EnweQuiz 3

A client experienced angioedema in response to losartan (Cozaar). Which of the following data indicates a therapeutic response to treatment?

Respirations are unlabored.

A nurse is caring for a client who reports occasionally self-medicating with an over-the-counter calcium carbonate antacid. To avoid the adverse effects of calcium carbonate, the nurse should recommend that the client take this medication with

water

A nurse has received a new order. The order reads amoxicillin 250 mg PO every 8 hr. The pharmacy has 125 mg chewable amoxicillin tablets in stock. How many tablets should the nurse administer?

2 tablets

A nurse is instructing a hospitalized client who has asthma about how to use an albuterol inhaler. the nurse should recognize that the client understands how to use the inhaler when the client demonstrates by

holding a breath for 10 seconds after inhaling the medication

A nurse is talking with a group of young women about the use of oral contraceptives. The nurse should point out that taking which of the following herbal preparations reduces the effectiveness of this birth control method?

St. John's wort

A nurse is speaking with a client who is about to receive a one-time dose of diazepam (Valium). Which of the following information should the nurse be sure to give to the client?

Diazepam can cause drowsiness.

A nurse is caring for a client who begins showing signs of alcohol withdrawal delirium. Which of the following medications should the nurse plan to administer?

Lorazepam (Ativan)

A nurse is caring for a client who has poison ivy and dermatitis and is started on diphenhydramine (Benadryl). Which of the following nursing recommendations is appropriate for decreasing the dry mouth associated with the use of diphenhydramine?

"Chew on sugarless gum or suck on hard, sour candies."

A client is prescribed 50 mg chlorpromazine (Thorazine) IM. The medication is dispensed by the pharmacy in vials labeled 25 mg/mL. How many mL should the nurse administer?

2 mL

A nurse is preparing to administer digoxin (Lanoxin) 10 mcg/kg to a client who weighs 209 lb. The medication is available as 0.5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number.)

2 mL

A nurse is preparing to administer amoxicillin (Amoxil) 350 mg PO. Available is amoxicillin 250 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number.)

7 mL

A nurse observes a parent of an infant administer a prescribed oral medication. Which of the following actions by the parent indicates a need for further instruction?

Positions infant in a supine position

A nurse is caring for a client who receives furosemide (Lasix) to treat heart failure. Which of the following laboratory values should the nurse be sure to monitor specifically for this client?

Potassium

A nurse is talking with a client about taking an expectorant to treat a cough. The nurse should explain that this type of medication treats coughs because of which of the following actions?

Stimulates secretions

A nurse is talking with a client who is about to start taking the bile acid sequestrant colestipol (Colestid) to lower his low-density lipoprotein (LDL) level. It comes in powder form or tablets. The nurse should inform the client that if he chooses tablet form, he

will have to take up to 30 tablets per day.

A client is to receive 500 mg of an antibiotic via IV bolus every 6 hr. Available is 2 g/5 mL after reconstitution with sterile water. How many mL should the nurse withdraw from the vial for each dose and add to the secondary infusion? (Round to the nearest hundredth.)

1.25 mL

A client is prescribed an IV infusion of D ¼ NS at 150 mL/hr. There are no IV pumps available, so the nurse must hang the solution on gravity ow tubing. The tubing has a drop factor of 10 gtt/mL. The nurse should adjust the IV to run at how many gtt/min?

25 gtts/min

A nurse is talking with a client about taking diphenhydramine (Benadryl). The nurse should explain that the most common side effect of this medication is

sedation.

A home health nurse is reviewing the medication list of an older adult client who reports falling a couple of times over the past week. Which of the following meds should the nurse suspect is contributing to the client's falls?

"Alprazolam"

A nurse prepares to administer a medication to a client who states, "That looks different from the pill I usually take." How should the nurse respond?

"Describe what the pill looks like."

A nurse is caring for a client who is diagnosed with a urinary tract infection (UTI) and is taking ciprofloxacin (Cipro) 500 mg PO every 12 hr. Which of the following instructions should the nurse give to the client?

"Drink at least 1 to 2 quarts of fluid each day while taking Cipro."

A nurse who has just admitted a client to an inpatient medical unit notices that the client brought a container of ginkgo biloba with him. When the nurse asks him about it, he says he takes it every day to "help his brain." Which of the following is an appropriate nursing response?

"For now, let's just make sure your doctor is okay with you taking it while you're in the hospital."

A nurse is assessing a client who has numerous bruises on his upper extremities. The client reports that he has taken warfarin (Coumadin) daily for the past 3 months. Which of the following statements by the client indicates the client needs further teaching?

"I have started taking ginger root to treat my joint stiffness."

A nurse is caring for a client who reports daily use of acetaminophen (Tylenol) to manage mild knee pain. Which of the following statements by the client should be of most concern to the nurse?

"I take three or four Vicodin ES tablets a day for severe knee and joint pain."

A nurse is reinforcing teaching with a client who is receiving continuous subcutaneous insulin via an external insulin pump. Which of the following client statements indicates a need for further teaching?

"I will adjust my dosages of Lantus insulin according to my blood glucose results."

A nurse is reinforcing teaching with a client who is taking atorvastatin (Lipitor) daily. Which of the following statements by the client indicates understanding?

"I will avoid drinking grapefruit juice."

A nurse is teaching a client about the side effects of taking tamoxifen (Nolvadex) to treat breast cancer. Which client statement indicates understanding of the possible effects?

"I will call my doctor if i notice any unusual menstrual bleeding"

A nurse is performing discharge teaching for a client who is taking phenytoin (Dilantin). Which of the following comments by the client should alert the nurse that further teaching is needed?

"I'll be glad when I am free of seizures so I can stop taking this medicine."

A nurse is talking with a client about how to use montelukast (Singulair) to treat asthma. Which of the following client statements should indicate that the client understood the nurse's instructions?

"I'll take this medication once a day in the evening."

A nurse is providing discharge teaching to a client who will be taking warfarin (Coumadin) at home. Which of the following statements indicates that the client understands the effects of this medication?

"I'll use my electric razor for shaving."

A nurse is teaching a client who is about to start therapy with alendronate (Fosamax) to treat osteoporosis. Which of the following adverse effects should the nurse instruct the client to report?

"Jaw pain, blurred vision, dysphagia"

A nurse is reinforcing teaching with a client who has a prescription for bumetanide (Bumex). Which of the following instructions should the nurse include in the teaching?

"Report changes in hearing."

