Adaptive Quiz 5

A nurse is providing teaching a client who has stable angina and a new prescription for transdermal nitroglycerin. Which of the following instructions should the nurse include?

-Apply the patch to a hairless area and rotate sites. -Apply a new patch each morning. -Remove the patch for 10 to 12 hr daily.

The client must take alendronate first thing in the morning on an empty stomach and wait at least 30 minutes before eating, drinking, or taking other medications.

A headache is an expected adverse effect of the medication." The vasodilation nitroglycerin induces increases blood flow to the head and typically results in a headache.

A nurse is admitting a client who reports anorexia and is experiencing malnutrition. Which of the following laboratory findings should the nurse expect to be altered?

Albumin

Metronidazole is an antiprotozoal medication that treats giardiasis and trichomoniasis. It most common adverse effects are headaches, nausea, dry mouth, and an unpleasant metallic taste in their mouth.

Allopurinol is a xanthene oxidase inhibitor that reduces uric acid synthesis. The medication is prescribed to treat gout.

A nurse is caring for a client who has gastrointestinal bleeding. Which of the following actions should the nurse take first?

Assess blood pressure

A nurse is providing dietary teaching for a client who takes furosemide. The nurse should recommend which of the following foods as the best source of potassium? A. Banana B. Cooked carrots C. Cheddar cheese D. 2% milk

Bananas..... The nurse should determine that bananas are the best food source to recommend because 1 cup of bananas contains 806 mg of potassium. In addition to the potassium supplements the provider might prescribe, the client should increase his daily intake of foods that have high potassium content, such as bananas, orange juice, and spinach.

A nurse is providing teaching for a client who has gastroesophageal reflux disease (GERD) about ways to manage his condition. Which of the following instructions should the nurse include? A. Sleep on your left side B. Drink milk to soothe your stomach C. Eat four small meals each day D. Wait to go to bed 1 hr after eating

C. Eat 4 small meals each day

A nurse is caring for a client who has poison ivy and is prescribed diphenhydramine. Which of the following instructions should the nurse give regarding the adverse effect of dry mouth associated with diphenhydramine?

Chew on sugarless gum or suck on hard, sour candies. Clients who report dry mouth can get the most effective relief by sucking on hard candies (especially the sour varieties that stimulate salivation), chewing gum, or rinsing the mouth frequently. It is the local effect of these actions that provides comfort to the client.

A nurse is assessing a client who has chronic venous insufficiency. Which of the following findings should the nurse expect?

Edema

A nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take?

Decrease the infusion rate on the IV. This client is experiencing Red man syndrome, which includes a flushing of the neck, face, upper body, arms and back along with tachycardia, hypotension and urticaria. This can lead to an anaphylactic reaction if the IV infusion rate is not slowed down to run greater than 1 hour.

A nurse is caring for a client following an esophagogastroduodenoscopy (EGD) procedure. Which of the following assessments is the nurse's priority

Gag Reflex

A nurse is caring for a client who has thrombophlebitis and is receiving heparin by IV infusion. The client asks the nurse how long will it take for the Heparin to dissolve the clot. Which of the following responses should the nurse give?

Heparin does not dissolve clots. It stops new clots from forming. This statement accurately answers the client's question..

A nurse is teaching a client about strategies to manage gastroesophageal reflux disease (GERD). Which of the following statements should the nurse include?

Lie on your right side when sleeping

A nurse is caring for a client who has diverticular disease. When palpating the client's abdomen where should the nurse anticipate abdominal pain?

Lower left quadrant

A nurse is teaching a client who has a prescription for colchicine to read gout. Which of the following should the nurse include?

Monitor for muscle pain This medication can cause rhabdomyolysis. The client should monitor and report muscle pain.

A nurse is caring for a client who has peripheral vascular disease and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort?

Obtain a pair of slipper-socks for the client

Morphine Sulfate 2 mg IV bolus Available morphine sulfate 10 mg/ML how many should nurse administer.

