AT1 A and B no exp

A nurse is teaching a client who is starting to take ketorolac. Which of the following information should the nurse include in the teaching? A) "Check for bruising while taking this medication." B) "Take the medication on an empty stomach." C) "The medication can cause anxiety." D) "Increase iron intake with this medication."

"Check for bruising while taking this medication."

A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine. which of the following instructions should the nurse include?

"Report yellowing of the skin"

A nurse at an urgent care clinic is collecting a history from a female client who has a urinary tract infection. The nurse anticipates a prescriptions for ciprofloxacin. The nurse should identify that which of the following client statements indicates a contraindication for administering this medication?

"I have tendonitis, so I haven't been able to exercise."

A nurse is teaching a client who is to start taking ranitidine for peptic ulcer disease. Which of the following client statements should the nurse identify as understanding of the teaching?

"I know smoking makes ranitidine less effective."

A nurse is providing teaching to a client who has a new prescription for phenytoin. Which of the following statements by the client indicates an understanding of the teaching? A) "I should take my medication with antacids to minimize gastric upset." B) "This type of medication does not require blood monitoring." C) "I should let my dentist know I'm taking this medication." D) "I should expect to experience some unusual eye movement when taking this medication."

"I should let my dentist know I'm taking this medication."

A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. The nurse should identify which of the following statements as an indication that the client understands the teaching?

"I should sit up for 30 minutes after taking the risedronate"

A nurse is providing teaching to a client who has depression and has a new prescription for fluoxetine. Which of the following statements by the client indicates an understanding of the teaching?

"I should take acetaminophen instead of ibuprofen for my headaches while taking this medication."

A nurse is providing discharge instructions to a client who has heart failure and a new prescription for captopril. Which of the following client statements indicates an understanding of the teaching?

"I should tell my provider if I develop a sore throat"

A nurse is teaching a client who is starting to take diltiazem. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

"I will check my heart rate before I take the medication"

A nurse is providing teaching to a client about the use of ethanol estradiol/norelgestromin. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? A) "I will apply the patch once a week for 2 weeks." B) "I will leave the existing patch on for 4 hours after applying the new patch." C) "I will fold the sticky sides of the old patch together before disposing it." D) "I will apply the patch within 14 days of menses."

"I will fold the sticky sides of the old patch together before disposing it."

A nurse is teaching about a new prescription for ciprofloxacin to an older adult client who has a urinary tract infection. The nurse should identify which of the following statements as an indication that the client understands the teaching

"I will report any signs of tendon pain or swelling"

A nurse is providing discharge instruction to a client who is to self-administer insulin at home. Which of the following client statements should indicate to the nurse that the teaching is effective? A) "I should avoid getting rid of the air bubble in the syringe." B) "I should inject the insulin into my thigh for the fastest absorption." C) "I will store my unopened bottles of insulin in the refrigerator." D) "I need to shake the insulin before using it to make sure it is well mixed."

"I will store my unopened bottles of insulin in the refrigerator."

A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicates an understating of the teaching?

"I will take the patch off right after my evening meal"

A nurse is teaching a client about cyclobenzaprine. Which of the following client statements should indicate to the nurse that the teaching is effective? A) "I will have increased saliva production." B) "I will continue taking the medication until the rash disappears." C) "I will taper off the medication before discontinuing it." D) "I will report any urinary incontinence."

"I will taper off the medication before discontinuing it."

A nurse is teaching about zolpidem with a client who has insomnia. The nurse should identify that which of the following client statements indicates an understanding of the teaching? A) "I will need to get laboratory testing prior to a refill of this medication." B) "I will use this medication for a short period of time." C) "I will need to take this medication for 1 week before results are seen." D) "I will need to change the medications to prevent building up a tolerance."

"I will use this medication for a short period of time."

A nurse is teaching a client who has an upper respiratory infection about guaifenesin. Which of the following statements should the nurse include in the teaching?

"Increase your fluid intake to at least 2 liters each day while taking this medication."

A nurse is providing teaching to a client who is to start treatment for asthma with beclomethasone and albuterol inhalers. Which of the following instructions should the nurse include in the teaching? A)"Rinse your mouth after inhaling the beclomethasone" B) "Take beclomethasone to avoid an acute attack." C) "Use beclomethasone 5 minutes before using albuterol." D) "Limit your calcium and vitamin D intake when taking beclomethasone."