A nurse is caring for a client who is hospitalized with deep vein thrombosis and has been on IV heparin for 5 days. The provider prescribes oral warfarin (Coumadin) without discontinuing the heparin. The client asks the nurse why both anticoagulants are necessary. Which of the following is an appropriate nursing response?

"The Coumadin takes several days to work so the IV heparin will be used until the coumadin reaches a therapeutic level."

A nurse is caring for a client who has a prescription for oral erythromycin (E-Mycin). Which of the following statements is appropriate for the nurse to document regarding expected side effects of this medication?

"The client had a small amount of yellow emesis."

A client who has angina pectoris is experiencing chest pain and has taken three nitroglycerin tablets sublingually. The client reports relief from the chest pain but now reports a headache. The nurse should explain that this symptom

"is an expected side effect of the med"

A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client. What is the sequence of events the nurse should follow? (Move the steps of mixing insulin on the left into the box on the right, placing them in the selected order of performance. All steps must be used.)

1- Inspect vials for contaminants. 2- Roll NPH vial between palms of hands. 3- Inject air into NPH insulin vial. 4- Inject air into regular insulin vial. 5- Withdraw short-acting insulin into syringe. 6- Add intermediate insulin to syringe.

A nurse is caring for a client who is to receive liquid medications via gastrostomy tube. The client is prescribed phenytoin (Dilantin) 250 mg. The nurse has available unit dose vials of phenytoin that are labeled 125 mg/5 mL. How many mL should the nurse administer per dose?

10 ml

A provider prescribes 1 L of dextrose 5% in 0.45% sodium chloride to infuse at 100 mL/hr. The nurse is using microtubing. The nurse should adjust the IV ow rate to deliver how many gtt/min? (Round to the nearest whole number.)

100 gtt/min

A client is prescribed 300 mg clindamycin (Cleocin) IV to infuse over 30 min. The medication comes premixed in a 50 mL bag. At how many mL/hr should the nurse set the IV pump?

100 mL/hr

A client with a severe infection is prescribed IV vancomycin (Vancocin) 1 g in 250 mL D W over 2 hr. The nurse should set the IV pump to infuse at how many mL/hr?

125 mL/hr

A provider prescribes 40 mEq of potassium chloride to infuse in 500 mL of dextrose 5% in water at the rate of 10 mEq/hr. The nurse should set the IV pump to deliver how many mL/hr to the client? (Round to the nearest whole number.)

125 mL/hr

A provider prescribes 400 mg of dopamine (Intropin) to infuse in 250 mL of dextrose 5% in water at the rate of 300 mcg/kg/hr for a client who weighs 80 kg and requires hemodynamic support. The nurse should set the IV pump to deliver how many mL/hr to the client? (Round to the nearest whole number.)

15 mL/hr

A client's provider prescribes 3,000 mL of dextrose 5% in 0.45% sodium chloride to infuse IV over 24 hr. The nurse initiates an IV infusion of 1,000 mL of this fluid at 0800. At what time should the nurse prepare to initiate the second 1,000 mL bag? (Document the response in 24-hr [military] time.)

1600 hr

A client is prescribed a heparin IV infusion at 1,200 units/hr. Heparin comes premixed from the pharmacy in 25,000 units per 500 mL D W. At how many mL/hr should the nurse set the IV pump?

24 mL/hr

A nurse is to preparing to administer cefazolin (Ancef) 1 g in dextrose 5% in water 100 mL over 30 min. The IV tubing drop factor is 10 gtt/mL. The nurse should administer the medication at how many gtt/min? (Round the answer to the nearest whole number.)

33 gtt/min

A nurse is caring for a client with diabetes mellitus who receives 25 units of NPH insulin every morning if her blood glucose level is above 200 mg/dL. The nurse monitors this client for hypoglycemia because NPH insulin peaks how long after administration?

4 to 12 hr

A client is prescribed an IV drip medication to infuse at 4 mcg/min to maintain the diastolic blood pressure of less than 80 mmHg. The solution strength is 6 mg in 1000 mL 5% dextrose in water. Calculate the rate of infusion mL/hr.

40 mL

A client who has type 1 diabetes mellitus is to have IV fluid that contains 48 units of Regular insulin (Humulin R) in 1,000 mL to infuse at 2 units/hr. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number.)

42 mL/hr

A nurse is caring for a client who is 6 feet tall, weighs 190 lb, and has a body surface area of 2.1 m². The client is prescribed cisplatin (Platinol). The appropriate dose for this medication is 20 mg/m². How many mg is an appropriate dose to administer to the client?

42 mg

A nurse receives a new prescription from the provider which reads "give 14 units of regular insulin and 28 units of long-acting insulin to be given subcutaneously at the breakfast hour". What is the total number of units of insulin that the nurse will prepare in the insulin syringe?

42 units

A nurse is preparing to initiate a transfusion of packed RBC for a client who has anemia. Which of the following rates is appropriate when the nurse starts the transfusion?

5 mL/min for 15 minutes.

A provider prescribes an IV medication to infuse in 50 mL of 0.9% sodium chloride over 20 min. The drop factor on the manual IV tubing is 20 gtt/mL. The nurse should adjust the IV flow rate to deliver how many gtt/min to the client? (Round to the nearest whole number.)

50 gtt/min

A newborn who weighs 1,260 g on admission is prescribed a dose of cephazolin (Kefzol). The safe dose of cephazolin for a newborn is 50 mg/kg. How many mg does the nurse determine is a safe dose to administer to the newborn?

63 mg

A provider prescribes an IV medication to infuse in 100 mL of dextrose 5% in water over 20 min. The drop factor on the manual IV tubing is 15gtt/mL. The nurse should set the IV flow rate to deliver how many gtt/min to the client? (Round to the nearest whole number.)

75 gtt/min

A nurse is preparing to infuse 10,000 units of heparin to infuse in 100 mL of dextrose 5% in water at the rate of 800 units/hr for a client who has deep-vein thrombosis. The nurse should set the IV pump to deliver how many mL/hr to the client? (Round to the nearest tenth.)

8 mL/hr

A nurse is giving discharge instructions to a client who has asthma and is about to start taking zileuton (Zyflo). The nurse should tell the client to report which of the following adverse effects to the provider?

Abdominal pain

A nurse is caring for a client who received an injection of penicillin G procaine (Bicillin). The client experiences dyspnea and states, "My tongue feels swollen." Which of the following should be the nurse's priority action?

Administer epinephrine (Adrenalin) subcutaneously.

