dynamic quiz (content exam)

a nurse is administering subcutaneous heparin to a client who is at risk for deep vein thrombosis. which of the following actions should the nurse take? A. administer the medications into the client's abdomen B. inject the medication into a muscle C. massage the site after administering the medication D. use a 22-gauge needle to administer the medication

A. administer the medications into the client's abdomen the heparin should be administered into the client's abdomen

a nurse is caring for a client who us experiencing an acute gout attack. the nurse should anticipate a prescription form the provider for which of the following medications? A. colchicine B. allopurinol C. probenecid D. pegloticase

A. colchicine the nurse should anticipate a prescription for colchicine because it is the medication of choice for an acute gout attack.

a nurse is teaching about adverse effects of ergotamine with a client who has migraine headaches. which of the following client statements should indicate an understanding of the teaching? A. "if i overuse this medication i might become addicted to it" B. "this medication is okay to use during pregnancy" C. "tingling in my fingers and toes is an adverse effect that goes away with continued use" D. "i will experience restlessness as an adverse effect when i begin taking this medication"

A. "if i overuse this medication i might become addicted to it" the client should take the ergotamine according to the prescribed dose and should only take the medication when needed to avoid developing a physical dependence

a nurse is planning care for a client who is receiving gentamicin IM and has a new prescription to obtain gentamicin peak and through levels. at which of the following times should the nurse plan to obtain a blood sample to evaluate the gentamicin peak? A. 1 hr after administering the IM injection B. just before administering the IM injection C. 12 hours after the last IM injection D. 30 minutes after administering the IM injection

A. 1 hr after administering the IM injection timing is important when drawing blood samples for aminoglycoside levels. the nurse should obtain blood samples for peak levels 1 hr after administering an IM injection or 3o min after completing an IV infusion

a nurse is caring for a client with asthma who has been taking an inhaled glucocorticoid and long-acting beta2-agonist combination dry-powdered inhaler (DPI) for maintenance therapy. the nurse should identify that which of the following is a disadvantage of this medication? A. restricted dosage flexibility B. complicated delivery device C. serious systemic effects D. limited efficacy over time

A. restricted dosage flexibility the nurse should identify that a disadvantage of an inhaled glucocorticoid and a long-acting beta2-agonist being combined is that the dosages of these medications are fixed, so the dose cannot be adjusted

a nurse is providing teaching about sodium phosphate to a client who has a new prescription for sodium phosphate. the client is scheduled for a colonoscopy and is currently taking furosemide for hypertension. which of the following clients statements should indicate to the nurse that the teaching has been effective? A. "i can take my water pill as prescribed" B. "i can experience an imbalance in my electrolytes from this medication" C. "i should drink 8 ounces of bowel cleanser every 10 minutes until i drink a total of 4 liters" D. "i can experience rebound constipation after using this medication

B. "i can experience an imbalance in my electrolytes from this medication" sodium phosphate can cause excess fluid loss as a result of cleansing the bowel of stool. therefore, the client is at risk for electrolyte imbalance and should be monitored closely.

a nurse is planning care for a client who has a seizure disorder and a new prescription for valproic acid. which of the following laboratory values should the nurse plan to monitor? (select all that apply) A. BUN B. PTT C. aspartate aminotransferase (AST) D. urinalysis E. alanine aminotransferase (ALT)

B. PTT, C. AST, E. ALT valproic acid can alter coagulation; therefore, PT and PTT should be monitored. it can also cause life-threatening hepatotoxicity; the client should have baseline liver function tests (LFTs) before starting this medication, and LFTs should be repeated at regular intervals during therapy. ALT is a liver enzyme that is measured as a component of liver function tests. levels of the enzyme identify liver damage

a nurse is providing discharge teaching to a client who had a bleeding duodenal ulcer and has been prescribed omeprazole. which of the following statements should the nurse include in the teaching? A. "you will need to take this medication for the next 6 months" B. "taking this medication will decrease your risk of acquiring pneumonia" C. "you should take this medication before breakfast every day" D. "watch for the serious adverse effects of tachycardia and heart palpitations while taking this medication"