"Rinse your mouth after inhaling the beclomethasone"

A nurse is providing discharge teaching about handling medication to a client who is to continue taking oral transmucosal fentanyl raspberry flavored lozenges on a stick. Which of the following information should the nurse include in the teaching?

"Store unused medication sticks in a storage container."

A nurse is providing teaching to a client who has a prescription for ergotamine sublingual to treat migraine headaches. Which of the following information should the nurse include in her instructions?

"Take one tablet at onset of migraine."

A nurse is teaching a client about warfarin. The client asks if she can take aspirin while taking the warfarin. Which of the following responses should the nurse make?

"aspirin will increase the risk of bleeding"

A nurse is caring for the mother of a newborn. The mother asks the nurse when her newborn should receive his first diphtheria, tetanus, and pertussis vaccine (DTaP). The nurse should instruct the mother that her newborn should receive the immunization at which of the following ages? A) Birth B) 2 months C) 6 months D) 15 months

2 months

safety belt use

A community health nurse is providing teaching about health promotion to a group of adolescents. Which of the following topics is the most important for the nurse to include in an attempt to lower adolescent mortality rates?

Encourage the women to participate in weight-bearing activities

A community heath nurse identifies an increase in the occurrence of osteoporosis-related fractures in women experiencing menopause. Which of the following primary prevention strategies should the nurse implement?

Informant interviews

A community heath nurse is conducting a needs assessment of a community. The nurse should identify that which of the following methods will yield direct data?

Pamphlets are written at a 12th-grade level

A community heath nurse is reviewing plans for a health education program. The nurse should identify that which of the following components of the plan needs to be changed?

"You will coordinate with volunteers who will come to help my mother."

A faith community nurse is teaching the daughter of a client who has a terminal illness about her role as a member of the client's health care team. Which of the followign statements by the daughter indicates an understanding of the teaching?

Make the hospice referral in accordance with the client's decision

A nurse is caring for a client who has stage IV pancreatic cancer and has received information regarding available treatment options. Which of the following is the responsibility of the nurse if the client chooses to forgo treatment and enter hospice care?

"I'm looking forward to my daughter's wedding next year."

A nurse is caring for a client who has terminal lung cancer and is receiving hospice care. Which of the following statements should the nurse identify as an indication that the client is in the denial stage of the grief process?

Taking outdated prescriptions

A nurse is conducting a home visit for an older adult client. The nurse should identify which of the following findings as an indicator of possible neglect?

attempting to end a relationship

A nurse is developing a community education program about risk factors for family violence. The nurse should include which of the following circumstances as a risk factor for intimate partner abuse?

biological

A nurse is developing a genogram for a client to determine education needs. Which of the following health risk information should the nurse expect to obtain with this tool?

Child abuse is more common in homes where intimate partner abuse is present

A nurse is giving a presentation about family violence at a local community center. Which of the following information should the nurse include?

B.) Do you have questions about tuberculosis?

A nurse is performing a home visit for a client who has tuberculosis (TB). As the nurse is leaving the client's house, a neighbor asks, "Is it true that my neighbor has TB?" Which of the following responses should the nurse make?

D.) Teaching meal planning classes to older adults

A nurse is planning a health promotion activities for the local community. Which of the following activities should the nurse include as an example of primary prevention?

Tetanus, diphtheria, pertussis.

A nurse is preparing a community education program about health care needs during pregnancy. The nurse should include that which of the following vaccines is safe to administer to a client who is pregnant?

Use an N95 respiratory

A nurse is preparing to administer medication to a client who has active tuberculosis. Which of the following precautionary measures should the nurse take?

"I should consume less than 300mg/day of dietary cholesterol

A school nurse is educating a group of high school student about recommended dietary guidelines. Which of the following statements by a student indicates an understanding of the teaching?

Instruct the parent to keep the child home until the coughing stage has passed. Encourage family members to obtain prophylactic treatment. Check the immunization status of child's classmates.

A school nurse is notified that an elementary school child is newly diagnosed with pertussis. Which of the following actions should the school nurse take? (select all that apply). Instruct the parent to keep the child home until the coughing stage has passed. Encourage family members to obtain prophylactic treatment. Quarantine the children in the child's class. Recommend the child receive a pneumococcal vaccine in 28 days. Check the immunization status of child's classmates.

