my inhaler weekly with soapy water."

"I will hold my breath for 5 seconds after administering the medication." The nurse should instruct the client to hold his breath for 5 to 10 seconds after administering the medication and then exhale slowly. This allows the medication to be absorbed in the client's lungs.

A nurse is reinforcing teaching to a client about preventing osteoporosis. Which of the following client statements indicates an understanding of the teaching?

"I will limit my coffee intake"

A nurse is reinforcing teaching with a client who has a prescription for alendronate. Which of the following client responses indicates an understanding of the teaching? "I will take the medication with my breakfast." "I will take the medication with 1 tablespoon of an antacid." "I will lie down for 30 minutes after taking the medication." "I will take the medication with 8 ounces of water."

"I will take the medication with 8 ounces of water." Clients should take alendronate on an empty stomach with 240 mL (8 oz) of water to make sure that it does not lodge in the esophagus, which can result in esophageal ulcerations.

A nurse is reinforcing discharge teaching with a client who is to begin self-administration of insulin. Which of the following statements indicates an understanding of the teaching? "I will store the vial I am currently using in the refrigerator." "I'll put my used needles in an empty metal coffee can." "I'll be sure to massage the spot where I gave my shot." "I will replace the cap on the needle after I give my shot."

"I'll put my used needles in an empty metal coffee can." The client should discard used needles in a puncture-proof container such as a metal coffee can to prevent accidental exposure to bloodborne pathogens.

A nurse is caring for a client who has prostate cancer. The client asks the nurse why he is having difficulty with urination. Which of the following responses should the nurse make?

"The tumor causes obstruction of urine from the urethra."

A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus and is to start therapy with pioglitazone. The client asks the nurse how the medication works. Which of the following is an appropriate response? "This medication will trigger your body to make more insulin." "Your body will decrease the amount of glucose that it makes." "Your body should become more sensitive to insulin." "This medication will delay the absorption of sugar from your gastrointestinal tract."

"Your body should become more sensitive to insulin." Pioglitazone is an oral antidiabetic agent that works by increasing the body's sensitivity to insulin.

A nurse is reinforcing teaching with the parent of a 14-year-old client regarding administration of bivalent human papillomavirus vaccine (HPV2). Which of the following should the nurse include in the teaching? "Your daughter will receive three doses of this immunization over 6 months." "Your daughter can receive this immunization up to age 16." "Your daughter cannot receive this immunization if she has an egg allergy." "Your daughter may experience missed periods after receiving this immunization."

"Your daughter will receive three doses of this immunization over 6 months." Clients should receive three doses of HPV2 over a 6-month period.

A nurse is caring for a client who is prescribed an IM injection of penicillin G benzathine. The client asks why the injection must be given IM instead of through his IV line. Which of the following is the correct response by the nurse? "The medication is more rapidly absorbed when given IM." "Your medication can't be given IV because it is not water-soluble." "You will experience less discomfort with an IM injection." "An IM injection allows more precise control of the medication level in your blood."

"Your medication can't be given IV because it is not water-soluble." Medications cannot be administered IV if they are not water-soluble.

An older adult client who has terminal cancer reports pain at a level of 5 using a 0 to 10 pain scale. The client has a prescription for morphine orally 15 mg every 4 hr. The client's children are concerned that the client is receiving too much of the medication. Which of the following is an appropriate response by the nurse? "Clients who receive this medication orally have a lower risk for addiction." "Because this medication is given on a fixed schedule, additional doses will not be needed." "Your mother's dose should remain constant to prevent breakthrough pain." "Your mother's medication will be changed after a week to decrease adverse effects."

"Your mother's dose should remain constant to prevent breakthrough pain." Fixed or scheduled dosing around the clock offers the best pain control for clients who have severe and persistent pain.

a nurse is reinforcing teaching about insulin injections with an adult client who weighs 45.4 kg (100 lb). Which of the following statements by the client indicates an understanding of the teaching?

"i should give my shot in my belly tissue"

a nurse is reinforcing discharge teaching for a client who had a mechanical mitral valve replacement. Which of the following statements by the client indicates an understanding of the teaching

"i will notify my dentist about this procedure"

A nurse is collecting data from a client who states he has been taking ibuprofen for joint pain. After reviewing the clients medication administration record, which of the following medications should the nurse discuss the provider? a. Omeprazole b. Atrovastatin c. Lisinopril d. Metformin

. Lisinopril

a nurse is reinforcing teaching with a client about increasing dietary fiber. the nurse should recommend which of the following foods as the best source of fiber?