C. "you should take this medication before breakfast every day" clients who have active duodenal ulcer or gastric reflux disease should take omeprazole once daily before a meal (usually breakfast) because the medication is less effective when taken with food

a nurse is caring for a client who is 12 hours postoperative following a total hip arthroplasty. which of the following medications should the nurse anticipate administering to this client to prevent deep vein thrombosis (DVT)? A. Aspirin B. Warfarin C. Ticagrelor D. Enoxaparin

D. Enoxaparin Enoxaparin is a low-molecular-weight (LMW) heparin that is used to prevent a DVT by inhibiting the effects of antithrombin and thrombin.

a nurse suspects that a client is having an allergic reaction to a medication. which of the following factors should the nurse identify as increasing the likelihood of an allergic reaction to the medication? A. this is the client's initial dose of the current prescription B. the client received a large dosage C. the route of administration was oral D. the client has had previous exposure to the medication

D. the client has had previous exposure to the medication once the immune system has developed sensitization to a medication, a subsequent exposure to that same medication can result in an allergic response. the more exposure the client has to the medication, the more intense the reaction will likely be

a nurse is preparing to administer 100 units of insulin glargine and 4 units of NPH insulin subcutaneously to a client. which of the following actions should the nurse plan to take? A. verify with the provider about giving insulin glargine at 1700 B. ensure the insulin glargine is a cloudy suspension C. request a prescription for giving insulin glargine twice daily D. use separate syringes for administering insulin glargine and NPH insulin

D. use separate syringes for administering insulin glargine and NPH insulin the nurse should not mix insulin glargine with any other insulin. the nurse should administer the NPH insulin and insulin glargine separately.

IV infusion of Telavancin for Streptococcus pyogenes. the nurse needs to

check for pruritus, which can occur if the client develops generalized exfoliative dermatitis from infusing the medication too rapidly. manifestations of this condition can include flushing, rash, pruritus, urticaria, tachycardia, and hypotension.

a nurse is teaching a client with type 2 diabetes mellitus about self-administration of a new prescription for acarbose. which of the following pieces of information should the nurse include in the teaching? A. tell the client to take the medication with food B. show the client how to perform an intramuscular injection C. advise the client to avoid taking this medication with insulin D. warn the client against exercising while taking this medication

A. tell the client to take the medication with food acarbose should be taken with food. the nurse should advise the client that this medication should be taken with the first bite of a meal 3 times each day. acarbose inhibits an enzyme in the intestines that slows the digestion of carbohydrates and results in a lower postprandial increase of blood glucose levels

a nurse is caring for a client who has rheumatoid arthritis and a new prescription for etanercept. which of the following values should the nurse review prior to the administration of the medication? A. ability to swallow B. results of last purified protein derivative (PPD) test C. serum creatine level D. blood glucose level

B. results of last purified protein derivative (PPD) test the nurse should identify that a client who is taking etanercept is at risk for infections such as tuberculosis (TB). to reduce this risk, the client should be tested for latent TB; if the test is positive, the client should undergo TB treatment before receiving the medication. during treatment with the med, the client should be monitored closely for the development of TB

a nurse is caring for a client who has multiple medication allergies. during which of the following steps of the nursing process should the nurse identify the client's allergies? A. planning B. evaluation C. assessment D. implementation

C. assessment the assessment step of the nursing process involves collecting pertinent data, which includes the identification of the client's allergies

a nurse is preparing to administer timolol eye drops to a client who has primary open-angle glaucoma (POAG). prior to administering the medication, the nurse should recognize that which of the following conditions in the client's medical history is a contraindication to receiving this medication? A. hypertension B. peripheral vision loss C. asthma D. increased intraocular pressure

C. asthma Timolol is a beta-blocker that can cause blocking of the best2-receptors, causing bronchospasm. a client who has a history of asthma is a candidate for an alternate medication to treat this condition such as betaxolol