Provide education about MRSA throughout the school system

A school nurse is reviewing the records of four students who are returning to school after being diagnosed with methicillin-resistatn staphylococcus aureus (MRSA). Which of the following actions should the nurse take?

A nurse is teaching a group of unit nurses about medication reconciliation. Which of the following information should the nurse include in the teaching?

A transition in care requires the nurse to conduct medication reconciliation.

Gastric ulcerations

An occupational health nurse is assessing a client who reports taking ibuprofen daily. The nurse should counsel the client about the risk for which of the following adverse effects?

A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take?

Administer the medication within a 5-cm radius of the umbilicus

Instruct the employee to prepare a list of close personal contacts

An occupational health nurse in a factory is performing a routine tuberculosis screening and identifies an employee who has a positive Mantoux tuberculin test. Which of the following actions should the nurse take?

A nurse is assessing a client who has myasthenia graves and is taking neostigmine. Which of the following findings should indicate to the nurse the client is experiencing an adverse effect? A) Tachycardia B) Oliguria C) Xerostomia D) Miosis

Miosis

A nurse is planning care for a clienct who is receiving mannitol via continuous IV infusion. The nurse should monitor the client for which of the following adverse effects?

Bibasilar crackles

A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisolone. Which of the following instructions should the nurse include? (select all that apply)

Blood glucose levels will be monitored during therapy Avoid contact with people who have known infections Grapefruit juice can increase the effects of the medication

A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisolone. Which of the following instructions should the nurse include?

Blood glucose levels will need to be monitored during therapy avoid contact with persons who have known infections grapefruit juice can increase the blood levels of the medication.

a nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. The nurse should identify that which of the following client medications will interfere with the effectiveness of oral contraceptives?

Carbamazepine

the need for the program

Community leaders have requested a meeting with a community health nurse to discuss creating a mobile meals program. Which of the following should the community health nurse assess first? q

A nurse is caring for a client who has cancer and is taking oral morphine and decussate sodium. The nurse should instruct the client that taking the decussate sodium on a daily basis can minimize which of the following adverse effects of morphine? A) Constipation B) Drowsiness C) Facial flushing D) Itching

Constipation

a nurse is planning to teach about inhalant medications to a client who has a new diagnosis of exercise induced asthma. which of the following medications should the nurse plan to instruct the client to use prior to physical activity?

Cromolyn

A nurse is preparing to teach a client who is to start a new prescription for extended release verapamil. Which of the following instructions should the nurse plan to include?

change positions slowly

A nurse is administering baclofen for a client who has a spinal cord injury. Which of the following should the nurse document as a therapeutic outcome? A) Increase in seizure threshold B) Decrease in flexor and extensor spasticity C) Increase in cognitive function D) Decrease in paralysis of the extremities

Decrease in flexor and extensor spasticity

A nurse is planning care for a client who has hypertension and is to start taking metoprolol. which of the following interventions should the nurse include in the plan of care?

Determine apical pulse prior to administering

A nurse is administering cefotetan via intermittent IV bolus to a client who suddenly develops dyspnea and widespread hives. Which of the following actions should the nurse take first? A) Administer epinephrine 0.5 mL via IV bolus. B) Discontinue the medication IV fusion. C) Elevate the client's legs above the level of the heart. D) Collect a blood specimen for ABGs.

Discontinue the medication IV fusion.

A nurse is teaching a client who has a new prescription for docusate sodium about the medications mechanism of action. Which of the following information should the nurse include in the teaching?

Docusate sodium reduces the surface tension of the stool to change the consistency

A nurse is caring for a client who has pneumonia. The client tells the nurse she is pregnant and that she has not told her provider yet. The nurse should identify that pregnancy is a contraindication to receiving which of the following medications? A) Acetaminophen B) Ipratropium C) Benzonatate D) Doxycycline

Doxycycline

A nurse is providing teaching to a client who has a prescription for trimethoprim/sulfamethoxazole. Which of the following instructions should the nurse include in the teaching?

Drink 8 to 10 glasses of water daily

A nurse is planning discharge teaching for a client who has a prescription for furosemide. The nurse should plan to include which of the following statements in teaching?

Drink a glass of milk with each dose of medication

A nurse is assessing a client who is taking amitriptyline for depression. Which of the following findings should the nurse identify as an adverse effect of the medication?

Dry Mouth

A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?