1/2 cup cooked kidney beans

A provider prescribes phenobarbital 3 mg/kg twice a day for a child who has a history of seizures. The child weighs 44 lb. The nurse has on hand phenobarbital elixir 20 mg/5 mL. How many mL should the nurse plan to administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if applicable. Do not use a trailing zero.)

15ml

A nurse is caring for a client who has a prescription for phenytoin 50 mg PO. Available is phenytoin suspension 125 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if applicable. Do not use a trailing zero.)

2

a nurse is preparing to administer cephalexin to a child who weighs 40 pounds. The provider prescribes 50 mg/kg/day in four equal doses. How many MG should the nurse administer in each dose?

250

A nurse is caring for a client who is receiving IV therapy. The provider prescribes an increase in the client's infusion rate from 1 L over 10 hr to 1 L over 8 hr. What is the hourly increase in the infusion rate in mL? (Round the answer to the nearest whole number. Use a leading zero if applicable. Do not use a trailing zero.)

25ml/hr

a nurse is preparing to hang intravenous bag of cefazolin 1 g to be infused in 100 mL of normal saline to run over 30 minutes. If using tubing with a drop factor of 15 gtt/mL, at how many gtt/min well the nurse time this drip rate?

50 gtt/min

a nurse is preparing to insert a double-lumen gastric (salem) sump tube for a client who has peptic ulcer disease and has developed gastrointestinal bleeding. Which of the following images indicates the tube that the nurse should select?

A

A nurse is collecting data prior to administering digoxin to a client. For which of the following findings should the nurse withhold this medication and notify the provider? Digoxin level 0.7 ng/mL Blood pressure 142/80 mm Hg Potassium 4.4 mEq/L Apical pulse 52/min

Apical pulse 52/min The nurse should check the client's apical pulse prior to administering digoxin because it decreases the heart rate and improves contractility. If the client's heart rate is below 60/min, the nurse should withhold the dose and notify the provider.

A nurse is monitoring a client who is 2 hr postoperative and just received an opioid analgesic. Which of the following actions should provide the nurse with the best data to determine the client's need for analgesia? Observe the client for signs of restlessness. Monitor the client for facial grimacing. Watch the client for signs of decreased mobility. Ask the client to rate her pain level.

Ask the client to rate her pain level. Asking the client to rate her pain level will provide a verbal report of pain, which is the best indicator of the need for pain medication.

A nurse is reviewing the medical record of a client who has a new prescription for dimenhydrinate to treat motion sickness. Which of the following disorders in the client's medical record should the nurse report to the provider as a contraindication? Major depresive disorder Diabetes mellitus Benign prostatic hyperplasia Meniere's disease

Benign prostatic hyperplasia Clients who have benign prostatic hyperplasia may have urinary hesitancy and retention and therefore should not take dimenhydrinate due to the anticholinergic adverse effects of the medication.

A nurse is reinforcing teaching with a client who is to start therapy with nifedipine. The nurse should instruct the client that the medication decreases which of the following? Blood pressure Heart rate Nasal congestion Bladder spasms

Blood pressure Nifedipine causes vasodilation, resulting in decreased blood pressure.

A nurse is caring for a client who is receiving a combination of antiretroviral medications for HIV. Which of the following laboratory tests will indicate the status of the client's immune system? Enzyme-linked immunosorbent assay (ELISA) CD4 T-cell count OraQuick rapid HIV-1 antibody test Western blot assay

CD4 T-cell count This test indicates the status of the client's immune system. A rise in CD4 T-cell counts indicates return of immune function for the client who has HIV.

A nurse is caring for a client who is 2 hr postoperative following an amputation of the foot. Which of the following actions should the nurse take first?

Check incisional dressing

A nurse is caring for a client who has a new cast on her forearm and reports severe pain in the affected arm with numbness in the fingers. The nurse finds the skin is pale and cold with sluggish capillary refill. Which of the following fracture complications should the nurse suspect?

Compartment Syndrome

A nurse caring for a client who has end-stage liver disease and just underwent an abdominal paracentesis. For which of the following manifestations should the nurse monitor as an adverse effect of the procedure?

