140 final study
A nurse in the emergency department is caring for a client who took 3 nitroglycerin tablets sublingually for chest pain. The client reports relief from the chest pain but now he is experiencing a headache. Which of the following statements should the nurse make?
"A headache is an expected adverse effect of the medication."
A nurse is teaching a client who has a new prescription for alprazolam to treat insomnia. Which of the following instructions should the nurse included?
"Avoid activities that require alertness such as driving"
A nurse is teaching a client who has a new prescription for NPH insulin. Which of the following instructions should the nurse include
"Eat a snack 8 hours after taking this medication."
A charge nurse is supervising a newly licensed nurse provide care for a client who has a PCA pumpWhich of the following statements made by the nurse requires further action by the charge nurse?
"I discarded the remaining 2 mg of morphine from the PCA pump. Please document that you witnessed it."
A nurse is caring for a client who has heart failure and a prescription for digoxinWhich of the following statements by the client indicates an adverse effect of the medication?
"I feel nauseated and have no appetite"
A nurse is teaching a client who has multiple sclerosis and a new prescription for dantrolene. Which of the following statements by the client indicates an understanding of the teaching?
"I need to apply a sunscreen when I go outside."
A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. Which of the following statements by the client indicates an understanding of the teaching ?
"I need to increase my fluid intake while taking this medication."
A nurse is reviewing discharge instructions with a client who has rheumatoid arthritis and a new prescription for prednisone. Which of the following statements by the client indicates an understanding of the teaching ?
"I should eat more bananas while taking this medication."
A nurse is providing teaching to a client who has a new prescription for transdermal nitroglycerin paste. Which of the following statements by the indicates the need for further teaching?
"I should leave the patch in place until it is time for the next dose
A nurse is teaching a client who is taking atorvastatin daily. Which of the following statements by the client indicates an understanding of the teaching?
"I will avoid drinking grapefruit juice."
A nurse is providing teaching to a client who has schizophrenia and receiving chlorpromazine. Which of the following an understanding of the teaching
"I will contact my provider if I have difficulty urinating"
A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching
"I'll call my doctor if I notice any unusual menstrual bleeding."
A nurse is evaluating teaching on a client who has a new prescription for montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching?
"I'll take this medication once a day in the evening."
A nurse is providing discharge teaching to a client who has a new prescription for warfarin. Which of the following statements by the client indicates an understanding of the teaching?
"I'll use my electric razor for shaving"
A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse ?
"I've been taking an antacid to help with indigestion."
A nurse is providing teaching to a client who takes opioid pain medication and has a new prescription for docusate sodium. Which of the following statements by the client indicates an understanding of the teaching?
"It might take up to 3 days for the medication to work"
A nurse is providing teaching to a client who has peptic ulcer disease and a new prescription for sucralfate tablets. Which of the following information should the nurse provide?
"Take sucralfate 1 hr before meals" (take on an empty stomach as well)
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?
"Take the medication with a full glass of water."
A nurse is providing teaching for a client who has hypertension and a prescription change from metoprolol to metoprolol/hydrochlorothiazide which of the following statements by the client indicates an understanding of the teaching?
"With the new medication, I should experience fewer side effects"
A nurse is teaching a client who has a new prescription for simvastatinWhich of the following instructions should the nurse include
"You should avoid grapefruit juice"
A nurse is teaching a client who has a duodenal ulcer about his new prescription for cimetidine. The nurse should include which of the following instructions in the teaching?
"Your doctor might need to reduce your theophylline dose while taking this medication"
A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast dailyWhat is the total number of units of insulin that the nurse should prepare in the insulin syringe?
42 units
A nurse is reviewing the medical record of a client who has hypertension and a new prescription for metoprolol. Which of the following findings should the nurse investigate further?
A history of left-sided heart failure
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?
Abdominal bloating may occur
A nurse is planning to administer ceftriaxone IM to an adult client. Which of the following actions should the nurse plan to take?
Administer the medication using a Z-track method
A nurse is teaching a client who has a new diagnosis of asthmaWhich of the following medications should the nurse instruct the client to use to abort an acute asthma attack
Albuterol
A nurse is teaching a client who has diabetes mellitus and a new prescription for glimepiride. The nurse should teach the client to avoid which of the following drinks while taking this medication
Alcohol (prevent disulfiram reaction)
A nurse is caring for a client who has developed gout. Which of the following medications should the nurse prepare to administer
Allopurinol
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
A nurse is assessing a client after administering IV vancomycin. Which of the following findings is the nurse's priority to report to the provider?
Audible inspiratory strider
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
A nurse is caring for a client who has a prescription for potassium chloride (KCL) 20 mEq daily. The nurse reviews the client's most recent laboratory results and finds the client's potassium level is 5.2mEq / L Which of the following actions should the nurse take?
Call the prescribing physician and inform her of the clients serum potassium level results
A nurse in a provider's clinic is assessing a client who has cancer and a prescription for methotrexate Which of the following actions should the nurse take when the client reports bleeding gums ?
