SAFETY

A client who has been taking the prescribed dose of zolpidem for 5 days returns to the clinic for a follow-up visit. When interviewing the client, the nurse identifies that the medication has been effective when the client makes which statement?

"I have been sleeping better."

Vitamin K 0.5 mg is prescribed for a newborn. The vial on hand is labeled "1 mL = 2 mg." How many milliliters should the nurse administer? Include a leading zero if applicable. Record your answer using two decimal places. _____ mL

0.25

Following surgery, a client received a prescription for 8 mg of morphine sulfate to be given by injection. The vial on hand is labeled 1 mL = 10 mg. How much solution should the nurse administer? Include a leading zero if applicable. Record your answer using one decimal point. __________ mL

0.8

Oral phenobarbital 30 mg every 6 hours is prescribed for a toddler who has had a seizure. A bottle of phenobarbital liquid labeled "20 mg/4 mL" is available. How much solution should the nurse administer? Record your answer using a whole number. __________ mL

6

Which parameter does the nurse assess first while assessing a client with severe trauma?

Airway

A primary health care provider prescribes atenolol (Tenormin) 20 mg by mouth four times a day for a client who has had double coronary artery bypass surgery. What information is most important for the nurse to include in the discharge teaching plan for this client?

Avoid abruptly discontinuing the medication

According to the U.S. Food and Drug Administration (FDA) pregnancy risk categories, which category of drugs may have slight risks to the fetus?

B

An infant is admitted to the pediatric unit with gastroenteritis and dehydration. The nurse determines that the parents understand the teaching about contact precautions when they make which statement?

"We should change our gloves each time we change the baby's diaper."

A client in a detoxification unit has an alcohol withdrawal seizure. Diazepam (Valium) 7.5 mg intramuscularly stat is prescribed. Valium is available 5 mg/mL. How many milliliters should the nurse administer? Record your answer using one decimal place. __________ mL

1.5

A client returning from a bronchoscopy is directed to not consume any food or drink any fluids for several hours. The nurse explains that these measures are taken to prevent what?

Aspiration

The parents of a toddler tell the nurse the family has been living in a very old building. The nurse should carefully assess the child for the irreversible effects of possible lead poisoning by focusing on the what?

Central nervous system

A client with an abdominal wound infected with methicillin-resistant Staphylococcus aureus (MRSA) is scheduled for a computed tomography (CT) scan of the abdomen. To ensure client and visitor safety during transport, the nurse should implement which precaution?

Cover the infected site with a dressing

A nurse in the pediatric clinic receives a call from a mother who states that her 2-year-old daughter, whom she discovered in a kitchen cabinet, is crying that her mouth hurts. She is drooling, and her tongue and gums are white. The nurse gives the mother the number of the poison control center, telling her to call immediately. What does the nurse suspect that the child has ingested?

Dishwashing detergent

During which period of pregnancy may drug exposure cause meromelia, cleft lip, and enamel hypoplasia?

Embryonic period

A family member of a client with a hemorrhagic stroke asks about anticoagulant therapy. The nurse explains what about anticoagulant therapy for the client?

It is contraindicated because it will increase bleeding

A nurse is caring for a young, hyperactive child with attention deficit hyperactivity disorder who engages in self-destructive behavior. What is the most important nursing objective in the planning of care for this child?

Keeping the child from inflicting any self-injury

A nurse is administering gold salts to a client with the diagnosis of rheumatoid arthritis. For which adverse effect of this drug should the client be monitored?

Kidney damage

Which type of drug readily enters the breast milk?

Lipid-soluble drugs

A young adult client is admitted to the hospital with a diagnosis of schizophrenia, paranoid type. The client has been saying, "The voices in heaven are telling me to come home to God." Initial nursing care should be focused on the client's:

Potential for self-harm

After changing a dressing that was used to cover a draining wound on a client with Vancomycin Resistant Enterococcus (VRE), the nurse should take which step to ensure proper disposal of soiled dressing?

Place the dressing in a red bag/hazardous materials bag.

The nurse notes that a 3-year-old child in a crib has a clamped jaw and is having a tonic-clonic seizure. What is the priority nursing responsibility at this time?

Protecting the child from self-injury

Which statement by the nurse is true about health promotion in infants and toddlers?

Remove grocery plastic bags from the home

A postpartum nurse is reviewing principles related to automobile infant restraint systems with the parents of a newborn who is to be discharged in the morning. What information should be included in the teaching session? Select all that apply.

Secure the infant seat so that it faces the rear Follow the manufacturer's directions to secure the infant seat in the back seat. Be sure to follow weight guidelines set forth in the manufacturer's instructions

An infant is receiving intermittent nasogastric tube feedings. In what position should the nurse place the infant?

Semi-Fowler

A school-aged child is receiving a blood transfusion. What should the nurse do first if an allergic reaction to the blood occurs?

Shut off the infusion

Antibiotic prophylaxis is prescribed for a 2-year-old child with a cardiac malformation who is awaiting corrective surgery. The nurse explains to the child's parents that the antibiotic will prevent what?

Subacute bacterial endocarditis

While educating a new mother about proper care of her infant, a nurse advises the mother to place the child on his back to sleep and to avoid the use of soft bedding or pillows. Which complication is the nurse attempting to prevent?

Sudden infant death syndrome (SIDS)

The nurse at a health fair has taken a client's blood pressure twice, 10 minutes apart, in the same arm while the client is seated. The nurse records the two blood pressures of 172/104 mm Hg and 164/98 mm Hg. What is the appropriate nursing action in response to these readings?

Take the client's blood pressure in the other arm and then schedule a healthcare practitioner's appointment for as soon as possible.

The protein binding capacity of drugs in infants is low. Which is an implication of this physiologic process?

The free levels of a drug will increase