Decreased blood pressure

A nurse is caring for a client who has a new prescription for baclofen for multiple sclerosis. Which of the following findings indicates to the nurse that the medication is having a therapeutic effect? Decreased muscle spasticity Increased urinary output Increased mental alertness Decreased heart rate

Decreased muscle spasticity Baclofen is an antispasmodic that decreases muscle spasticity in clients who have multiple sclerosis.

A nurse is caring for a client who has tuberculosis and will begin taking isoniazid. Which of the following actions should the nurse take? Determine the client's daily alcohol intake. Tell the client to expect red-orange urine. Reinforce teaching on a low-calorie diet. Instruct the client to have a yearly tuberculin skin test.

Determine the client's daily alcohol intake. Isoniazid can cause liver damage; therefore, it is important for the nurse to determine the client's daily alcohol intake because alcohol use increases this risk. The nurse should instruct the client to reduce or avoid all use of alcohol.

A nurse is caring for 4 clients. Which of the following conditions should the nurse identify as a risk for developing vascular disease?

Diabetes mellitus

A nurse is performing the third check before administering hydromorphone to a client. After opening the unit-dose packet, the client tells the nurse he does not want to take the medication now. Which of the following actions should the nurse take? Complete an unusual occurrence report of the incident. Encourage the client to take the medication. Leave the medication at the client's bedside in case he changes his mind. Dispose of the medication with a second nurse as a witness.

Dispose of the medication with a second nurse as a witness. The nurse must have a witness when disposing of a controlled substance.

A nurse working in a provider's office administers an oral dose of ampicillin to a client and then monitors her for the next 30 min. Which of the following findings indicates the client is having an allergic reaction to the medication? (Select all that apply.) Elevated blood pressure Pruritus Flushing Wheezing Tinnitus

Elevated blood pressure is incorrect. Clients having an allergic reaction to ampicillin are more likely to have hypotension. Pruritus is correct. Clients having an allergic reaction to ampicillin can develop severe itching, resulting from the body's immune response to the medication as an antigen. Flushing is correct. Clients having an allergic reaction to ampicillin can develop flushing, resulting from the body's immune response to the medication as an antigen. Wheezing is correct. Clients having an allergic reaction to ampicillin can develop wheezing, resulting from the body's immune response to the medication as an antigen. Tinnitus is incorrect. Tinnitus indicates damage to the inner ear. Aminoglycosides, rather than penicillins, can cause ototoxicity.

A nurse is reviewing the medical record of a client who has acute pancreatitis. Which of the following findings should the nurse anticipate?

Elevated serum amylase level

A nurse is caring for a cliennt who has restricted movement of the chest due to a burn injury. The nurse should anticipated preparing the client for which of the following procedures?

Escharotomy

A nurse is assisting with an admission of a client who reports muscle aches and pains associated with his construction work. The provider suggests taking acetaminophen. The nurse should notify the provider about which of the following information obtained from the client? History of hepatitis B Cigarette smoker History of hypertension Allergy to sulfonamides

History of hepatitis B Acetaminophen can result in hepatotoxicity in clients who have a history of liver damage or failure.

A nurse in a clinic is collecting data from a client who has hyperthyroidism and has been taking methimazole for 4 weeks. Which of the following statements by the client indicates a therapeutic response of the medication?

I have gained 3 pounds since my last appointment.

A nurse is caring for a client who has a 10-year history of alcohol use disorder and is experiencing acute alcohol withdrawel. Which of the following is the priority intervention for this client? Suggest the client attend a support group. Administer naltrexone. Implement seizure precautions. Assist the client to identify triggers of alcohol use.

Implement seizure precautions. The greatest risk to the client at this time is injury from seizures and falls. Therefore, the nurse's priority is to implement seizure precautions to prevent injury if the client develops seizure.

A nurse is caring for a client who is taking bethanechol. For which of the following adverse effects should the nurse monitor? Decreased urination Increased GI motility Dry mouth Hypertension

Increased GI motility Bethanechol is a muscarinic agonist that increases GI motility, leading to abdominal cramps and diarrhea.

A nurse is reinforcing teaching with a client about the adverse effects of simvastatin. For which of the following adverse effects should the nurse instruct the client to monitor? Muscle pain Fine hand tremors Urinary retention Double vision

Muscle pain The nurse should instruct the client to notify the provider if muscle pain or tenderness develops, because this could indicate rhabdomyolysis.