Dry Mouth Blurred Vision Dry Eyes

A nurse is assessing a client after administering a second dose of cefazolin IV. The nurse notes the client has anxiety, hypotension, and dyspnea. Which of the following medications should the nurse administer first?

Epinephrine

A nurse is teaching about neural tube defects to a client who is planning a pregnancy. Which of the following vitamins should the nurse instruct the client to start taking before becoming pregnant?

Folic acid

A nurse is caring for a client who is receiving cefazolin IV. The nurse should identify that which of the following medications can potentiate nephrotoxicity if administered concurrently?

Gentamicin

A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. Which of the following findings should the nurse report to the provider? (select all that apply)

Hemoglobin 7.0 g/dL Platelets 75000/mm3 Potassium 5.2 mEq/L

A nurse in a provider's office is assessing a client who has been taking aspirin daily for the past year. For which of the following findings should the nurse notify the provider immediately? A) Hyperventilation B) Heartburn C) Anorexia D) Swollen ankles

Hyperventilation

A nurse is reviewing the health history of a client who has diabetes mellitus and will begin taking insulin. Which of the following dings should the nurse identify as a fact that might cause the client to have difficulty safely self administering insulin?

Macular degeneration

A nurse is caring for a client who reports lethargy and myalgia after taking clozapine for 6 months. Which of the following actions should the nurse plan to take? A) Infuse 0.9% sodium chloride 1,000 mL IV fluid bolus. B) Schedule the client for an electroencephalogram. C) Obtain WBC with absolute neutrophil count. D) Place the client on a tyramine-free diet.

Obtain WBC with absolute neutrophil count

A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol. Which of the following actions should the nurse take first?

Obtain the client's blood pressure

A nurse is planning to teach about the use of a spacer to a child who has a new prescription for a fluticasone inhaler to treat chronic asthma. the nurse should include that the spacer deceases the risk for which of the following adverse effect of the medication?

Oral candidiasis

A nurse is caring for a client who has diabetes mellitus and is taking glyburide. The client reports feeling confused and anxious. Which of the following actions should the nurse take first?

Perform a capillary blood glucose test

A nurse is providing follow up care to a client who is taking lisinopril. Which of the following manifestations should the nurse instruct the client to report as an adverse effect of lisinopril?

Persistent cough

A circulating nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Which of the following actions should the nurse include in the plan of care? A) Schedule the client for the last surgery of the day. B) Place monitoring cords and tubes in a stockinet. C) Choose rubber injection ports for fluid administration. D) Ensure phenytoin IV is readily available.

Place monitoring cords and tubes in a stockinet

A nurse is teaching a client who is to start taking temazepan. Which of the following instructions should the nurse include? A) Limit continuous use to 7 to 10 weeks. B) Schedule doses for early morning before breakfast. C) Expect that it will take 4 nights before benefits are noticed. D) Plan to withdraw from the medication gradually.

Plan to withdraw from the medication gradually.

A nurse is reviewing laboratory results for a client who is receiving heparin via continuous IV infusion for deep-vein thrombosis. The nurse should discontinue the medication infusion for which of the following client findings?

Platelets 96,000/mm3

A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following client outcomes should the nurse administer chlordiazepoxide?

Prevent delirium tremens

A nurse has administered 2 doses of betamethasone to a client in preterm labor. After delivery of the newborn, the nurse understands the medication was effective when she observes which of the following?

The newborn has normal respiratory patterns.

A nurse is reviewing the medical record of a client who has schizophrenia and a prescription for clozapine. Which of the following laboratory tests should the nurse review before administering the medication? A) Troponin B) Total cholesterol C) Creatinine D) Thyroid stimulating hormone

Total cholesterol

A nurse is teaching a client who is starting to take amitriptyline. Which of the following findings should the nurse include in the teaching as an adverse effect of the medication? A) Diarrhea B) Cough C) Urinary retention D) Increased libido

Urinary retention

A nurse is providing teaching to a client who is to start therapy with digoxin. For which of the following adverse effects should the nurse instruct the client to monitor and report to the provider?