Ratio and ProportionSTEP 1: What is the unit of measurement the nurse should calculate? mL STEP 2: What is the dose the nurse should administer? Dose to administer= Desired 2 mg STEP 3: What is the dose available? Dose available = Have 10 mg STEP 4: Should the nurse convert the units of measurement? No STEP 5: What is the quantity of the dose available? 1 mL STEP 6: Set up an equation and solve for X. Have/Quantity = Desired/X 10 mg/1 mL = 2 mg/X mL X = 0.2 STEP 7: Round if necessary. STEP 8: Reassess to determine whether the amount to administer makes sense. If there are 10 mg/mL and the prescription reads 2 mg, it makes sense to administer 0.2 mL. The nurse should administer morphine sulfate 0. 2 mL IV bolus.

A nurse is teaching a client who has a new prescription for beclomethasone. which of the following instructions should the nurse include? A. "Rinse your mouth after each use of this medication" B. "Limit fluid intake while taking this medication "C. "Increase your intake of vitamin B12 while taking this medication" D. "You can take the medication as needed."

Rinse the mouth after administration Use of glucocorticoids by metered dose inhaler can allow a fungal overgrowth in the mouth. Rinsing the mouth after administration can lessen the likelihood of this complication.

A nurse is providing teaching to a client who has stable angina and a new prescription for nitroglycerin oral, sustained-release capsules. Which of the following instructions should the nurse include?

Swallow the capsules whole.

A nurse is preparing to administer a cleaning enemea to a client which of the following should take?

The nurse should hold the container of solution 30 to 45 cm (12 to 18 in) above the anus

A nurse is teaching a client who has a new prescription for docusate. Which of the following information should the nurse include in the teaching? A. "Do not take this medication before bedtime." B. "Take the medication with a full glass of water." C. "Expect abdominal pain with this medication." D. "Take this medication on an empty stomach."

The nurse should instruct the client to take this medication with a full glass of water, unless contraindicated, to reduce the risk for constipation.

A provider prescribes a transfusion of one unit packed RBC for a client who has a low hemoglobin level. The provider also prescribes diphenhydramine (Benadryl) for administration before the transfusion.

Urticara For clients who have previously had allergic reactions to blood transfusions, administering an antihistamine such as diphenhydramine prior to the transfusion might prevent future reactions. Allergic reactions typically include urticaria (hives).

A nurse is providing discharge teaching for a client who has a new prescription for warfarin. Which of the following instructions should the nurse include in the teaching?

Use an electric razor, Warfarin, an anticoagulant, increases the client's risk for bleeding. The nurse should teach the client safety measures, such as using an electric razor, to decrease the risk for injury and bleeding.

a nurse in a providers clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. which of the following medications currently prescribed for the client is a contraindication to taking sildenafil?

isosorbide Clients who are on nitrates including isosorbide and nitroglycerin preparations cannot take sildenafil, because of the serious medication interaction. There is the possibility of sudden death due to hypotension.

A nurse is providing instructions about bowel cleansing with polyethylene glycol-electrolyte solution (PEG) for a client who is going to have a colonoscopy. Which of the following information should the nurse include? "To prevent dehydration, drink an additional liter of fluid during preparation time." "Expect bowel movements to begin 3 hr following completion of solution." "Abdominal bloating might occur." "Drink 400 mL every hour until bowel movements are clear.

"Abdominal bloating might occur." While PEG is well-tolerated, adverse effects include nausea, bloating, and abdominal discomfort.

A nurse is teaching a client who has a new prescription for aluminum hydroxide to treat heartburn, the nurse should instruct the client to watch and monitor for what adverse effects?

Aluminum hydroxide can cause constipation. The nurse should tell the client to increase fluid and fiber intake to reduce the risk for constipation.

A Nurse is teaching a client who is taking metronidazole. Which of the following sense alterations should the nruse include as an adverse effect of metronidazole? A. Olfactory changes B. Metallic taste C. Alterations in touch D. Hearing loss

B. Metallic taste Metronidazole is an antiprotozoal medication that treats giardiasis and trichomoniasis. It most common adverse effects are headaches, nausea, dry mouth, and an unpleasant metallic taste in their mouth.

A nurse is teaching a client who has diabetes mellitus and receives 25 units of NPH insulin every morning if her blood glucose level is above 200mg/dL. Which of the following information should the nurse include?

Expect the NPH insulin level to peak in 6 to 14 hr. NPH insulin is an intermediate-acting insulin. Its onset of action is 1 to 2 hr, peaking at 6 to 14 hr. Its duration of action is 16 to 24 hr. The client is at risk for hypoglycemia during the peak time.