A nurse is reinforcing discharge teaching with a client who has type 2 diabetes mellitus and a new prescription for metformin. The nurse should instruct the client to monitor for which of the following adverse effects? (Select all that apply.) Muscle pain Agitation Weight gain Constipation Metallic taste

Muscle pain is correct. A client who is taking metformin should monitor for muscle pain, which could indicate lactic acidosis. Agitation is correct. Agitation indicates a CNS adverse effect of the medication. Weight gain is incorrect. Metformin does not cause weight gain. Constipation is incorrect. Metformin can cause GI manifestations such as diarrhea, nausea, and vomiting. Metallic taste is correct. Metformin can cause GI manifestations such as a bitter or metallic taste.

A nurse is caring for a client undergoing testing for multiple sclerosis. Which of the following findings should the nurse expect?

Muscle spasticity is a manifestation of multiple sclerosis.

A nurse is caring for a client following thyroidectomy. Which of the following findings should alert the nurse to the possibility of parathyroid gland injury?

Muscle twitching

A nurse is reinforcing teaching with a client who is to start therapy with gemfibrozil. Which of the following should the nurse instruct the client to watch for and report to the provider? ​Bruising Numbness in the feet ​Facial flushing Muscle weakness

Muscle weakness Myopathy is an adverse effect of gemfibrozil. The nurse should instruct the client to report any muscle weakness or muscle tenderness.

A nurse is reinforcing teaching with a client about testicular self-examination. Which of the following instructions should the nurse include in the teaching?

Perform testicular self-examination after taking a warm shower

A nurse is reinforcing teaching with a client who has a new prescription for spironolactone for hypertension. Which of the following instructions should the nurse include in the teaching? Increase foods high in zinc. Restrict foods high in potassium. Restrict foods high in vitamin K. Increase foods high in magnesium.

Restrict foods high in potassium. Spironolactone is a potassium-sparing diuretic, which can cause hyperkalemia. Therefore, the client should restrict foods that are high in potassium.

A nurse is caring for a client who has hypertension and a prescription for metoprolol. Which of the following conditions is a contraindication for this medication? Peripheral vascular disease Diabetes mellitus Second-degree AV block Renal failure

Second-degree AV block Metoprolol slows the conduction through the AV node. Therefore, it is contraindicated for clients who have an AV block that is greater than first degree.

A nurse is reinforcing teaching with a client who is prescribed captopril for hypertension. Which of the following side effects should the nurse instruct the client to report to the provider immediately? Photosensitivity Weight loss Sore throat Altered taste sensation

Sore throat The greatest risk to the client is infection related to neutropenia. Unexplained fever, sore throat, and fatigue can indicate an infection and should be immediately reported to the provider.

A nurse is contributing to the plan of care for a client who had a cerebrovascular accident (CVA). For which of the following interdisciplinary team members should the nurse recommend a referral prior to initiating oral intake for the client?

Speech-language pathologist

A nurse is caring for a client who is receiving a continuous tube feeding of 60 mL/hr at 1.2 cal/mL. How many calories will the client receive in 12 hrs? (Round the answer to the nearest whole number)

Step 1: What is the unit of measurement the nurse should calculate? Calories Step 2: What is the volume the nurse should infuse? 60 mL/hr x 12 hr = 720 mL Step 3: What is the total infusion time? 12 hrs Step 4: Should the nurse convert the units of measurement? No Step 5: Set up an equation and solve for x. 720 mL x 1.2 cal/mL = calories x = 864 cal Step 6: Round if necessary. Step 7: Reassess to determine if the amount to administer makes sense.

A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The client's temperature increases to 39.1° C (102.4° F). Which of the following actions should the nurse take first? Obtain a urine specimen. Administer diphenhydramine. Stop the transfusion. Notify the charge nurse.

Stop the transfusion. An elevated temperature indicates that this client is at greatest risk for a blood transfusion reaction; therefore, the first action the nurse should take is to stop the transfusion.

A nurse is collecting data from a client who has 30% body surface area partial-thickness and full-thickness burns. Which of the following findings indicates that fluid resuscitation is adequate?

Urine output is 50 mL/hr.

A nurse is monitoring a client who is receiving IV amphotericin B. Which of the following findings indicates an adverse reaction to this medication? Serum potassium level 5.6 mEq/dL Hematocrit 55% Polyuria Vertigo

Vertigo Ototoxicity is an adverse effect of amphotericin B. Manifestations of ototoxicity include vertigo, tinnitus, and hearing loss.