A nurse is teaching about ferrous iron to a parent of a child with iron deficiency anemia. Which of the following should be included in the teaching?

Administer ferrous iron with fruit juice

A nurse is preparing to administer blood to a client. As the nurse begins to check the 1st unit with another nurse, she notices that the unit of blood is type B and the client's blood type is AB. Which of the following actions should the nurse take?

Administer the blood as ordered.

A nurse is attempting to administer a dose of lactulose (Cephulac) to a client who has cirrhosis when the client states, "I don't need this medication. I am not constipated." The nurse should explain that lactulose is also used to decrease serum

Ammonia

Following surgery, a client has a prescription for nalbuphine (Nubain) for moderate to severe pain. The nurse caring for the client should check for possible adverse reactions by assessing for which of the following findings?

Blurred vision

A nurse is preparing to administer heparin subcutaneously to a client? 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 educating a group of clients about contraindications of warfarin therapy. which of the following statements is appropriate to include in the teaching?

Clients who are pregnant should not take coumadin

A nurse is caring for a client who is receiving mydriatic eye drops. Which of the following clinical manifestations indicates to the nurse that the client has developed a systemic anticholinergic effect?

Constipation

A nurse is caring for a client who has systemic lupus erythematosus and is about to start taking hydroxychloroquine (Plaquenil) to reduce skin inflammation. The nurse should instruct the client to report which of the following as an indication of a toxic reaction to this medication?

Decreased visual acuity

When talking with a patient about taking cimetidine (Tagamet), the nurse should include which of the following instructions?

Do not take this medication if you start taking blood-thinning medications.

A nurse is caring for a client who has a hip fracture. The nurse should expect the provider to prescribe which of the following medications for prophylactic anticoagulant therapy?

Heparin

A client has developed agranulocytosis as a result of taking propylthiouracil (PTU) to treat hyperthyroidism. When preparing to counsel the client, the nurse should base her instructions on the fact that the client is at serious risk for which of the following?

Infection

A nurse is preparing to administer heparin to a client via the deep subcutaneous (intrafat) route. Which of the following is an appropriate action for administering this medication?

Inject the medication into the abdomen above the level of the iliac crest.

A nurse is caring for a client who is taking levothyroxine (Synthroid). Which of the following manifestations should suggest to the nurse that the client may have taken an overdose of levothyroxine?

Insomnia

A nurse is reinforcing teaching to a client who is to start therapy with Regular insulin (Humulin R) and NPH insulin (Humulin N). Which of the following should the nurse include in the teaching?

Keep the open vial of insulin at room temperature.

A nurse is caring for a client who has prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client?

Leuprolide (Lupron)

A client is telling the nurse in the clinic that he gets a headache after he takes sublingual nitroglycerin (Nitrostat) for his angina pain. Which of the following should the nurse instruct the client to do?

Lie down in a cool environment and rest.

A nurse plans to administer ceftriaxone (Rocephin) 1 mL to an older adult client. Which of the following indicates the correct technique?

Locates the vastus lateralis injection site

A nurse is caring for a client that is experiencing Cushing's Triad following a subdural hematoma. The client exhibits a widening pulse pressure (increased systolic and decreased diastolic blood pressure), a decrease in pulse rate, and altered respiratory pattern. Which of the following should the nurse administer?

Mannitol 25%

A client who is in labor receives butorphanol (Stadol) for pain management. Which of the following medications should the nurse have readily available?

Naloxone (Narcan)

A nurse is caring for an adolescent client who has a sarcoma of the femur and is admitted for chemotherapy. The client is to receive ifosfamide (Ifex) and mesna (Mesnex). The nurse should assess for which of the following manifestations of a serious adverse reaction?

Painful urination and hematuria

A nurse is caring for a client who is to begin therapy (furosemide) Lasix. The nurse notes that the client has not been receiving supplemental electrolytes. Which laboratory value is a priority for the nurse to check before administering furosemide?

Potassium

A nurse is talking with a client who has type 2 diabetes mellitus that has responded well to oral hypoglycemic medication. The client reports morning fasting blood glucose levels above 180 mg/dL for the past week. In reviewing the client's medication history, the nurse should identify which of the following medications as a possible contributing factor to the recent change in glycemic control?

Prednisone. (Deltasone)

A nurse is caring for a client who is recovering from surgical placement of an artificial heart valve and is to be started on warfarin (Coumadin) prior to discharge. Which of the following diagnostic tests should the nurse use to monitor the effect of this therapy?

Prothrombin time (PT)

A nurse is caring for a client who has osteoporosis and is taking a calcium supplement. When the client tells the nurse she has been having some flank pain. which of the following adverse effects should the nurse suspect?

Renal stones

A nurse is talking with a client who is about to start therapy with cyclophosphamide (Cytoxan) to treat multiple myeloma. Which of the following instructions should the nurse reinforce?

Report chills and fever.

A nurse is monitoring a client's transfusion of packed red blood cells and suspects that a hemolytic reaction is occurring. Which of the following is the priority intervention?

Stop the transfusion

A nurse is administering medication to a client. Which of the following medications is most effective when administered with little or no water?

Sucralfate (Carafate)

A nurse is talking with a client who is about to start taking nitroglycerin oral, sustained-release capsules (NitroTime). Which of the following instructions should the nurse include?

Swallow the capsules whole.

A nurse is preparing to administer lisinopril. Which of the following findings should be reported to the provider immediately?

Swelling of the tongue an oral pharynx

A nurse is reviewing the history and physical for a client who has schizophrenia. Reported findings include jerky choreiform movements, lip-smacking, and neck and back tonic contractions. These findings are chronic despite the discontinuation of chlorpromazine (Thorazine). The nurse should suspect that the client has developed which of the following adverse effects?

Tardive dyskinesia

A client is receiving lithium carbonate (Eskalith) to treat manic behavior. The nurse caring for this client should use which of the following strategies to guide the administration of this medication?

Telling the client to expect control of manic symptoms 7 to 10 days after starting lithium therapy

A nurse in a substance abuse clinic is assessing a client who recently started taking disulfiram (Antabuse). The client reports having discontinued the medication after experiencing severe nausea and vomiting. Which of the following should the nurse suspect to be a likely cause of the client's distress?

The client consumed alcohol while taking the medication.

Which of the following should be recognized by the nurse as part of the medication reconciliation process?

The documented list includes all medications taken by the client.

A nurse is preparing to administer amoxicillin (Polymox) 100 mg PO every 8 hr to a toddler who weighs 20 kg. The recommended dosage range is 20-25 mg/kg/day. Which of the following demonstrates the nurse's understanding?