Yellow-tinged vision

A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the following adverse effects should the nurse instruct the client to monitor for and report to the provider? A) Chest pressure B) White patches on the tongue C) Bruising D) Insomnia

chest pressure

A nurse is reviewing laboratory results for a client who is to receive a dose of ceftazadime via intermittent IV bolus. Which of the following laboratory finding is the priority for the nurse to report to the provider before administering the medication?

creatinine 2.6 mg/dL

A nurse is caring for a client who is taking atorvastatin for hyperlipidemia. Which of the following client laboratory values should the nurse monitor?

creatinine kinase

A nurse in an emergency department is caring for a client whose family reports the client has taken large amounts of diazepam. Which of the following medications should the nurse anticipate administering? A) Ondansetron B) Magnesium sulfate C) Flumazenil D) Protamine sulfate

flumazenil

A nurse is caring for a client in the emergency department following a diazepam overdose. Which of the following medications should the nurse anticipate administering to the client?

flumazenil

A nurse is providing teaching to a client who has a peptic ulcer disease and is to start a new prescription for sucralfate. Which of the following actions of sucralfate should the nurse include in the teaching?

forms a protective barrier over ulcers

A nurse is teaching a client who is to begin taking tamoxifen for the treatment of breast cancer. Which of the following adverse effects should the nurse include in the teaching?

hot flashes

A nurse is caring for a client who has heart failure and is prescribed enalapril. The nurse should monitor the client for which of the following findings as an adverse effect of the medication?

hyperkalemia

A nurse is caring for a 20 year old female client who has a prescription for isotretinoin for severe nodulocystic acne vulgarism. Before the client can obtain a refill, the nurse should advise the client that which of the following tests is required?

pregnacy test

A nurse is caring for a client who recently began taking oral amoxicillin/clavulanate and reports urticaria. Which of the following actions should the nurse take?

request a change in the type of antibiotic.

A nurse is planning care for a client who is prescribed metoclopramide following bowel surgery. For which of the following adverse effects should the nurse monitor?

sedation

A nurse at a clinic is providing follow-up care to a client who is taking fluoxetine for depression. Which of the following findings should the nurse identify as an adverse effect of the medication?

sexual dysfunction

a nurse is teaching a client who is to start taking diltiazem. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?

shortness of breath

A.) Focus groups B.) Written audits C.) Satisfaction survey D.) Interviews

A community health nurse is participating in a quality improvement plan for a local health department. Which of the following techniques should the nurse use for process evaluation of the facility? (Select all that apply).

chancre

A community health nurse is planning an in-service about STIs for a group of adolescents. Which of the following clinical findings should the nurse include as a manifestation of primary syphilis?

Identify community members who demonstrate an interest in the project

A community health nurse is planning to establish a community garden to address the lack of nutritious food options in the area. Which of the following actions should the nurse take first to initiate the plan?

Determine the client's reason for discontinuing the medication

A community health nurse is providing care to a client who has stopped taking his prescribed blood pressure medication. Which of the following actions should the nurse take first?

C.) "How often do you have visitors come to see you?"

A home care nurse is visiting an older adult and notes that unwashed dishes are piled up and newspapers cover the front steps. Which of the following questions should the nurse to ask the client to determine if he is socially isolated?

contact precautions

A home health care nurse is teaching a client's family about preventing the transmission of Clostridum difficile. Which of the following transmission-based precautions should the nurse include in the teaching?

Tell the client to take naltrexone daily

A home health nurse is conducting a follow-up visit for a client who was recently discharged from an acute rehabilitation program for alcohol use disorder. Which of the following actions should the nurse take?

Place a cup of steam against the skin to draw out toxins from the body

A home health nurse is planning care for a client who reports practicing traditional Asian health beliefs. The nurse should recognize that the client participates in which of the following actions?

"I can take penicillin for 10 to 14 days to manage Lyme disease."

A public health nurse is conducting an education sesssion about Lyme disease for a group of older adult clients at a senior center. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

Implement an exercise program for clients who have hypertension

A public health nurse is planning a community health promotion program for hypertension prevention. Which of the following interventions should the nurse include as a tertiary prevention strategy?

Individuals transmit the pertussis bacterial through airborne droplets

A public health nurse is planning an educational program for a group of nurses at a community health department about pertussis infection. which of the following information should the nurse include?

A nurse is developing a teaching plan for a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include int he teaching plan? (select all that apply)

Report muscle pain to the provider Avoid taking the medication with grapefruit juice Expect therapy with this medication to be lifelong

A nurse is providing care for a client who is postoperative following an open cholecystectomy with the placement of a closed suction drain and is receiving morphine via patient controlled analgesia for pain. Which of the following assessments is the nurse's priority?