Check the value of the clients current platelet count
A nurse is preparing to administer heparin subcutaneously to a client who has a deep vein thrombosis. Which of the following techniques should the nurse use?
Cleanse the skin with an alcohol swab, insert the needle, inject the heparin, and observe for bleeding.
A nurse is teaching a client who has a new prescription for prednisone to treat rheumatoid arthritisThe nurse should inform the that which of the following is a therapeutic effect of this medication?
Decreases inflammation
A nurse is teaching a client who has rheumatoid arthritis about taking methotrexate. Which of the following information should the nurse
Drink 2 to 3 L of water per day
A nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking furosemide. Which of the following instructions should the nurse include?
Eat foods that contain plenty of potassium
A nurse is caring for a client who is postoperative following hip arthroplastyThe nurse should anticipate which of the following prescriptions for this client ?
Enoxaparin
A nurse is preparing to administer digoxin to a client who has heart failure. Which of the following actions is appropriate?
Evaluating the client for nausea, vomiting, and anorexia
A nurse is teaching a client who has diabetes mellitus and receives 25 units of NPH insulin every morning if her blood glucose level above 200 mg / d * L Which of the following information should the nurse include ?
Expect the NPH to peak in 6 to 14 hours
A nurse is preparing to administer the monthly injection of haloperidol decanoate to a client who has schizophrenia. Which of the following actions should the nurse plan to take ?
Have the client lie down for 30 min after the medication is injected
A nurse is assessing a client prior to administering atenololWhich of the following findings should prompt the nurse to withhold the medication
Heart rate 46/min
A nurse is caring for a female client who has rheumatoid arthritis and asks the nurse it is safe for her to take aspirinThe nurse should recogniz which of the following findings in the client's history is a contraindication to this medication?
History of gastric ulcers
A nurse is reviewing the medical record of a client who reports taking pseudoephedrine for sinus congestion as needed. The nurse should identi that pseudoephedrine is contraindicated for which of the following client conditions?
Hypertension
A nurse is providing discharge teaching to a client who has asthma and a new prescription for fluticasone/salmeterol. For which of the following adverse effects should the nurse instruct the client to report to the provider?
Hyperuricemia
A nurse is teaching a client who has a new prescription for ferrous sulfate. Which of the following statements by the client indicates an understanding of the teaching?
I should expect dark, tarry stools
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
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'll be glad when I can stop taking this medicine.
A nurse is teaching a client who has a new prescription for fluoxetine to treat depressionWhich of the following statements by the indicates an understanding of the teaching ?
I'll take this medicine first thing in the morning (to avoid insomnia)
A nurse is assessing a client who is receiving liothyronine for treatment of hypothyroidism. The nurse should recognize which of the following findings is a therapeutic response to this medication?
Increase in energy
A nurse is providing teaching for a client who has diabetes and a new prescription for insulin glargine. Which of the following instructions should the nurse provide regarding this type of insulin?
Insulin glargine has a duration of 18 to 24 hr.
A nurse in a provider's 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
is teaching a client who takes acetaminophen daily to manage mild knee pain. The nurse should instruct the client to monitor for which of the following adverse reactions to this medication?
Jaundice (hepatotoxicity)
A nurse is caring for a client who has a traumatic head injury and is exhibiting signs of increasing intracranial pressure. Which of the following medications should the nurse plan to administer?
Mannitol 25%
A client is teaching a client who has a new prescription for hydrochlorothiazide for management of hypertension. Which of the following instructions should the nurse include?
Monitor for leg cramps (potassium wasting diuretic)
A nurse is teaching a client who has a new prescription for erythromycinWhich of the following information should the nurse include?
Monitor for ringing in your ears (ototoxicity)
A nurse is teaching a client who has a new prescription for ciprofloxacin to treat an uncomplicated UTI. Which of the following instructions should the nurse include?
Monitor for tendon pain
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 nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize which of the following medications can cause glucose intolerance?
Prednisone
A nurse is caring for a client who is receiving heparin by continuous IV infusionWhich of the following medications should the nurse plan to administer in the event of an overdose?
Protamine
A nurse is assessing a client who is on long term omeprazole therapy. Which of the following findings should indicate to the nurse the medication is effective ?
Reduced dyspepsia (gastric secretions)
A nurse is monitoring a client who received epinephrine for angiosperms after a first dose of loss Ryan. Which of the following data indicates a therapeutic response to the epinephrine?
Respirations are unlabored
A nurse is caring for a client who is postoperative following abdominal surgery and reports incision pain. The surgeon has prescribed morphine 4 mg IV bolus every 6 hours as needed. Before administering this medication, the nurse should complete which priority assessment?
Respiratory rate
nurse is preparing to administer a rectal suppository to a client. In which of the following positions should the nurse place the client for nsertion of the suppository?
Sim's position
A nurse is providing teaching to a client who has a new prescription for levothyroxine for hypothyroidism. The nurse should instruct the client to avoid which of the following herbal supplements?
Soy
nurse providing instruction to a new nurse about caring for clients who are receiving diuretic therapy to treat heart failureThe nurse should explain that which of the following medications puts clients at risk for both hyperkalemia and hyponatremia?