The prescription is insufficient to achieve the desired effect.

A charge nurse is assessing a newly licensed nurse's understanding of the need to administer 0.9% sodium chloride with packed RBC for a client who has anemia. Which of the following statements by the newly licensed nurse indicates an understanding of this intervention?

These products should be administered together to decrease the risk of hemolysis."

A nurse is caring for a client who is hospitalized with active pulmonary tuberculosis (TB) and is to be started on intravenous rifampin (Rifadin) therapy. The nurse should instruct the client that this medication might do which of the following?

Turn body secretions to a red-orange color

A client has been taking omeprazole (Prilosec) for the past 4 weeks. The nurse determines that the medication is effective when the client reports relief from

acid indigestion

A client who is postoperative following a transurethral resection of the prostate (TURP) has a new prescription for bethanechol (Urecholine) PRN. The nurse should administer this medication if the client reports?

an inability to void.

A hospice nurse makes weekly visits to a client who has terminal cancer. For several weeks, the client has been taking morphine sulfate for pain relief. At today's visit, the client reports to the nurse that the usual dose of morphine does not seem to be working. The nurse should understand that the most likely explanation is that the client has

developed a tolerance to the medication.

A nurse is teaching a patient who has rheumatoid arthritis about taking methotrexate (Rheumatrex). The nurse should tell the patient to

drink 2 to 3 L of water per day to promote its excretion.

A nurse is talking with a client who has hypertension and stable angina pectoris and is about to start taking verapamil (Calan). The nurse should instruct the client to avoid taking this medication with

grapefruit juice.

A nurse is instructing a pediatric client and his and family about how methylphenidate (Ritalin) will help manage attention-deficit hyperactivity disorder (ADHD). The nurse should explain that this medication therapy will help

increase focus.

A nurse is caring for a client who takes prednisone (Deltasone) and has developed an infection. The nurse should expect that the provider will

increase the dosage of prednisone.

A nurse is caring for a client who has chronic renal disease and is receiving epoetin alfa (Epogen) therapy. The nurse should instruct the client to increase dietary consumption of

iron.

A nurse is caring for a client who receives digoxin. before administering the med which of the following actions should the nurse take?

measure the apical pulse

A nurse is teaching a client who has asthma the appropriate use of inhaled beclomethasone (Beclovent). To avoid complications related to the use of beclomethasone, the nurse should encourage the client to

rinse the mouth after administration.

A nurse is preparing to administer a bisacodyl (Dulcolax) 10 mg suppository. Which of the following are correct administration guidelines for the nurse to implement? (Select all that apply.)

✓Lubricate index finger ✓Insert suppository just beyond the internal sphincter

A nurse is caring for a client who is newly diagnosed with diabetes mellitus and is prescribed glipizide (Glucotrol). When instructing the client about this medication, the nurse should describe its method of action with which of the following statements?

"Glucotrol stimulates your pancreas to release adequate insulin."

A provider prescribes fluoxetine (Prozac) for a client who reports frequent periods of extreme sadness. The nurse teaching the client knows he understands how to take this medication when he makes which of the following statements?

"I'll take this medicine first thing in the morning."

A client is about to start using gentamicin (Garamycin) cream to treat a serious skin infection. Which of the following instructions should the nurse include when talking with the client about using this preparation?

"I'll wash the area with soap and water before I apply the cream."

A client who has a gastric ulcer is about to start taking sucralfate (Carafate). The nurse determines that teaching was effective when the client states that he will take this medication

1 hr before meals and at bedtime.

A nurse is monitoring the ow rate of an IV solution prescribed to infuse at 100 mL/hr using a drop factor of 15 gtt/mL. The nurse should ensure the ow rate is set to infuse how many gtt/min? (Round the answer to the nearest whole number.)

25 gtt/min

A nurse is preparing to administer digoxin (Lanoxin) 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 preparing to administer atenolol (Tenormin) to a client. Which of the following should prompt the nurse to withhold the medication?

Heart rate 56/min

A client provides a nurse with a list of home medications. Which of the following should the nurse recognize as incompatible?

Warfarin sodium (Coumadin) and multivitamins

A client admitted to an inpatient mental health unit is about to start receiving disulfiram (Antabuse). Which of the following information is most important for the nurse to obtain before administering this medication?

When the client last drank alcohol

A nurse is giving discharge instructions to a client who has asthma and is about to start using beclomethasone (QVAR). The nurse should tell the client to report which of the following adverse effects to the provider?

White coating in the mouth

A nurse is caring for a client who has thrombophlebitis and is receiving continuous heparin infusion. Which of the following medications should the nurse have available to reverse heparin's effects?

"Protamine Sulfate"

A charge nurse is evaluating the care of a newly licensed nurse as he cares for a client who is receiving a transfusion of packed RBC. The nurse suspects a possible hemolytic reaction. After stopping the blood transfusion, which of the following actions by the newly licensed nurse requires intervention by the charge nurse?

The nurse starts the transfusion of another unit of blood product.

A nurse is to administer subcutaneous short-acting insulin combined with long acting insulin to the client before he eats breakfast at 8:00 AM. Which of the following should the nurse do?

Give the insulin at 7:30 AM after checking the blood glucose level results.

A clinic nurse is giving instructions to a mother on the proper technique of applying ophthalmic ointment to her preschool-age child who has conjunctivitis. Which of the following should the nurse include in the instructions?

"Discard the first bead of ointment before each application."

Which of the following are appropriate references for the nurse to use to ensure safe medication administration? (Select all that apply.)

- Published journals - Pharmacists - Physicians' Desk Reference

A nurse is caring for a client who asks how albuterol helps his breathing. which of the following should the nurse include in the response?

-the med will prevent wheezing -will open airways -will decrease coughing episodes

A client in the hospital is prescribed digoxin (Lanoxin) 125 mcg. The computerized medication delivery system on the unit dispenses tablets labeled digoxin 0.25 mg. How many tablets should the nurse dispense to the client?

0.5 tablets

A client is to receive a unit of packed red blood cells. The nurse should prime the blood administration tubing using which of the following IV solutions?

0.9% sodium chloride

A nurse is preparing to administer potassium chloride (KCL) The provider prescribes potassium chloride (KCL) 20 mEq suspension PO daily. The bottle is labeled KCL elixir, 10 mEq/mL. Which of the following should the nurse administer?

2 mL

A nurse is preparing to administer desmopressin (Vasopressin) 0.2 mg daily to a client. Available is 0.1 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number.)