A nurse on a medical unit is planning care for an older adult client who takes several medications. Which of the following prescribed medications places the client at risk for orthostatic hypotension? (select all that apply)

Furosemide is correct. This medication is used to reduce edema and hypertension, and an adverse effect is orthostatic hypotension. Telmisartan is correct. This medication is used to control hypertension, and an adverse effect is orthostatic hypotension. Duloxetine is correct. This medication is used to treat depression and anxiety disorder, and an adverse effect is orthostatic hypotension.

A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication?

In hypothyroidism, the nonfunctioning thyroid gland is unable to respond to the TSH, and no endogenous thyroid hormones are released. This results in an elevation of the TSH level as the anterior pituitary continues to release the TSH to stimulate the thyroid gland. Administration of exogenous thyroid hormones, such as levothyroxine, turns off this feedback loop, which results in a decreased level of TSH.

A nurse is caring for a client who has a bacterial infection and is receiving gentamicin. Which of the following actions should the nurse take to minimize the risk of an adverse effect of the medication?

Monitor the serum medication levels. A disadvantage of gentamicin, an aminoglycoside, is the association with nephrotoxicity and ototoxicity, both of which are a result of elevated trough levels. Monitoring the serum medication levels is an important action to minimize the risk of an adverse effect of gentamicin.

A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching? I know that I cannot switch brands of this medication" "I will notify my doctor before taking any other medications" "I have made an appointment to see my dentist next week." "I'll be glad when I can stop taking this medicine."

Phenytoin is an anticonvulsant used to treat various types of seizures. Clients on anticonvulsant medications commonly require them for lifetime administration, and phenytoin should not be stopped without the advice of the client's provider.

A nurse is reviewing the health history for a client who has angina pectoris and a prescription for propranolol hydrochloride PO 40 mg twice daily. Which of the following findings in the history should the nurse report to the provider?

The client has a history of bronchial asthma. Beta-adrenergic blockers can cause bronchospasm in clients who have bronchial asthma; therefore, this is a contraindication to its use and should be reported to the provider.

A nurse is completeing a medical interview with a client who has elevated cholesterol levels and takes warfarin. The nurse should recognize that which of the following actions by the client can potentiate the effects of warfarin?

The client uses garlic to lower cholesterol levels. The nurse should recognize that garlic can potentiate the action of the warfarin.

Heart failure and a prescription for digoxin 125 mcg PO daily, available is digoxin PO 0.25mg tablet

xRatio and ProportionSTEP 1: What is the unit of measurement the nuse should calculate? tablet STEP 2: What is the dose the nurse should administer? Dose to administer= Desired 125 mcg STEP 3: What is the dose available? Dose available = Have 0.25 STEP 4: Should the nurse convert the units of measurement? Yes (mcg does not equal mg) 1 mg/1000 mcg = x mg/125 mcgX = 0.125 mgSTEP 5: What is the quantity of the dose available? 1 tablet STEP 6: Set up an equation and solve for X. Have/Quantity = Desired/X 0.25 mg/1 tablet = 0.125 mg/X tablet X = 0.5 STEP 7: Round if necessary. STEP 8: Reassess to determine whether the amount to administer makes sense. If there are 0.25 mg/tab and the provider prescribed 0.025 mg, it makes sense to administer 1/2 tab. The nurse should administer digoxin ½ tab PO daily.

A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?

"Crushing the medication might cause you to have a stomachache or indigestion" The pill is enteric-coated to prevent breakdown in the stomach and decrease the possibility of GI distress. Crushing the pill destroys that protection.

A nurse is instructing a client who has GERD about positions that can help minimize the effects of reflux during sleep. Which of the following statements indicates to the nurse that the client understands the instructions?

"I will lie on my right side to sleep at night"

a nurse is preparing to administer total parental nutrition (TPN) 1800 mL to infuse over 24 hr. the nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero?)

75 mL/

A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse should identify which of the following findings as an indication taht the medication is effective?

A decrease in urine output. The major manifestations of diabetes insipidus are excessive urination and extreme thirst. Vasopressin is used to control frequent urination, increased thirst, and loss of water associated with diabetes insipidus. A decreased urine output is the desired response.