Respiratory Rate

A nurse is reviewing the prescriptions of a client who has tuberculosis. The nurse should identify that which of the following medications are used to treat tuberculosis? (select all that apply) A) Rifampin B) Mirtazapine C) Temazepam D) Infliximab E) Isoniazid

Rifampin Isoniazid

A nurse is providing teaching to a client who has a prescription for a MAOI inhibitor. Which of the following foods should the nurse instruct the client to avoid while taking this medication? A) Smoked sausage B) Cottage cheese C) Green beans D) Apple pie

Smoked sausage

A nurse is caring for a client who is taking atenolol. Which of the following findings should indicate to the nurse that the medication is effective? A) The client has an increase in urinary output. B) The client reports an improvement in memory. C) The client has a decrease in blood pressure. D) The client reports having an increase in libido.

The client has a decrease in blood pressure

A nurse administers ceftazidime to a client who has a severe penicillin allergy. The nurse should identify which of the following client findings as an indication that she should complete an incident report?

The client reports shortness of breath

A nurse is caring for a client who has acute acetaminophen toxicity. The nurse should anticipate administering which of the following medications?

acetylcysteine

A nurse is precepting a newly licensed nurse who is caring for four clients. The nurse should complete an incident report for which of the following actions by the newly licensed nurse?

administers isosorbide mononitrate to a client who has a BP 82/60 mm Hg

A nurse is caring for a client who is receiving haloperidol. The nurse should observe for which of the following findings as an adverse effect of the medication?

akathisia

A nurse is reviewing the medical record of a client who has hypertension. The nurse should identify which of the following findings as a contraindication to receiving propranolol?

asthma

A nurse in the emergency department is caring for a client who has myasthenia gravis and is in a cholinergic crisis. Which of the following medications should the nurse plan to administer?

atropine

A nurse is caring for a client who is recovering from a deep vein thrombosis and is to start taking warfarin. For which of the following findings should the nurse monitor as an adverse effect of warfarin? A) Hypertension B) Low INR C) Constipation D) Bleeding gums

bleeding gums

A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a pulmonary embolism. Which of the following findings should the nurse identify as an adverse effect of the medication and report to the provider?

blood in urine

A nurse is assessing a client who has received atropine eye drops during an eye examination. Which of the following findings should the nurse expect as an adverse effect of the medication?

blurred vision

A nurse is caring for a client who is receiving long-term treatment for systemic lupus erythematosus with prednisone. The nurse should inform the client to expect to undergo which of the following diagnostic tests to monitor for long-term complications of prednisone? A) Pulmonary function tests B) Electrocardiograms C) Liver function studies D) Bone density scans

bone density scans

A nurse is caring for a client who is receiving oprelvekin. Which of the following findings should the nurse document to indicate the effectiveness of the therapy?

increased platelet count

A nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking. which of the following finding should the nurse identify as an adverse effect of the medication?

insomnia

A nurse in an emergency department is caring for a client who has heroin toxicity. The client is unresponsive with pinpoint pupils and a respiratory rate of 6/min. Which of the following medications should the nurse plan to administer? A) Methadone B) Naloxone C) Diazepam D) Bupropion

naloxone

A nurse is monitoring a client who is receiving amphotericin B intermittent IV bolus for the treatment of histoplasmosis. Which of the following findings should the nurse identify as an adverse reaction to the medication? A) Tachycardia B) Oliguria C) Hyperkalemia D) Weight gain

oliguria

A nurse is teaching a client who is to start taking hydrocodone with acetaminophen tablets for pain. Which of the following information should the nurse include in the teaching?

decreased respirations might occur

A nurse is teaching a client who is taking allopurinol for the treatment of gout. Which of the following information should the nurse include in the teaching?

drink 2 L of water daily

A nurse is providing teaching to a client who is to start taking lisinopril. Which of the following findings is an adverse effect that the nurse should instruct the client to monitor and report to the provider? A) Hair loss B) Ringing in the ears C) Facial flushing D) Dry cough

dry cough

A nurse is administering donepezil to a client who has Alzheimer's disease. Which of the following findings should the nurse report to the provider immediately?