2 tablets

Calculate the drops per minute of an IV bolus of 500 ml of LR to be infused over 3 hours using 20 drop/ml tubing.

56 gtts/min

Calculate the drops per minute of an IV bolus of 500 ml of LR to be infused over 3 hr using 20 drop/mL tubing. (Round the answer to the nearest whole number.)

56 gtts/min

A nurse is preparing to administer amoxicillin (Amoxil) 300 mg PO. Available is amoxicillin 250 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number.)

6 mL

A nurse is caring for a client who is HIV positive and is started on zidovudine (AZT). The nurse should monitor the client for which of the following life-threatening side effects of this medication?

Aplastic anemia

A client is taking ibuprofen (Advil, Motrin) to treat hip pain. The nurse should teach the client that, to minimize gastric mucosal irritation, she should take this medication at which of the following times?

Immediately after a meal

A nurse is preparing to administer prednisone (Deltasone) to a client for treatment of rheumatoid arthritis. Which of the following indicates effective therapy?

Improved range of motion

A nurse is caring for a client who has detached retina and is scheduled for surgical repair preoperatively the nurse should prepare to administer which of the following medications?

Phenylephrine hydrochloride (AK-Dilate)

A nurse has just administered a dose of diazepam (Valium) to a client. Which of the following actions should the nurse take before she leaves the client's room?

Put up the side rails on the client's bed.

A provider is discharging a client who has pulmonary tuberculosis with a prescription for rifampin (Rifadin). The nurse should include which of the following information in the client's discharge teaching?

Urine and other secretions will turn orange.

A nurse is administering ipratropium bromide (Atrovent) via nebulizer to a client who has emphysema. Which of the following client findings should cause the nurse to consult the provider before administering the next dose?

Visual changes

Whenever a nurse is caring for clients who are receiving warfarin (Coumadin), which of the following medications should the nurse have on hand in the event of an overdose?

Vitamin K

A client has a new prescription for transdermal nitroglycerin (Nitro-Dur) to treat angina pectoris. When talking with the patient about using this drug, the nurse should include which of the following instructions? (Select all that apply.)

✓ Apply the patch to a hairless area and rotate sites. ✓ Apply a new patch each morning. ✓ Remove the patch for 10 to 12 hr daily

A nurse is reinforcing teaching with a client whose medication was changed from metoprolol (Lopressor) to metoprolol/hydrochlorothiazide (Lopressor HCT). Which of the following statements by the client indicates understanding of the teaching?

"With the new medication, I should experience fewer side effects."

A nurse is preparing to administer 250 mg of an antibiotic IM. Available is 3 g/5 mL. How many mL should the nurse administer to the client? (Round to the nearest tenth.)

0.4 mL

A provider prescribes dextrose 5% in water IV to infuse at 100 mL/hr. The drop factor on the manual IV tubing is 60 gtt/mL. The nurse should set the IV ow rate to deliver how many gtt/min? (Round to the nearest whole number.)

100 gtt/min

A nurse is preparing to administer an IV injection of phenytoin (Dilantin) to a client. Which of the following nursing actions is appropriate?

Administer a saline solution after injection.

A nurse is caring for a child in status asthmaticus. Which of the following is the priority action for the nurse to take?

Administer a short-acting ß2 -agonist.

A nurse is preparing to use the Z-track technique to administer a medication to a client. Which of the following is an appropriate action during this procedure?

Aspirate for 5 to 10 seconds.

A nurse is caring for a client who was admitted to the hospital with congestive heart failure (CHF) and is taking digoxin (Lanoxin) 0.25 mg daily. The client refused breakfast and is complaining of nausea and generalized weakness. Which of the following actions should the nurse perform first?

Check the client's vital signs.

A nurse is caring for a client who is taking lisinopril (Zestril). Which of the following outcomes should the nurse anticipate?

Decreased blood pressure

A client is receiving pancreatic enzymes as a digestive aid. The nurse should tell the client expect which of the following gastrointestinal changes?

Decreased fat in stools

A nurse is caring for a client. The client states, "I don't want to take my medication." Which of the following actions should the nurse take?

Document that the client refuses the medication.

A nurse is instilling ear drops to a young child and must straighten the ear canal by pulling the auricle of the ear. The nurse will pull the auricle in which directions?

Down & backward

A nurse is instilling ear drops to a young child and must straighten the ear canal by pulling the auricle of the ear. The nurse will pull the auricle in which of the following directions?

Down and Backward

A nurse is caring for a client who has been prescribed timolol (Timoptic). Which of the following is the appropriate procedure for administration of this medication?

Drop prescribed amount of medication into the conjunctival sac.

A client who is postoperative is receiving IV fluids and a unit of whole blood. The nurse should observe the client for which of the following as an early sign of circulatory overload?

Dyspnea

A nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking furosemide (Lasix). Which of the following instructions should the nurse include?

Eat foods that contain plenty of potassium.

A nurse is talking with a client who is about to undergo hip arthroplasty. The nurse explains that the surgeon will prescribe anticoagulant therapy to prevent deep-vein thrombosis postoperatively. The nurse should explain that the client will not require frequent clotting time determinations because the surgeon plans to prescribe which of the following medications?

Enoxaparin (Lovenox)

A nurse is caring for a client who is at 6 weeks of gestation and has pneumonia. While the nurse is obtaining the client's history, she tells the nurse that she takes the herb feverfew for migraine headaches. Which of the following actions should the nurse take?

Explain that she should not take this herb while she is pregnant.

A client who is taking digoxin (Lanoxin) develops ECG changes and other indications of severe digoxin toxicity. Which of the following medications should the nurse prepare to administer?

Fab antibody fragments (Digibind)

A nurse is caring for a client who takes levothyroxine (Synthroid) 88 mcg/day PO, furosemide (Lasix) 100 mg/day PO, acyclovir (Zovirax) 200 mg PO BID, and cimetidine (Tagamet) 300 mg PO QID. Which one of the following medications poses the highest risk for life-threatening adverse effects?

Furosemide

A female client who has rheumatoid arthritis asks the nurse if it is safe for her to take aspirin. Which of the following is a contraindication to this medication?

History of gastric ulcers.

A nurse is reviewing the following vital signs: heart rate 86/min, blood pressure 80/40 mm Hg, respirations 28/min with stridor, and temperature 101.5º F (38.6º C). Which of the following actions should the nurse take next?