A nurse is reinforcing teaching with the client was to start therapy with metronidazole for a urinary track infection. which of the following should the nurse include in the teaching? a. "your urine may become reddish-brown." b. "Store the medication in the refrigerator." c. "your position will monitor her hemoglobin levels." d. "discontinue the medication when symptoms are gone"

a. "your urine may become reddish-brown."

a nurse is reinforcing teaching with a client who has a new prescription for colchicine to treat g gouty arthritis. Which of the following manifestations should the nurse include as an adverse effect of this medication? a. Abdominal pain b. Wheezing c. Excessive urination d. Tinnitus

a. Abdominal pain

A nurse is collecting data from a client who is receiving theophylline for treatment of bronchial asthma. The nurse should recognize that which the following findings indicate theophylline toxicity? (select all that apply) a. Tachycardia b. Nausea c. Urinary retention d. Drowsiness e. Headache

a. Tachycardiab. Nausea e. Headache

A nurse is collecting data from a client who has been taking levodopa/ carbidopa. Which of the following findings should indicate to the nurse that the medication is effective? a. The client is able to wash his face. b. the client experiences fewer seizures. c. the client reports decreased heartburn. d. the client is able to sleep through the night.

a. The client is able to wash his face.

A nurse is reinforcing teaching with a client who has a new prescription for ciprofloxacin. Which of the following instructions should the nurse including the teaching? a. The client should drink 8 full glasses of water per day. b. The client should increase her exposure to sunlight. c. The client should take the medication with an antacid. d. The client should take this medication with 1 cup milk

a. The client should drink 8 full glasses of water per day.

a nurse is preparing to administer medication to a client. Which of the following client identifiers is acceptable for the nurse to use prior to medication administration? a. Verify the client's telephone number b. Confirm the client's room number c. Ask the client to list his morning medications d. States the clients full name

a. Verify the client's telephone number

A nurse is caring for a client who is receiving methylprednisolone sodium succinate. Which of the following laboratory values should the nurse plan to monitor? (select all that apply) a. White blood cell count b. Serum potassium c. Creatine phosphokinase d. Blood glucose

a. White blood cell countb. Serum potassium d. Blood glucose

A nurse is reinforcing teaching with A client who has a new prescription for theophylline. The nurse should instruct the client that which of the following is an expected outcome of this medication? a. dilate bronchioles b. reduces inflammation c. loosens secretions d blocks leukotrienes.

a. dilate bronchioles

a nurse is caring for a client who has schizophrenia and is to start therapy with risperidone. For which of the following should the nurse monitor to determine whether the treatment is effective? a. improved social interactions b. decreased obsessive-compulsive thoughts c. decreased hand tremors d. improved urinary control

a. improved social interactions

a nurse is caring for a client who has a new prescription for sumatriptan. The nurse notes that the client takes fluoxetine. The nursing question the provider about the new prescription because the combination of these medications puts the client at risk for which the following adverse effects? a. tremors b. renal calculi c. dysphasia d. hearing loss

a. tremors

a nurse is reviewing medication prescriptions for a group of clients.The nurse should recognize which of the following prescriptions could result in a medication administration error? a.furosemide 10.0 mg PO daily b. penicillin G benzathine 1.2 million units IM daily. c. albuterol two inhalations every six hours as needed d. insulin glargine 15 units subcutaneous daily at bedtime

a.furosemide 10.0 mg PO daily

a nurse is reviewing the medication administration record of a client who has ostteoarthritis. which of the following analgesic prescriptions should the nurse expect to administer when the client reports pain

acetaminophen

a nurse is reinforcing teaching with a client who has coronary artery disease and is taking a statin medication to lower cholesterol levels. which of the following instructions should the nurse include in the teaching

add oily fish to your diet twice weekly

a nurse is caring for a client who reports shortness of breath and has an oxygen saturation of 90%. which of the following actions should the nurse take

administer oxygen via nasal cannula

a nurse is delegating the task of repositioning a client who is in the skeletal traction to an assistive personnel (AP). which of the following instructions should the nurse give the AP

allow the weights to hang freely

a nurse is contributing to the plan of care for a client who has just transferred to the medical-surgical unit from PACU following a right total knee arthroplasty. which of the following interventions should the nurse include in the plan

assist the client to change positions at least every 2 hr

a nurse it's collecting data from a client who Is taking exenatide to treat diabetes mellitus. For which of the following findings should the nurse withhold the exenatide dose and notify the provider immediately? a. loss of appetite b. Abdominal pain c. Muscle weakness d. Heartburn