A nurse is reinforcing teaching to a client who is experiencing constipation. Which of the following should the nurse discuss as causes of constipation? (Select all that apply) A. Excessive laxative use B. Ignoring the urge to defecate. C. Inadequate fluid intake. D. Increased fiber in the diet. E. Increased activity

A. Excessive laxative use B. Ignoring the urge to defecate. C. Inadequate fluid intake.

A nurse is providing teaching to the parent of an infant who has GERD. Which of the following indicates understanding of the teaching? A. " I will keep my baby in an upright position after feedings" b. "My baby formula can be thickened with oatmeal" c. "I will have to feed my baby formula rather than breast milk" D. I should position my baby side-lying during sleep"

A. baby should be upright for 1 hr after feeding

A nurse is assessing an older adult client who is receiving digoxin. The nurse should recognize that which of the following findings is a manifestation of digoxin toxicity?

Anorexia: Anorexia, vomiting, confusion, headache, and vision changes are manifestations of digoxin toxicity.

A nurse is teaching a client who has a new prescription for transdermal nitroglycerin to treat angina pectoris. Which of the following instructions should the nurse include in the teaching?

Apply the transdermal patch in the morning. The client should apply the patch every morning and leave it in place for a 12 to 14 hr, then remove it in the evening.

A nurse is reviewing the laboratory results of a male adult client who is at risk for peripheral arterial disease from atherosclerosis. The nurse should identify that which of the following results places the client at risk? A. Triglycerides 130mg/dL B. Blood glucose 92mg/dL C. LDL 172mg/dL D. HDL 84mg/d

C. LDL 172mg/dL

A nurse is teaching a client who has iron deficiency anemia about ferrous sulfate. Which of the following instructions should the nurse include in the teaching? A. Take the ferrous sulfate at bedtime. B. Take the ferrous sulfate with an antacid. C. Take the ferrous sulfate between meals. D. Take the ferrous sulfate with yogurt.

C. Take the ferrous sulfate between meals. The client should take the medication between meals for optimal absorption.

A nurse is providing teaching for a client who is newly diagnosed with type 2 diabetes mellitus and has a prescription for glipzide. Which of the following statements by the nurse best describes the action of Glipzide?

Glipzide stimulates your pancreas to release insulin. Glipizide is an oral antidiabetic medication in the pharmacological classification of sulfonylurea agents. These medications help to lower blood glucose levels in clients who have type 2 diabetes mellitus using several methods, including reducing glucose output by the liver, increasing peripheral sensitivity to insulin, and stimulating the release of insulin from the functioning beta cells of the pancreas.

A nurse in a critical care unit is caring for a client who is postoperative following a right pneumonectomy. After extubation from the ventilator, in which of the following positions should the client be placed?

Semi- Fowelers Pneumonectomy is the surgical removal of the lung, which is most commonly performed to remove a tumor in a client who has lung cancer. Following extubation from the ventilator, the client should be placed in semi-Fowler's position to help to ensure adequate ventilation and decrease the risk of complications. This position also offers the client the most comfort.

A nurse is caring for a client in a long term care facility who is receiving enternal feeding via an NG tube. Which of the following actions should the nurse complete prior to administering the tube feeding?

Test the PH of gastric aspirate

A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?

The client developed a tolerance to the medication.\ The nurse should document that the client has developed a tolerance to the medication. Morphine is a narcotic analgesic used for the treatment of severe pain. Tolerance is an adverse effect of narcotic analgesics in which a larger dose is needed to produce the same response.

A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make?

"Taking the medication between meals will help you absorb the medication more efficiently." Ferrous sulfate provides the iron needed by the body to produce red blood cells. Taking iron supplements between meals helps to increase the bioavailability of the iron.

A nurse is caring for a client who is taking lisinopril which of the following outcomes indicates a therapeutic effect of this medication?

Decreased blood pressure Lisinopril, an ACE inhibitor, may be used alone or in combination with other antihypertensives in the management of hypertension and congestive heart failure. A therapeutic effect of the medication is a decrease in blood pressure.

A nurse is teaching a client who has a new prescription for sucralfate to treat a gastric ulcer. Which of the following statements by the client indicates an understanding of the teaching?

I will take this medication 1 hour before meals and at bedtime. (The client should take sucralfate on an empty stomach, 1 hour before each meal and at bedtime to create a protective coating over the ulcer.)

A nurse is caring for a client who is taking naproxen following an exacerbation of Rheumatoid arthritis, Which of the following requires further discussion by the nurse?