Hold captopril (Capoten)

A nurse is caring for a client who reports taking bisacodyl to promote a daily bowel movement which of the following should be the nurses priority response?

How long have you been taking the Ducolax?

A nurse is caring for a client who is prescribed furosemide (Lasix). For which of the following adverse effects should the nurse monitor?

Hypokalemia

A nurse is caring for a client who has several environmental allergies and was admitted in status asthmaticus. the provider prescribes cromolyn sodium via a metered-dose inhaler. to be added to the client's home management along with an albuterol MDI. When performing discharge teaching the nurse should identify the need for additional teaching when the client states

I will be sure to take the INTAL four times a day before using Proventil

A nurse is caring for a client who requests pain medication. The nurse should understand that acute pain can cause which of the following?

Increased heart rate

A nurse is caring for a client in liver failure with ascites who is receiving spironolactone (Aldactone). Which of the following outcomes should the nurse expect from this client's medication therapy?

Increased sodium excretion

A nurse is preparing a medication and is converting 0.8 grams to milligrams. The nurse should do which of the following?

Move the decimal point 3 places to the right

A nurse is caring for a client who has a diagnosis of pulmonary embolism (PE). Which of the following should the nurse report to the provider?

Platelets 74,000/mm³

A nurse is caring for a client who is receiving liothyronine for treatment of hypothyroidism. which of the following should the nurse recognize as a therapeutic response?

improvement of overall mood

A nurse at an ophthalmology clinic is caring for a client who has open-angle glaucoma. The client is started on a treatment regimen of timolol (Timoptic) and pilocarpine (Pilocar) eye drops. The nurse should understand that these medications will be administered

on a regular schedule for the rest of the client's life.

A provider prescribes cyclobenzaprine (Flexeril) for a client who has a fractured ulna. When the client asks the nurse what this medication is supposed to do for him, the nurse should explain that cyclobenzaprine will

relieve muscle spasms.

A nurse is caring for a preoperative client who is prescribed hydroxyzine (Vistaril). The nurse should know that which of the following are beneficial actions of hydroxyzine for the preoperative client? (Select all that apply.)

✓ Controlling emesis ✓ Diminishing anxiety ✓ Reducing the amount of narcotics needed for pain relief ✓ Drying secretions

A nurse is caring for a client who has been on levothyroxine for several months. if the dose of this medication has been adequate the nurse should expect to see a decrease in the

thyroid stimulating hormone

A nurse is monitoring a client's IV site. Which of the following findings are associated with phlebitis and should be reported to the RN? (Select all that apply

✓Erythema ✓Throbbing ✓Warmth at the insertion site ✓Streak formation

A nurse is talking with a client who has peptic ulcer disease and is starting therapy with sucralfate (Carafate). The nurse should instruct the client to take the medication

1 hr before meals.

A provider prescribes 2 g of a medication to give to a client in eight divided doses over the next 24 hr. How many mg should the nurse administer for each dose?

250 mg

A nurse is preparing to administer furosemide (Lasix) 40 mg IV. Available is furosemide 10 mg/1 mL. How many mL should the nurse administer to the client? (Round to the nearest whole number.)

4 mL

A postoperative client is prescribed an IV infusion of D Ringer's Lactate at 120 mL/hr. The tubing has a drop factor of 20 gtt/mL. The nurse should set the IV ow rate to how many gtt/min?

40 gtt/min

A nurse on a medical unit is caring for a client who has angina pectoris and reports chest pain with a severity of 6 on a 0 to 10 scale. the nurse administers sublingual nitroglycerin . after 5 min the client states that his chest pain is now a 2

administer another nitroglycerin tablet - give another one 5 min after the first if client is still reporting pain

A nurse is discontinuing a course of prednisone (Deltasone) for a client with an exacerbation of asthma. The nurse should taper the dose so that the client does not experience

adrenocortical insufficiency.

A nurse is assessing an older adult client who is receiving digoxin. to evaluate the client for digoxin toxicity. the nurse would check for which of the following manifestations?

anorexia

A nurse is caring for a client treated with intermittent IV vancomycin. the client reports pain at the IV site when the nurse starts the infusion. which of the following nursing actions is appropriate at this time?

assess the patency of the IV site

A nurse in a clinic is performing a routine examination for a client. The client has a blood pressure of 170/104 mm Hg, and the provider prescribes propranolol (Inderal). The nurse should question the prescription after noting in the client's medical record a history of

asthma.

A nurse is teaching a client who has angina pectoris about starting therapy with nitroglycerin (Nitrostat) tablets. The nurse should instruct the client to take the medication

at the first indication of chest pain.

A nurse is monitoring a client who is receiving a parenteral lipid infusion. which of the following findings is the highest priority for the nurse to report to the provider?

elevated temperature

A nurse is caring for a client who has a severe infection and is being treated with IV gentamycin sulfate (Garamycin). A serum medication level should be obtained with the next dose. The nurse should know that to ensure the most accurate results, the blood samples for the peak and trough levels should be drawn

immediately prior to and 30 min after the next dose.

A client tells the nurse she took a dose of dimenhydrinate (Dramamine) before coming to the health care clinic. The nurse determines that the medication is effective when the client reports relief of

nausea.

A nurse is caring for a client who is hospitalized and is on day 1 of a 10-day course of IV penicillin G potassium. Ten minutes into the infusion of the third dose, the client reports that the IV site itches. The client also states that he is "feeling dizzy and short of breath." The nurse's priority action is to

stop the infusion.

A nurse is caring for a client who has acute respiratory distress syndrome (ARDS), requires mechanical ventilation, and is receiving pancuronium (Pavulon). The nurse should recognize that the purpose of this medication is to

suppress respiratory effort.

A nurse is teaching a client who is about to start therapy with methotrexate (Rheumatrex) to treat rheumatoid arthritis. Which of the following instructions should the nurse include? (Select all that apply.)

✓ Do not drink alcoholic beverages. ✓ Report unexplained bruising to the provider. ✓Avoid people who have infections.

A nurse is talking with a client who is about to start taking captopril (Capoten) to treat hypertension. Which of the following instructions should the nurse include to help the client manage this medication's adverse effects?

Do not use salt substitutes while taking this medication.

A nurse is caring for a client whose serum potassium level is 5.3 mEq/L. Which of the following scheduled medications should the nurse plan to administer?

Furosemide (Lasix)

A nurse is providing discharge teaching for a client who has a new prescription for warfarin sodium (Coumadin). Which of the following should the nurse include in the teaching?

He should use an electric razor while on this medication.