dyspnea

A nurse is caring for a client who has heart failure and is receiving an IV infusion of dopamine. Which of the following findings indicates that the medication is effective. A) Decreased blood pressure B) Increased heart rate C) Increased cardiac output D) decreased serum potassium

increased cardiac output

A nurse is providing teaching for a client who has a new prescription for ferrous sulfate. The nurse should instruct the client to take the medication with which of the following to promote absorption? A) Vitamin E B) Orange juice C) Milk D) Antacid

orange juice

A nurse is monitoring for adverse effects of hydrochlorothiazide after administering the medication to an older adult client who has heart failure. Which of the following findings should the nurse identify as an adverse effect of the medication?

orthostatic hypotension

A nurse is caring for a client who is receiving end of life care and has a prescription for fentanyl patches. Which of the following information regarding the adverse effects of fentanyl should the nurse plan to give to the client and family? A) The provider will prescribe naloxone at home for respiratory depression. B) Remove the patch to reverse the adverse effects immediately. C) Expect an increase in urinary output. D) Take a stool softener on a daily basis.

take a stool softener on a daily basis.

A nurse is assessing a client 1 hr after administering morphine for pain. The nurse should identify which of the following findings as the best indication the morphine has been effective?

the client rates the pain at a 3 on a scale from 0 to 10.

A nurse is caring for a client who is taking acetazolamide for chronic open-angle glaucoma. For which of the following adverse effects should the nurse instruct the client to monitor and report? A) Tingling of the fingers B) Constipation C) Weight gain D) Oliguria

tingling of fingers

A nurse in a clinic is caring for a client who is taking aspirin for the treatment of arthritis. The nurse should identify which of the following findings as an indication that the client is beginning to exhibit salicylism?

tinnitus

A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. The nurse should report which of the following findings to the provider as an adverse effect of the medication?

tinnitus

A nurse is caring for a client who is in labor. The client is receiving oxytocin by continuous IV infusion with a maintenance IV solution. The external FHR monitor indicates late decelerations. Which of the following actions should the nurse take first?

turn the client to a side-lying position

A nurse is providing teaching about adverse effects of clindamycin to a client. Which of the following findings should the nurse instruct the client to report to the provider? A) Orange urine B) Watery diarrhea C) Weight gain D) Headache

watery diarrhea

A nurse is providing teaching about insulin glargine to a client who has type 1 diabetes mellitus. Which of the following information should the nurse include in the instructions? A) Observe for hypoglycemia when the insulin peaks. B) Administer the insulin immediately before meals. C) Do not mix this medication in a syringe with other insulin. D) Rotate the bottle gently prior to drawing up the insulin.

"Do not mix this medication in a syringe with other insulin."

A nurse is teaching about self-administration of transdermal medication with a male client who has a new prescription for nitroglycerin. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? A) "I can apply the patch to a chest area that has hair." B) " I can take this medication if using an erectile dysfunction product." C) "I will remove the patch after 14 hours." D) "I need to apply a new patch to the same area every day."

"I will remove the patch after 14 hours."

A nurse is teaching about a new prescription for cipofloxacin to an older adult client who has a urinary tract infection. the nurse should identify which of the following statements as an indication that the clint understands the teaching?

"i will report any signs of tendon pain or swelling"

A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and discovers the antibiotic is not present in the client's medication drawer. The nurse should identify that administration of the medication can occur at which of the following time periods without requiring an incident report?

0830

A nurse is preparing to administer dextrose 5% in water (D5W) 400 mL IV to infuse over 1 hr. The drop factor of the manual IV tubing is 15gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

100

A nurse is preparing to administer 0.9% sodium chloride (NaCl) 1,500 mL to infuse over 8 hr to a client who is postoperative. The nurse should set the IV pump to deliver how many mL/hr?

188

A nurse is preparing to administer Ciprofloxacin 15mg/kg PO every 12 hr to a child who weighs 44lbs. how many mg should the nurse administer per dose?

300

A nurse is preparing to administer to client 0.9%sodium chloride 1000 mL IV over 8 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

31

A nurse is preparing to administer amoxicillin 250 mg PO to a school-age child. The amount available is amoxicillin oral suspension 200 mg/5 mL. How many mL should the nurse administer per dose?

6.3

warfarin

A clinic nurse is caring for a client who reports taking ginkgo biloba for several weeks since seeing a naturopathic healer. The nurse should instruct the client that ginkgo biloba may alter the effects of which of the following medications?

Help the client obtain a provider for prenatal care

A community health nurse is caring for an adolescent who is seeking help for an unplanned pregnancy. Which of the following actions should the nurse take first?