Spironolactone (potassium sparing diuretic)
A nurse is teaching a client about taking an exporant to treat a cough. The nurse should explain that this type of medication has which of the following actions?
Stimulates secretions
A nurse is providing teaching to a client who has hypertension and a new prescription for hydrochlorothiazide. Which of the following instructions
Take the medication early in the day
A nurse is teaching a client who has a new prescription for ibuprofen to treat hip painWhich of the following instructions should the nurse include in the teaching
Take the medication with food
A nurse is preparing to administer enoxaparin to a client . Which of the following actions should the nurse plan to take?
The nurse should not expel the air bubble in the prefilled syringe
nurse is providing discharge teaching for a client who has a new prescription for warfarin. Which of the following instructions should the nurse nclude in the teaching?
Use an electric razor while on this medication
A nurse is caring for a client who has cirrhosis and a prothrombin time of 30 seconds. Which of the following medications should the nurse plan to administer?
Vitamin K
A nurse is caring for a client who is on warfarin therapy for atrial fibrillation. The client's INR is 5.2. Which of the following medications should the nurse prepare to administer ?
Vitamin K
A nurse is teaching a client who has bipolar disorder and a prescription for lithium to recognize the manifestations of toxicity. Which of the following statements by the client indicates an understanding of the teaching
Vomiting is an indication of toxicity
A nurse is admitting a client who states he takes ginkgo biloba every day to improve his memory. The nurse should identify a potential interaction with which of the following medications the client is taking?
Warfarin
A nurse is providing teaching to a client who has a skin infection and a new prescription for gentamicin topical cream. Which of the following instructions should the nurse provide?
Wash the affected area with soap and water before applying cream
A nurse is providing discharge teaching to a client who has asthma and a new prescription for fluticasone/salmeterol. For which of the following adverse effects should the nurse instruct the client to report to the provider?
White coating in the mouth
A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO dailyThe amount available is digoxin 0.125 mg tab. The client's current vital signs are: blood pressure 144/96 , heart rate 54 /min, respirations 18 /min , and temperature 98.6F. Which of the following actions should the nurse take?
Withhold the digoxin dose for decreased pulse rate
A nurse is teaching a client who has a new prescription for clopidogrel. Which of the following instructions should the nurse include?
You might have to stop taking this medication 5 days before any planned surgeries
A nurse is caring for a client who is postoperative following a transurethral resection of the prostate (TURP). The nurse should plan to administer the client's PRN bethanechol when the client reports which of the following manifestations?
an inability to void
A nurse is teaching a client who has a new prescription for cyclobenzaprine. Which of the following information should the nurse include in the teaching?
avoid driving until effects are known
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?
bananas
A nurse is teaching a client who has a new prescription for aspirin to treat rheumatoid arthritis. The nurse should include to monitor for which of the following adverse effects of this medication
bleeding
A nurse is assessing a client who is receiving a unit of packed red blood cells. Which of the following findings is a manifestation of acute hemolytic reaction
client report of low back pain
A nurse is teaching a client who has a new prescription for diazepam. Which of the following information should the nurse include in the teaching
diazepam can cause drowsiness
A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. Which of the following beverages should the nurse tell the client to avoid while taking this medication?
grapefruit juice
A nurse is caring for a client who has developed agranulocytosis as a result of taking propylthiouracil to treat hyperthyroidism . The nurse should understand that this client is at increased risk for which of the following conditions?
infection
A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose?
insomnia
A nurse is caring for a client who has atrial fibrillation and receives digoxin daily. Before administering this medication, which of the following actions should the nurse take?
measure clients apical pulse
A nurse is teaching a client who has a new prescription for aspirin to prevent cardiovascular disease. Which of the following instructions should the nurse include in the teaching
monitor for tinnitus
A nurse is assessing a client who has hypercholesterolemia and is receiving simvastatin. Which of the following findings should the nurse recognize as a potential adverse effect?
muscle weakness (myopathy)
A nurse is caring for a client who has a new prescription for propranolol. The nurse should monitor the client for which of the following adverse reactions to this medication?
postural hypotension
A nurse is assessing a client who is taking oxacillin to treat an infection . The nurse should recognize which of the following findings is a manifestation of an allergic reaction ?
pruritus
A nurse is talking to a client who is taking a calcium supplement for osteoporosis. The client tells the nurse she is experiencing flank pain. Which of the following adverse effects should the nurse suspect?
renal stones
A nurse is teaching a client who has a new prescription for sumatriptan tablets to treat migraine headaches Which of the following instructions should the nurse include?
report swelling of eyelids after dosage
A nurse is assessing a client prior to the administration of morphine. The nurse should recognize that which of the following assessments is the priority?
respiratory rate
A nurse is teaching a client about taking diphenhydramine. The nurse should explain to the client that which of the following is an adverse effect this medication?
sedation
A nurse is assessing a client who is taking lisinopril to treat hypertension. Which of the following findings is a priority to report?
swelling of the tongue
A nurse is collecting data on a client who has a new prescription for ampicillin. The nurse should recognize which of the following findings is a priority?
wheezing