Ive been taking an antacid to help with indigestion NSAIDs, like naproxen, can cause serious adverse gastrointestinal reactions such as ulceration, bleeding, and perforation. Warning manifestations such as nausea or vomiting, gastrointestinal burning, and blood in the stool reported by the client require further investigation by the nurse. The client might be taking an antacid because he is experiencing one or more of these manifestations.

A nurse is teaching a client who has a new regular insulin and NPH. Which of the following should be in the teaching?

Keep the open vial of insulin at room temperature The client should keep the vial in use at room temperature to minimize tissue injury and to reduce the risk for lipodystrophy.

A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin?

Prothrombin time (PT) This test is used to monitor warfarin therapy. For a client receiving full anticoagulant therapy, the PT should typically be approximately two to three times the normal value, depending on the indication for therapeutic anticoagulation.

body mass index of 17.2

Provide the client with small meals frequently is correct. Clients who have anorexia generally will not consume large meals. Monitor the client's weight daily is correct. Daily weighing makes it difficult for the client to hide weight loss. Offer specific privileges for sustained weight gain is correct Stay with the client during meals and for 1 hr afterward is correct. The nurse should offer support and encouragement at mealtimes but also monitor the client's behavior to prevent purging following food ingestion.

A nurse is teaching a client who has a new prescription for colesevelam to lower his low density lipoprotein level. Which of the following instructions should the nurse include?

Take this medication 4hr after other medications. The client should take this medication 4 hours after other medications to increase absorption of the medication.

A nurse is assessing a client prior to administrating morphine, what is the priority assessment?

When using the airway, breathing, circulation approach to client care, the nurse should determine the priority assessment is respiratory rate. Morphine can cause respiratory depression. The nurse should withhold the medication and notify the prescriber if the client has a respiratory rate less than 12/min.

A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciproflaxacin. Which of the following instructions should the nurse give to the client

You should report any tendon discomfort you experience while taking this medication. The nurse should instruct the client to report any tendon discomfort as well as swelling or inflammation of the tendons due to the risk of tendon rupture.

a nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for IV rifampin. the nurse should instruct the client that they should expect to experience which of the following manifestations while taking this medication?

red colored urine

A nurse is caring for a client who has peripheral arterial disease (PAD). Which of the following symptoms should the nurse expect to find in the early stage of the disease? A. Intermittent claudication B. Dependent rubor C. Rest pain D. Foot ulcers

A. Intermittent claudication

3. A nurse is monitoring the cardiac output of a client who has left-sided heart failure using pulse pressure analysis. Which of the following findings can compromise the readings? A. The client is experiencing premature atrial contractions. Rationale: Pulse pressure devices require the presence of optimal arterial waveforms in order to capture accurate data. Therefore, a dysrhythmia, such as premature atrial contractions, will compromise the readings. B. The client has a decreased oxygen saturation level. Rationale: Decreased oxygen saturation is a manifestation of heart failure that does not compromise cardiac output readings. C. The client has bilateral wheezes. Rationale: Bilateral wheezes are a manifestation of heart failure that do not compromise cardiac output readings. D. The client has lower leg edema. Rationale: Lower leg edema is a manifestation of heart failure that does not compromise cardiac output readings.

A. The client is experiencing premature atrial contractions. Rationale: Pulse pressure devices require the presence of optimal arterial waveforms in order to capture accurate data. Therefore, a dysrhythmia, such as premature atrial contractions, will compromise the readings.

A nurse is caring for a female client who has RA and asks the nurse if it is safe for her to take aspirin. The nurse should recognize which of the following findings in the clients history is a contraindication to this medication?

A: History of gastric ulcers R: Aspirin is contraindicated for clients who have a history of gastrointestinal bleeding and peptic ulcer disease because it impedes platelet aggregation. An adverse effect of aspirin is gastric bleeding.

A nurse is caring for four clients for whom she has to administer oral medications in the morning. The nurse should administer which of the following medications before breakfast?

Alendronate The client must take alendronate first thing in the morning on an empty stomach and wait at least 30 minutes before eating, drinking, or taking other medications.

A nurse in a providers office is assessing occasional atypical chest pain, palpitations

Although many clients who have mitral valve prolapse are asymptomatic, others report atypical chest pain, palpitations, exercise intolerance, dizziness, and syncope. Auscultation of a client who has mitral valve prolapse reveals a systolic click that is caused by a valve leaflet prolapsing into the left atrium.