"I have a prescription bottle magnifier to help me read my pill bottle labels."

A community health nurse is conducting vision screenings at a health fair for an older adult client who has age-related macular degeneration. Which of the following statements should the nurse identify as an indication that the client is adapting to the changes?

Recognizing and reporting suspected abuse to the appropriate

A community health nurse is creating a program to reduce domestic violence in the community. Which of the following interventions should the nurse identify as secondary prevention?

The faith community nurse can facilitate substance abuse support groups

A community health nurse is discussing the role of a faith community nurse with a chaplain. Which of the following information shoudl the nurse include in the discussion

Alcoholics Anonymous (AA) assists a client who has an addiction to alcohol with developing a daily recovery program.

A community health nurse is participating in a group session for clients who have alcohol and substance use disorders. Which of the following information should the nurse provide regarding support programs for these individuals?

Forgetting the location of common objects

A community health nurse is planning a presentation for adults who have a family history of Alzheimer's disease. Which of the following behaviors should the nurse include as an early manifestation of Alzheimer's disease?

Use milk instead of water when making canned soup

A home health nurse is providing nutiritional instructions to a client who has COPD and is malnourished. Which of the following instructions should the nurse include?

The client has changed providers three times during her pregnancy

A nurse at a county health department is caring for a client who is at 28 weeks of gestation. The nurse should identify which of the following characteristics as a risk for potential future abuse of the newborn?

Abstain from sexual intercourse until antibody tests are negative

A nurse in a clinic is planning teaching for a client who was newly diagnosed with hepatitis C. Which of the following instructions should the nurse include in the teaching?

Ask the child to pretend to blow up a balloon during the injection

A nurse in a community health clinic is preparing to administer an immunization to a 5-year-old child. Which of the following actions should the nurse take?

varicella

A nurse in a pediatric clinic is providing care to several clients. The nurse should recognize that which of the following conditions is included on the Nationally Notifiable Infections Conditions list?

Initiate a referral to the facility's social worker.

A nurse in an emergency department is caring for a client who is homeless and has hypothermia. Which of the following actions should the nurse take?

A client who has tracheal deviation and shortness of breath

A nurse in an emergency department is triaging clients following an explosion at a local factory. Which of the following clients should the nurse identify as the priority?

Illness practices

A nurse is assessing a new client at a public health clinic. Which of the following areas should the nurse address as part of the culutral assessment?

Teach the client how to applyimiquimod 5% cream to the lesions.

A nurse is caring for a 16-year-old cient who has a new diagnosis of human papillomavirus. Which of the following actions should the nurse take?

Ethnocentrism Ethnocentrism occurs when people view the world form the perspective of their own cultural background and viewpoint.

A nurse is caring for a client who has recently emigrated from another country and states, "The health care system in my country was better and should be used everywhere." The nurse should recognize that the client is demonstrating which of the following behaviors?

I will increase the amount of red meat and milk in my child's diet."

A nurse is providing education regarding lead exposure to a group of clients who live in a housing development built in 1968. Which of the following client statements indicates an understanding of the teaching?

A nurse is collecting a medication history from a client who has a new prescription for lithium. The nurse should identify that the client should discontinue which of the following over-the-counter medications?

Ibuprofen

A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves disease. Which of the following findings should the nurse identify as as an indication of the medication has been effective?

Increase in ability to focus

A nurse is providing discharge teaching to a a client who has a new prescription for furosemide twice daily. The nurse should include which of the following instructions in the teaching?

Increase intake of potassium-rich foods Monitor for muscle weakness Dangle legs for side of bed before standing

A nurse is assessing a client who is receiving epoetin alfa to treat anemia. Which of the following findings should the nurse monitor?

Increased blood pressure

A nurse is preparing to mix and administer dantrolene via IV bolus to a client who has developed malignant hyperthermia during therapy. Which of the following actions should the nurse take?

Reconstitute the initial dose with 60 mL of sterile water without a bacteriostatic agent.

A nurse is preparing to administer a new prescription of amoxicillin/clavulanic to a client. The client tells the nurse that he is allergic to penicillin. Which of the following actions should the nurse take first?

withhold the medication

A nurse is teaching a client who has tuberculosis about the adverse effects of isoniazid. The nurse should instruct the client to report to the provider which of the following finding as an adverse effect of the medication?

yellowish skin tones