Passpoint Week 3

The nurse is teaching a client about using topical gentamicin sulfate. Which comment by the client indicates the need for additional teaching?

"I should apply it to large open areas."

The home health nurse is speaking to the wife of a client with neurocognitive disorder due to Alzheimer's disease. The client has been taking donepezil. The nurse is most concerned when the caregiver states

"Yesterday, I managed to weigh my husband, and he has lost 8 lb this month."

The nurse is admitting a school-age child for suspected nephrotic syndrome. The nurse notifies the healthcare provider immediately that the child is on what medication?

phenytoin

A nurse is teaching a client about metformin therapy. The nurse warns the client that metformin commonly causes hypoglycemia when combined with which other medication? You Selected:

ACE inhibitors

The nurse is providing care for a child diagnosed with hyperthyroidism. The child has been prescribed propylthiouracil to reduce thyroxine production. How can the nurse best address the potential adverse effects of this medication?

Closely monitor the child's white cell and platelet levels.

After replacing a fentanyl 25 mcg patch for a client with chronic pain, what is the priority action by the nurse?

Fold the adhesive edges together of the used patch and flush down the toilet.

A child diagnosed with tinea is being treated with griseofulvin. What instructions should the nurse give the parents?

Have the child avoid intense sunlight.

Clients with cancer who receive multiple blood transfusions are at risk for forming antibodies against the blood. What precautions should the nurse take when administering blood to a client with a history of multiple transfusions?

Make sure that leukocyte-reduced blood products are ordered.

The nurse enters the medication room and observes another nurse placing a partially used vial of morphine sulfate into a uniform pocket. What is the best response by the nurse?

Offer to act as a witness while the nurse disposes of the medication into the sink.

A nurse is administering atropine sulfate to a client about to undergo electroconvulsive therapy (ECT). Which assessment indicates that the medication is effective?

The client reports having a dry mouth.

The nurse is caring for a frail, older adult client who is experiencing pain. At the client care meeting, the family asks if it is safe for the client to receive narcotics. The nurse is aware that the client is receiving hydromorphone hydrochloride for pain. What is the nurse's most appropriate response to this family?

The narcotic is safe because it does not accumulate in the body.

A client is admitted to the oncology unit with an infection. It is suspected that the infection may be related to the vascular access device (VAD). The nurse should draw the blood cultures from which site?

a peripheral site and all lumens of the VAD

A client is prescribed oral metronidazole for treatment of bacterial vaginosis. What should the nurse instruct the client to avoid during treatment and for 24 hours thereafter?

alcohol consumption

The nurse plans to administer an injection of heparin to a client. Which technique for heparin administration is appropriate? The nurse:

applies gentle pressure to the site for 5 to 10 seconds after the injection.

A client in labor is receiving magnesium sulfate to treat hypertension of pregnancy. How should this drug be administered?

as a loading dose of 4 g in dextrose 5% in water (D5W), followed by a continuous infusion of 1 to 2 g/hr

A client is taking finasteride. The nurse is most concerned when this client manifests

azotemia.

A client with chest pain arrives in the emergency department and receives nitroglycerin, morphine, oxygen, and aspirin. The physician diagnoses acute coronary syndrome. The client arrives on the unit with stable vital signs does not report pain. The nurse reviews the physician's orders. In addition to the medications already given, which medication does the nurse expect the physician to order?

carvedilol

A client recently had a right total hip replacement. As a result of intraoperative blood loss, postoperative serum hemoglobin levels and hematocrit are low. The physician orders two units of packed red blood cells. During the infusion of the first unit of blood, the client develops a transfusion reaction and experiences urticaria, itching, and bronchospasm. The nurse discontinues the transfusion and notifies the physician. Which antihistamine does the nurse anticipate administering to treat this type I hypersensitivity reaction?

chlorpheniramine maleate

For the client experiencing alcohol withdrawal delirium, which healthcare provider prescriptions should the nurse question?

chlorpromazine, 100 mg PO every 4 hours PRN

Which medication should a nurse expect the physician to order to reverse a dystonic reaction?

diphenhydramine

A client with advanced stomach cancer is scheduled for chemotherapy. As part of the chemotherapy regimen, the nurse expects the physician to order:

fluorouracil.

An adolescent client with polycystic ovarian syndrome (PCOS) has been placed on metformin. The nurse determines the client needs more teaching about metformin if she states the medication helps achieve which outcome?

increased insulin levels

When monitoring a client recently admitted for treatment of cocaine addiction, a nurse notes sudden increases in the arterial blood pressure and heart rate. Which medication should the nurse prepare to administer?

nifedipine

The nurse is planning the administration of vaccinations for a pediatric client. Prioritize the nursing interventions for this client.

provide vaccine information and handout, to the parent and answer all questions wash hands assess the client for site appropriateness cleanse the site per protocol document the vaccination administered and site on the immunization record

The nurse is teaching a client who was admitted with a new diagnosis of panic disorder. What class of medication will the nurse teach the client is first line in the treatment of panic disorder to reduce frequency of panic attacks?

selective serotonin reuptake inhibitors (SSRIs)

A nurse is developing a teaching plan for a client who has just been diagnosed with breast cancer. The nurse should include information about

tamoxifen

A nurse is caring for a client with a history of severe migraines. The client has a medical history that includes asthma, gastroesophageal reflux disease, and three pregnancies. Which of the following medications does the nurse anticipate the physician will order for the client's migraines?

verapamil