A client who is postoperative reports incisional pain. The surgeon has prescribed subcutaneous morphine. Before administering this medication, the nurse should complete which priority assessment?

Respiratory rate

A nurse is caring for a client who has just begun therapy with alprazolam (Xanax) to treat anxiety. The nurse should observe the client for which of the following adverse effects of this medication?

Sedation

A nurse is caring for a 2-year-old child who is receiving phenytoin (Dilantin) in suspension form. Which of the following actions should the nurse take before administering each dose?

Shake the container vigorously.

A nurse is to administer a rectal suppository to a client. The nurse should instruct the client to lie in which of the following position's while in bed?

Sim's position

A client has started to take lithium carbonate (Eskalith) to treat bipolar disorder. The nurse should make sure the client understands that he must maintain consistency in his intake of which of the following dietary elements?

Sodium

A nurse is providing teaching to a client who has hypothyroidism and has a new prescription for levothyroxine (Synthroid). The nurse should instruct the client to avoid which of the following herbal supplements?

Soy isoflavones

A client who has left ventricular failure and a high pulmonary capillary wedge pressure (PCWP) is receiving dopamine IV to improve ventricular function. Which of the following changes indicates to the nurse that the medication is having a therapeutic effect?

Systolic blood pressure increases

A nurse is giving discharge instructions to a client who has asthma and is about to start taking theophylline (Theo-24). The nurse should tell the client that this medication might cause which of the following adverse effects?

Tachycardia

A nurse is preparing an injection using a single dose glass ampule. Which of the following techniques should the nurse use when opening the glass ampule?

Tap the top of the ampule, place a gauze pad or unwrapped alcohol swab around the ampule neck, and break off the top with a forward motion away from the hands.

A nurse is teaching a client who has multiple sclerosis about starting therapy with baclofen (Lioresal) which of the following instructions should the nurse include?

"Avoid driving until the drugs effects are evident."

A nurse is caring for a client. The client states, " I don't want to take my medication." Which of the following actions should the nurse take?

"Document that the client refuses the medication"

A nurse is teaching a client who takes pain medication and was recently prescribed docusate sodium (Colace). Which of the following statements indicates the client understands the information?

"I am to have 1 to 2 soft stools each day."

A nurse is talking with a client who is about to start taking allopurinol (Zyloprim) to treat gout. Which of the following statements indicates that the client understands how to take this medication?

"I need to drink at least 3 quarts of water a day."

A nurse is reinforcing medication instruction to a group of clients. Which of the following statements indicates a need for further clarication?

"I will take aspirin for headaches like I did when I had a stroke."

A nurse is teaching a client who has angina pectoris about starting therapy with nitroglycerin (Nitrostat) sublingual tablets. The nurse verifies the client's understand when the client states which of the following?

"I'll dial 911 if one tablet does not relieve my pain and then take up to two more 5 minutes apart while waiting."

A nurse is caring for a client who is taking naproxen (Naprosyn) following an exacerbation of rheumatoid arthritis. Which of the following comments by the client requires further discussion by the nurse?

"I've been buying Tagamet to help with the indigestion I've had."

A nurse is caring for a client who has a diagnosis of diabetes mellitus and hypertension and recently began taking propanolol (Inderal) when the client reports dizziness upon standing. the nurse should perform which of the following actions?

"Monitor blood pressure lying, sitting and standing"

A nurse is caring for a client who has a prescription for diphenhydramine (Benadryl) to relieve pruritus. The client asks the nurse how he can minimize the daytime sedation he is experiencing. Which of the following is an appropriate response by the nurse?

"Take most of the daily dose at bedtime."

A client is prescribed 2 mg morphine sulfate (Duramorph) IV. The medication is dispensed by the pharmacy in vials labeled morphine sulfate, 10 mg/mL. How many mL should the nurse administer per dose?

0.2 mL

A nurse is preparing to administer haloperidol (Haldol) 5 mg IM to a client. Available is haloperidol 20 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth.)

0.25 mL

A nurse is preparing to administer hydrocodone/acetaminophen (Lortab) 5 mg. It is available in 7.5 mg/500 mg/15 mL elixir. How many mL should the nurse administer? (Round the answer to the nearest whole number.)

10 mL

A provider prescribes lactated Ringer's solution IV to infuse at 120 mL/hr for a client who has a respiratory disorder. The drop factor on the manual IV tubing is 60 gtt/mL. The nurse should set the IV ow rate to deliver how many gtt/min? (Round to the nearest whole number.)

120 gtt/min

A nurse is providing discharge teaching to the parent of a child who is prescribed 10 mL of diphenhydramine (Benadryl) elixir every 4 hr as needed for an allergic response. How many tsp of diphenhydramine should the nurse instruct the parent to administer per dose?

2 tsp

A nurse is caring for a client who develops Wernicke's encephalopathy as a result of chronic alcohol abuse. Which of the following interventions should the nurse anticipate?

Administration of thiamine (Vitamin B1)

A nurse is providing teaching to a client who has diabetes mellitus and has a new prescription for chlorpropamide (Diabinese). The nurse should teach the client to avoid consumption of which of the following while taking this medication?

Alcohol

A nurse in the emergency department is assessing a client. The client's laboratory values are obtained, and she is now requesting an alcoholic beverage. After reviewing the client's admission laboratory results, which of the following medication prescriptions should the nurse question? Sodium 144 mEq/L Potassium 3.5 mEq/L Chloride 106 mEq/L Carbon dioxide 32 mEq/L BUN 55 mg/dL Glucose 468 mg/dL Creatinine 5 mg/dL

Amphotericin B (Fungizone)

A nurse is talking with a client who is about to start using transdermal nitroglycerin (Nitro-Dur) to treat angina pectoris. Which of the following is an appropriate instruction for this medication therapy?

Apply the transdermal patch in the morning.

A nurse is caring for a client who has supraventricular tachycardia. In addition to an electrocardiogram, which of the following assessment parameters should the nurse monitor closely during IV administration of verapamil (Calan)?

Blood pressure

A nurse is preparing to administer potassium chloride (KCL). The nurse reviews the client's serum potassium level results and discovers the client's potassium level is 5.2 mEq/L. Which of the following actions should the nurse take?

Call the prescribing physician and inform her of the client's serum potassium level results.

A nurse is caring for a client who has a prescription for clozapine (Clozaril). Which of the following is an expected response to this medication?

Decreased auditory hallucinations.

