EAQ

While the nurse is at the bedside of a client in acute renal failure, the client states, "My healthcare provider said that I will be getting some insulin. Do I also have diabetes?" What is the best nursing response?

"No, the insulin will help your body handle the increased potassium level."

A nurse is teaching a client who is taking a loop diuretic about foods that are high in potassium. Which foods should the nurse emphasize?

Bananas Apricots Baked potatoes with skins

The nurse is monitoring a client who is having a third transfusion of packed red blood cells. Which of these may be evident if the client is experiencing a febrile transfusion reaction?

Chills Hypotension Tachycardia

A client develops kidney damage as a result of a transfusion reaction. What is the most significant clinical response that the nurse will assess when determining kidney damage?

Decreased urinary output

A client with myasthenia gravis is to receive immunosuppressive therapy. What assures the nurse that this therapy will be effective?

Decreases the production of autoantibodies that attack acetylcholine receptors

A client is started on tetracycline antibiotic therapy. What should the nurse do when administering this drug?

Give the medication an hour before milk products are ingested.

A healthcare provider prescribes tissue plasminogen activator (t-PA) to be administered intravenously over 1 hour for a client experiencing a myocardial infarction. What is the nurse's priority assessment that is specific to this medication's effect?

Intravenous insertion site

A client with upper gastrointestinal (GI) bleeding develops mild anemia. What should the nurse expect to be prescribed for this client? Dextran Iron salts Vitamin B 12 Erythropoietin

Iron salts

While on a hike, a rusty nail pierces the sole of a client's foot and he is brought to the emergency department of a local hospital. Tetanus immune globulin is prescribed because the client does not know when the last tetanus immunization was received. What information will the nurse include when teaching the client about this drug?

It provides immediate, passive, short-term immunity.

A client with hypertension is to take an angiotensin II receptor blocker (ARB). What should the nurse teach about this medication?

Stop the medication if swelling of the mouth, lips, or face develops. Have blood drawn for potassium levels 2 weeks after starting the medication.

A client with hyperthyroidism is treated initially with propylthiouracil (PTU). What should the nurse include when teaching the client about this medication? This medication will have to be taken for the remainder of the client's life. Milk should be taken with the medication so that gastric irritation does not occur. The medication should be taken between meals so that it is more readily absorbed. Symptoms may not subside until the client has taken the medication for several weeks.

Symptoms may not subside until the client has taken the medication for several weeks.

When preparing discharge teaching for a client who had a kidney transplant, in addition to a corticosteroid, the nurse expects what other medications to be prescribed to prevent kidney rejection?

Tacrolimus and mycophenolate mofetil

Parents of a child with sickle cell anemia ask about their child taking iron supplements to help treat the anemia. What would be the best response?

Taking supplements will not help with this condition.

After thoracic surgery for removal of a cancerous lesion in the lung, the client is drowsy, complains of pain when awakened, and then falls asleep. The client has a prescription for morphine sulfate via IV every 3 hours as needed for pain. The client's preoperative blood pressure was 128/76 mm Hg. Postoperative assessments reveal that the client's blood pressure ranges between 90/60 and 100/70 mm Hg. What is the nurse's best initial action?

Withhold morphine until the blood pressure stabilizes.

After receiving streptomycin sulfate for 2 weeks as part of the medical regimen for tuberculosis, the client states, "I feel dizzy and I can't hear as well as usual." The nurse withholds the drug and promptly reports the problem to the healthcare provider. Which part of the body does the nurse determine is being affected as indicated by the symptom reported by the client?

eighth nerve

A nurse plans an evening snack of milk, crackers, and cheese for a client who is receiving NPH insulin. What is the purpose of this snack?

late insulin activity

A nurse recalls that the shift of body fluids associated with the intravenous administration of albumin occurs by which process?

osmosis

A client who has just started on a regimen of haloperidol is observed pacing and shifting weight from one foot to the other. What side effect does the nurse document in the client's chart?

Akathisia

A client with metastatic breast cancer is started on a multiple drug regimen that includes docetaxel. The nurse assesses the client for which nontherapeutic effects of docetaxel?

Alopecia Febrile neutropenia Hypersensitivity reaction

When a client is receiving dexamethasone for adrenocortical insufficiency, what action does the nurse take to monitor for an adverse effect of the medication?

Measure blood glucose levels.

A client with a diagnosis of anemia is receiving packed red blood cells. What is the most important action by the nurse when administering the transfusion?

Monitoring the client's response, particularly within the first 10 minutes

A client is receiving ABVD (doxorubicin [Adriamycin], bleomycin, vinblastine, and dacarbazine) therapy for Hodgkin disease. About halfway through the first 6-month course of treatment, the client complains of burning and tingling of the feet. What does the nurse determine is the likely cause?

Neurotoxicity caused by vinblastine

What should the nurse monitor to evaluate the effectiveness of carbamazepine in the management of a client's trigeminal neuralgia?

Pain intensity

A client with a long history of alcohol abuse develops acute pancreatitis. What should be done to best prevent stimulation of the pancreas?

Administer the histamine H 2-receptor antagonist as prescribed.

A client with a thromboembolic disorder is receiving a continuous intravenous infusion of heparin at a rate of 1000 units per hour. There are 25,000 units of heparin in 500 mL of 5% dextrose solution. At how many milliliters per hour should the nurse set the rate on the electronic infusion control device? Record your answer using a whole number. mL/hr

20 mL/hr