NCLEX Questions-Week 9

The nurse caring for a client who is taking an aminoglycoside would monitor the client for which adverse effects of the medication? Select all that apply.

-Ototoxicity -Renal toxicity -Dysrhythmias

The nurse is monitoring a client with heart failure who is taking digoxin. Which findings are characteristic of digoxin toxicity? Select all that apply.

-Blurred vision -Nausea and vomiting -Diarrhea

The nurse is caring for a client with gout who is taking colchicine. The client has been instructed to restrict the diet to low-purine foods. Which food would the nurse instruct the client to avoid while taking this medication?

Scallops

A client who takes a diuretic every evening expresses frustration with the medication and wants to stop therapy. When the nurse explores the reasoning, the client says, "It keeps me up all night. I feel as though I should bring my pillow into the bathroom!" Which action can the nurse suggest to assist the client in successfully adapting to this therapy?

Switching to a morning administration of the medication

A client is newly diagnosed with hypothyroidism. Levothyroxine is prescribed. The nurse would reinforce to the client which instructions about the medication?

Take on an empty stomach.

The client is prescribed oral erythromycin. The nurse would reinforce which instruction regarding the administration of this medication?

Take on an empty stomach.

The nurse is scheduled to administer a dose of digoxin to a client with atrial fibrillation and is reviewing laboratory results. Based on laboratory test results, which would be the nurse's next action? Laboratory Results Potassium level 4.6 mEq/L (3.5-5.0 mEq/L) Digoxin 0.8 ng/mL (0.5-2.0 ng/mL)

The dose would be administered as prescribed.

The nurse is reviewing the postoperative prescriptions for a client who has just returned from surgery and notes that the surgeon has prescribed enoxaparin sodium. Which is this medication prescribed to prevent?

Thromboembolic complications

The nurse has given medication instructions to a client beginning anticonvulsant therapy with carbamazepine. The nurse determines that the client understands the use of the medication if the client knows to perform which activity?

Use sunscreen when outside.

The nurse reinforces medication instructions to a client who had a kidney transplant about therapy with cyclosporine. Which statement by the client indicates a need for further teaching?

"I need to obtain a yearly influenza vaccine."

The nurse provides discharge instructions to a client with atrial fibrillation who is taking warfarin sodium. Which statement by the client reflects a need for further teaching?

"I will take coated aspirin for my headaches."

Lispro insulin is prescribed three times a day, with the amount based on blood glucose levels. The nurse determines that the client understands teaching regarding lispro insulin if which statement is made?

"I will take the lispro 10 to 15 minutes before I eat breakfast, lunch, and dinner."

The client with hyperparathyroidism is taking alendronate. Which statements by the client indicate understanding of the proper way to take this medication? Select all that apply.

-"I need to sit up for at least 30 minutes after taking this medication." -"I need to take this medication first thing in the morning on an empty stomach."

The nurse is helping in planning instructions for a client who has developed stomatitis following the administration of a course of antineoplastic medications. Which instructions would the nurse suggest to include in the plan of care? Select all that apply.

-Offer foods and liquids that are neutral in taste and are neither hot nor cold. -Rinse the mouth with diluted baking soda or saline. -Nystatin should be prescribed if the client has areas of thrush.

A client with diabetes mellitus received 20 units of NPH insulin subcutaneously at 0800. The nurse would check the client for a potential hypoglycemic reaction at which time?

1700

The nurse is caring for a hospitalized child with a history of seizures who is receiving oral phenytoin sodium. Which would be included in the plan of care for this child?

Providing oral hygiene, especially care of the gums

Colchicine is prescribed for a client with a diagnosis of gout. The nurse reviews the client's medical history in the health record, knowing that the medication would be contraindicated in which disorder?

Renal failure

The client diagnosed with acquired immunodeficiency syndrome has been prescribed zidovudine. The nurse reviewing the physician's prescription would expect to note that which laboratory test has been prescribed?

Complete blood count (CBC)

The nurse is preparing to reinforce instructions to the client who has been given a prescription for diphenoxylate with atropine. Which instructions would the nurse include?

Do not exceed the recommended dose because it can be habit forming.

A client with multiple sclerosis is receiving diazepam, a centrally acting skeletal muscle relaxant. Which data would indicate that the client is experiencing a side effect related to this medication?

Drowsiness

Cyclobenzaprine is prescribed for a client for muscle spasms, and the nurse is reviewing the client's record. Which disorder, if noted in the record, would indicate a need to contact the primary health care provider about the administration of this medication?

Glaucoma

The nurse is collecting data from a client who is taking pantoprazole. The nurse determines that the medication is most effective if the client states relief of which symptom?

Heartburn

The nurse is collecting medication information from a client, and the client states that they are taking garlic as an herbal supplement. The nurse understands that the client is most likely treating which condition?

Hyperlipidemia

Indinavir is prescribed for a client with a diagnosis of human immunodeficiency virus (HIV). Which medication instruction would the nurse reinforce to the client?

Increase fluid intake to at least 1.5 L/day.

Silver sulfadiazine is prescribed for a client with a burn injury. Which laboratory finding requires a need for follow-up by the nurse? Laboratory Results Glucose 99 mg/dL (70-99 mg/dL) Platelets 300,000/mm3 (150,000-400,000/mm3) Magnesium 1.9 mEq/L (1.8-2.6 mEq/L) White blood cell count 3000 mm3 (5000-10,000/mm3)

White blood cell count