A nurse is assessing a client who comes to the clinic for a seasonal influenza vaccine. The client says he read about an influenza vaccine that is given as a nasal spray and wants to receive it. Which of the following is a contraindication for the client to receiving the live attenuated influenza vaccine (LAIV)?

Just turned 62

An older adult client's provider prescribes aspirin, 650 mg/q6h PO to treat rheumatoid arthritis. The nurse should teach the client that a possible adverse effect of aspirin therapy is

bleeding.

A nurse in a regional oncology center is recording the dose of doxorubicin (Adriamycin) that a client receives with each visit. The nurse should know that this medication has a maximum lifetime cumulative dose range due to the risk for irreversible

cardiomyopathy.

A nurse is reinforcing the controlled substance guidelines with a newly licensed nurse. Which of the following should the nurse include in the teaching? (Select all that apply.)

✓ Count each dose of narcotics in inventory. ✓ Match number of available doses to record. ✓ Sign acceptance of narcotic count if correct.

A nurse is caring for a client who received morphine sulfate 30 min ago. Which of the following best determines therapeutic client response to this medication?

0 rating on pain scale

A nurse is caring for a client who has an IV fluid prescription for 1,000 mL lactated Ringer's, followed by 1,000 mL dextrose 5% in 0.9% sodium chloride, then followed by 1000 mL dextrose 5% in water. The three solutions are to infuse over 24 hr. The drop factor on the manual IV tubing is 10 gtt/mL. The nurse should adjust the IV ow rate to deliver how many gtt/min? (Round to the nearest whole number.)

21 gtt/min

A client with severe pancreatitis is receiving total parenteral nutrition (TPN). The physician prescribes 1,800 mL to be infused at a continuous rate over 24 hr. At how many mL/hr should the nurse set the IV pump?

75 mL/hr

A nurse is discussing with a newly licensed nurse the information that should match on the requisition and the blood product prior to administration. Which of the following statements by the newly licensed nurse necessitates intervention? "Both the requisition and the blood product should identify the

blood bank of origin

A nurse is caring for a client who is in renal failure with an elevated serum phosphorous level and is to be started on aluminum hydroxide (Amphojel). The client asks the nurse about potential side effects. The nurse should explain to the client that a common side effect of aluminum-based antacids is

constipation

A client is about to start taking aluminum hydroxide (Amphojel) to treat heartburn. The nurse should explain to the client that this medication can cause

constipation.

A nurse who is teaching a client who is about to start taking docusate (Colace) should make sure that the client understands that this medication should result in

regular bowel movements.

A nurse is interviewing a client during a yearly health assessment. The client reports occasionally taking several over-the-counter (OTC) medications, including H -blockers, as needed. When evaluating the effectiveness of H - blocker therapy, the nurse should assess for

relief of heartburn.

A nurse is caring for a client diagnosed with thrombophlebitis who has a swollen and inflamed right calf. The client is started on a continuous heparin infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

"Heparin does not dissolve clots, it stops new clots from forming."

A nurse is preparing to administer potassium chloride (KCL). The provider prescribes potassium chloride (KCL) 20 mEq suspension PO daily. The bottle is labeled KCL elixir, 10 mEq/mL. How many milliliters should the nurse administer?

2 mL

A nurse has received a new order. The order reads amoxicillin 250 mg PO every eight hours. The pharmacy has125 mg chewable amoxicillin tablets in stock. How many tablets should the nurse will administer?

2 tablets

A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily. The amount available is digoxin 0.125 mg tablets. How many tablets should the nurse administer to the client? (Round to the nearest whole number.)

2 tablets

A nurse is caring for a client admitted for acute inflammation of the ankle. The provider diagnoses an acute attack of gout and orders colchicine (Colsalide) 2 mg IV now, then 0.5 mg IV every 6 hr. The nurse should know that the purpose of colchicine is to

decrease joint inflammation.

A nurse is administering a unit of RBC (350 mL) to a client who has a low hemoglobin. The infusion rate of the unit of blood is started at 42 gtt/min and drop factor of the IV tubing is 10 gtt/mL. Calculate the number of minutes to infuse the blood. (Round the answer to the nearest whole number.)

83 minutes

A nurse is giving a presentation about caring for clients who are receiving diuretic therapy to treat heart failure. The nurse should explain that which of the following medications puts clients at risk for both hyperkalemia and hyponatremia?

Spironolactone (Aldactone)

A nurse is preparing to teach a client how to draw up regular insulin and neutral protamine hagedorn (NPH) insulin into the same syringe. Which of the following instructions is appropriate for the nurse to provide?

discard any regular insulin that appears cloudy

A nurse at a family practice clinic receives a call from a client who is taking oral contraceptives but forgot to take one oral contraceptive pill. which of the following instructions should the nurse give her?

"Take the missed dose along with the next dose."

A nurse is caring for a client who is receiving a unit of packed RBC. The nurse notices the client's face is flushing and he begins to report low back pain. Which of the following actions is the nurse's priority?

"Stop the transfusion"

A nurse is teaching a client with multiple sclerosis who has a new prescription for dantrolene (Dantrium). Which of the following client statements indicates that the client understands the teaching?

"I need to apply a sunscreen when I go outside"

A nurse administers oxacillin sodium (Bactocill) to a client. Which of the following indicates an allergic reaction

Pruritus and urticaria

A provider prescribes a transfusion of one unit of packed RBC for a client who has a low hemoglobin level. The provider also prescribes diphenhydramine (Benadryl) for administration before the transfusion to prevent

urticaria.

Whenever a nurse is caring for clients who are receiving heparin, which of the following medications should the nurse have on hand in the event of an overdose?

Protamine

The nurse is preparing a medication and observes the date of expiration on the vial occurred two months ago. Which action should the nurse perform?

Return the medication to the pharmacy.

A nurse is caring for client who has a prescription for phenytoin (Dilantin). For which of the following findings should the nurse instruct the client to notify the provider?

Skin rash

A nurse is caring for a client who is taking ferrous sulfate (Feosol) tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider suggested that she take the ferrous sulfate with orange juice. Which of the following is an appropriate response by the nurse?

"The orange juice will help you absorb the medication more effciently."

A nurse is preparing to administer lidocaine 2 g in dextrose 5% in water 500 mL IV to infuse at the rate of 2 mg/min. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number.)

30 mL/hr

A nurse receives a new prescription from the provider which reads "give 14 units of regular insulin and 28 units of long-acting insulin to be given subcutaneously at the breakfast hour." What is the total number of units of insulin that the nurse will prepare in the insulin syringe?

42 units