A nurse caring for a client who has hypertension and asks the nurse about a prescription for propranolol. The nurse should inform inform the client that this medication is contraindicated in clients who have a history of which of the following conditions?

Asthma Rationale: Propranolol, a beta blocker, is contraindicated in clients who have asthma because is can cause bronchospasms.

A nurse is providing teaching to a client who has emphysema and a new prescription for theophylline. Which of the following instructions should the nurse provide?

Avoid caffeine while taking this medication. The nurse should instruct the client that caffeine should be avoided while taking theophylline, as it can increase central nervous system stimulation.

A nurse is teaching a client who has a new diagnosis of venous insufficiency. Which of the following instructions should the nurse include? A. "Apply ice packs to your legs" B. "Use elastic stockings" C. "Remain on bed rest" D. "Place your legs in a dependent position while in bed"

B. "Use elastic stockings"

A nurse is caring for a client who has heart failure and a prescription for digoxin. Which of the following statements by the client indicates an adverse effect of the medication?

I feel nauseated and have no appetite. Anorexia, nausea, vomiting, and abdominal discomfort are early signs of digoxin toxicity.

A nurse is reinforcing teaching to a client about how to perform fecal occult blood testing for screening of colorectal cancer. Which of the following statements by the client indicates a need for further teaching?

I will continue taking Coumadin

A nurse is providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. Which of the following statement by the client indicates an understanding of the teaching?

I will store the medication at room temperature Nystatin oral suspension should be stored at room temperature.

A nurse is teaching a client who has a new prescription for sucralfate to treat gastric ulcer. Which of the following statements by the client indicates an understanding of the teaching?

I will take this medication 1 hour before meals and at bedtime

A nurse is taking a health history of a client who reports occasionally taking several over-the-counter medications, including H2 receptors antagonist (H2RA). Which of the following outcomes indications the H2RA is therapeutic?

Relief of heartburn Rationale: Histamine 2 receptor antagonists are sued to treat duodenal uncles and prevent their return. In over the counter medication

A nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin G by intermittent IV bolus. 1o minutes into the infusion of the third dose, client reports that the IV sites itches and he feels dizzy and short of breath what to do first?

STOP the infusion When using the airway, breathing, circulation approach to client care, the nurse should place the priority on stopping the infusion. The client is exhibiting signs of penicillin anaphylaxis and the first action that should be taken is to withdraw the medication.

Follow these steps for the Ratio and Proportion method of calculation: Step 1: What is the unit of measurement the nurse should calculate? tablet Step 2: What is the dose the nurse should administer? Dose to administer = Desired 125 mcg Step 3: What is the dose available? Dose available = Have 0.25 mcg Step 4: Should the nurse convert the units of measurement? Yes (mcg does not equal mg

Step 1: What is the unit of measurement the nurse should calculate? (Place the unit of measure being calculated on the left side of the equation.) X tablet = Step 2: Determine the ratio that contains the same unit as the unit being calculated. (Place the ratio on the right side of the equation, ensuring that the unit in the numerator matches the unit being calculated.) 1 tabletX tablet = 0.25 mg Step 3: Place any remaining ratios that are relevant to the item on the right side of the equation, along with any needed conversion factors, to cancel out unwanted units of measurement. 1 tablet1 mg125 mcgX tablet = × × 0.25 mg1,000 mcg1 Step 4: Solve for X. X tablet = 0.5 tablet Step 5: Round if necessary. Step 6: Determine whether the amount to administer makes sense. If there are 0.25 mg/tablet and the provider prescribed 0.125 mg, it makes sense to administer 1/2 tablet. The nurse should administer digoxin 1/2 tablet PO daily

A nurse is caring for a client who has acute respiratory distress syndrome (ARDS) and requires mechanical ventilation. The client receives a prescription for Pancuronium. The nurse recognizes that this medication is for which of the following purposes?

Suppress Respiratory Effort Neuromuscular blocking agents, such as pancuronium, induce paralysis and suppress the client's respiratory efforts to the point of apnea, allowing the mechanical ventilator to take over the work of breathing for the client. This therapy is especially helpful for a client who has ARDS and poor lung compliance.