b. Abdominal pain

A nurses caring for a client who is having an acute asthma attack. Which of the following medications should the nurse administer first? a. Beclomethasone b. Albuterol c. Cromolyn d. Prednisone

b. Albuterol

a client comes to an ambulatory clinic and announces with great enthusiasm, "I am an expert at all things medical as they apply to me, and I require zolpidem." The clients pupils are dilated and his heart rate and blood pressure elevated. Been there should suspect intoxication with which of the following substances? a. Alcohol b. Cocaine c. Barbiturates d. Heroin

b. Cocaine

The nurse is reviewing the medical administration record of a client who has a history of Stevens-Johnson syndrome when taking sulfamethoxazole-trimethoprim. Which of the following medications should the nurse withhold to prevent an allergic reaction? a. Prednisone b. Furosemide c. Lansoprazole d. Digoxin

b. Furosemide

a nurses collecting data from a client who is scheduled to receive the Varicella vaccine. The nurse should withhold the vaccination if the client tells her he is allergic to which of the following substances? a. Eggs b. Gelatin c. Yeast d. latex

b. Gelatin

a nurse is collecting data from a client who has heart failure and has been taking digoxin and hydrochlorothiazide. Which of the following findings and it is a manifestation of an adverse effect of these medications? a. Hyperactive reflexes b. Muscle weakness c. Hypoglycemia d.thrombophlebitis

b. Muscle weakness

a nurses caring for a client who is receiving vancomycin. The nurse should monitor the client for a report which in the following changes in condition? a. Abdominal pain b. Red neck c. Insomnia d. Blurred vision

b. Red neck

a nurse is reinforcing teaching about comfort measures with the a 10-year-old child who has a viral infection. The nurse should plan to tell the parents that aspirin is contraindicated because of the risk for which of the following? a. juvenile idiopathic arthritis b. Reye's syndrome c. Glomerulonephritis d. Iron-defiency anemia

b. Reye's syndrome

A nurse is caring for a client who has a history of psychosis and is taking chlorpromazine. Which of the following actions should the nurse take to counter act the adverse effects of this medication? a. Suggest that the client supply anti-perspirant more frequently. b. help the client apply sunblock before going outside. c. give the client a list of over-the-counter antidiarrheal medication. d. Recommend that the client take the medication on an empty stomach.

b. help the client apply sunblock before going outside.

a nurse is caring for a client who is taking phenylephrine. The nurse should plan to monitor the client for which of the following adverse effects? a. increased drowsiness b. increased heart rate c. decreased blood pressure d. decreased WBC count

b. increased heart rate

A nurse is monitoring A client who is to start therapy with spironolactone. Which of the following serum lab results should the nurse report to the provider? a. sodium 140 mEq/L b. potassium 5.3 mEq/L c. chloride 99 mEq/L d. magnesium 1.9 mEq/L

b. potassium 5.3 mEq/L

a nurses reinforcing teaching about immunizations with a client who is pregnant. Which of the following vaccines should the nurse include in the teaching as save to administer during pregnancy? a. herpes zoster b. tetanus and diptheria (TD) c. varicella d. Measles, mumps, and rubella (MMR)

b. tetanus and diptheria (TD)

a nurse is monitoring a client who has a wrist cast and reports intense itching underneath the cast. Which of the following actions should the nurse take?

blow cool air into the case using a blow dryer on a cool setting

a nurse is reinforcing teaching with a client who has a new prescription for regular insulin. Which of the following statements by the client indicated understanding of the teaching? a. "I should eat right after I give myself an insulin injection." b. "I should roll the vile gently prior to drawing up insulin" c. "I should identified up insulin is clear prior to drawing it up" d. "I should inject insulin insulin deep into the muscle."

c. "I should identified up insulin is clear prior to drawing it up"

A nurse is collecting data from a client who received a tetanus and diphtheria Toxoids and acellular pertussis vaccine (Tdap) booster immunization the previous day. which of the following client statements should alert the nurse to a potentially serious adverse effect of this vaccine? a. "I have a fever of 101°F" b. "I have a complete lack of appetite" c. "I've been feeling a little dazed and confused" d. "my arm is a bit red and puffy at the injection site"

c. "I've been feeling a little dazed and confused

A nurse is reinforcing teaching about nicotine polacrilex gum with a client who smokes three packs of cigarettes per day. Which of the following statement should the nurse include in the teaching? a. "you can drink caffeinated beverages while chewing the gum" b. "you can chew two pieces of gum when you have the urge to smoke." c. "you should choose the gum for a full 30 minutes before discarding" d. "you should wait five minutes after eating to chew gum"

c. "you should choose the gum for a full 30 minutes before discarding"

A nurse is preparing to administer a liquid medication and a tablet to a client who is receiving enteral feeding through an NG tube. Which of the following actions should the nurse take? a. Mix a liquid medication with the tube feeding formula. b. Crush the tablet to mix with the liquid medication. c. Crush the tablet to mix with 30 ML warm water. d. Mix the liquid medication and 20 ML Cold water.

c. Crush the tablet to mix with 30 ML warm water.

a client whose post operative following an open reduction and internal fixation of a femoral fracture has prescriptions for PRN morphine sulfate and PRN acetaminophen. The nurse notes that the client is laughing and joking with a friend at the bedside. The client reports leg pain as an eight on a 0 to 10 scale. Based on these findings which of the following is an appropriate action by the nurse? a. Report of findings to the charge nurse b. Document the findings and recheck in 2 two hours c. Give the morphine as prescribed. d. Give the acetaminophen as prescribed

c. Give the morphine as prescribed.

A nurse is reinforcing teaching with a client who is taking metformin for treatment of type II diabetes mellitus. The nurse should include in the teaching that medication decreases which of the following physiological factors? a. Cellular sensitivity to insulin b. Insulin release from the pancreas c. Glucose production in the liver d. Transport of glucose to the muscles.

c. Glucose production in the liver

A nurse is collecting data from a client who is asking about taking celecoxib for treatment of joint pain. The nurse should recognize which of the following is a contraindication to receiving celecoxib? a. Hyperglycemia b. Allergy to penicillin c. History of myocardial infarction d. Peptic ulcer disease

c. History of myocardial infarction

Pain is reviewing a client's medication administration record and discovers that an additional dose of Captopril has been administered in error to the client. the nurse should monitor the client for which of the following adverse effects? a. bradycardia b. Facial flushing c. Hypotension d. Tinnitus

c. Hypotension

hey nurse is collecting data from A client who has a prescription for tobramycin. Which of the following findings should the nurse immediately report to the provider? a. Report of nausea b. Fever c. Oliguria d. Report of headache.

c. Oliguria

A nurse is reinforcing teaching with a client following placement of a cast for a fractured ankle. The client is to take oxycodone for pain management. When reviewing the clients over-the-counter medications, which of the following should the nurse instructed client to avoid wall taking oxycodone? a. docusate sodium b. ranitidine c. diphenhydramine d. Ibuprofen

c. diphenhydramine

A nurses caring for a client who has chronic renal failure and has been receiving epoetin alfa for two weeks. Which of the following indicates to the nurse that the medication is having the desired therapeutic effect? a. albumin is within expected reference range. b. urine output increases to 60 mL/hr. c. hemoglobin rises 0.5 g/dL. d. blood urea nitrogen level is within expected reference range.

c. hemoglobin rises 0.5 g/dL.

a nurse is caring for a client who has an intestinal obstruction and reports a new onset of nausea. the client has an NG tube set at low intermittent suction and is receiving continuous IV infusion of 0.9% sodium chloride. Which of the following actions should the nurse take first

check for kinks in the NG tube

a nurse is caring for a client who is suspected of having a myocardial infarction. which of the following actions should the nurse take to prepare the client for an ECG.

cleans the client's skin prior to electrode placement

a nurse is reinforcing teaching with a client who's about to start using an ipratropium inhaler to treat exercise-induced bronchospasm. Which of the following statements by the client should alert the nurse to intervene? a." I usually have a glass of red wine with dinner" b. "I'll make sure I use the inhaler four times a day." c. I'll rinse my mouth after I use the inhaler d. "I've always been allergic to peanuts"

d. "I've always been allergic to peanuts"

A client is visiting her provider to follow up on routine laboratory work related to warfarin therapy for mitral valve replacement. The clients current INR is 5.0. Which of the following questions should the nurse asked based on the clients INR result? a. "have you been taking a vitamin K supplement?" b. "have you skipped the dose of your medication?" c. "did you have your partial thromboplastin Time levels drawn last week?" d. "have you noticed any bruising?"

d. "have you noticed any bruising?"

a nurse is reinforcing teaching with a client who has helicobacter pylori and a new prescription for tetracycline. Which of the following instructions should the nurse include in the teaching? a. Expect you're an to turn orange b. Take the medication with 240 ML milk c. Watch for excessive bleeding when brushing teeth d. Avoid prolonged exposure to sunlight

d. Avoid prolonged exposure to sunlight

a nurse is reinforcing teaching with a client who is receiving enalapril 20 mg PO daily. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? a. Facial flushing b. Blurred vision c. Muscle tremors d. Dry cough

d. Dry cough

A nurse is reinforcing teaching with a client list rheumatoid arthritis and a new prescription for methotrexate. Which of the following information should the nurse include in the teaching? a. Avoid grapefruit juice b. Increase salt intake c. Avoid aged cheese d. Increase fluid intake

d. Increase fluid intake;;

A client is taking ferrous sulfate orally. Which of the following findings reported by the client indicates that the medication is achieving its desired outcome? a. Passage of soft formed stool daily b. decrease number of viral illnesses c. Improved ability to fall asleep d. Increased tolerance to exercise

d. Increased tolerance to exercise

A nurse is collecting data from a client who has a new prescription for levodopa/carbidopa. for which of the following should the nurse monitor and document as the priority finding? a. Dark urine b. Diaphoresis c. Anorexia d. Syncope

d. Syncope

A nurses caring for a client who is prescribed disulfiram and consumed alcohol 12 hours ago. Which of the following adverse reactions is the priority finding to report to the provider? a. hyperemesis b. severe headache c. palpitations d. respiratory depression

d. respiratory depression

a nurse is assisting in the care of a client who has AIDS-related pneumonia. The client is receiving antibiotic therapy and albuterol nebulizer treatments daily. Which of the following findings should indicate to the nurse that the client's therapeutic regimen is effective?

decrease in exertional dyspnea

a nurse is collecting data from a client who is receiving sumatriptan. Which of the following is an expected outcome?

diminished headache

a nurse is caring for an adult client who has age-related macular degeneration. which of the following findings should the nurse expect?

distorted central vision of the eyes

a nurse is assisting with the development of a plan of care to manage pain for a client who has herpes zoster with lesions on the lower extremities. which of the following interventions should the nurse include in the plan of care?

keep bed linens ff of the affected areas

a nurse is reinforcing teaching with the parent of a toddler who has type I diabetes mellitus and whose prescription has been changed from regular insulin to lispro insulin. which of the following information should the nurse include in the teaching

lispro should be given before eating

a nurse is caring for a client who begins to have a seizure while ambulating in the hall. identify the sequence of actions the nurse should follow.

lower the client to the floor place a pad beneath the client's head to protect the client from injury loosen the clothing around the client's neck time the length of the client's seizure reorient and reassure the client

a nurse is reinforcing teaching with a client who is postoperative following a cemented total hip arthroplasty. Which of the following instructions should the nurse include?

maintain hip flexion to 90 degrees or less when sitting

a nurse is reviewing the medical record for an older adult who is experiencing nausea and vomiting. based on the client data, which of the following actions should the nurse take?

notify the charge nurse of the client's BUN level

a nurse is providing information regarding transmission-based precautions for a client who has clostridium difficile to an assistive personnel (AP). Which of the following instructions should the nurse include? (select all)

provide the client with disposable utensils and dishes for meals leave blood pressure equipment in the client's room clean contaminated surfaces with a bleach solution

a nurse is repositioning a client who has lower back pain. which of the following positions is appropriate for the client

semi-Fowler's with knees flexed

a nurse in an orthopedic clinic is reinforcing teaching with a client who has osteoarthritis. which of the following instructions should the nurse include to promote comfort

sleep on a firm mattress

a nurse is reinforcing teaching with an older adult client who has osteoporosis. which of the following instructions should the nurse include in the teaching?

take calcium supplements with meals

a nurse is reinforcing teaching with a client who is taking levothyroxine. which of the following statements by the client indicates an understanding of the teaching

the medication should be taken before i eat breakfast every morning

a nurse is caring for a client who has cushing's syndrome and expresses concern regarding body image changes. which of the following should the nurse recognize as a physical change caused by this disease?

truncal obesity

a nurse is contributing to the plan of care for a client who has a head injury and is at risk for increased intracranial pressure (ICP). which of the following actions should the nurse include in the plan?

use a turn sheet to reposition the client

a nurse is assisting in the plan of care for a client who had a recent left hemispheric stroke. which of the following actions should the nurse include in the plan?

use simple verbal cues when directing tasks