Quiz 3

A nuse is providing discharge teaching to a client who has heart failure and a prescription for digoxin 0.125 mg PO daily and furosemide 20 mg PO daily. Which of the following statements by the client indicates an understanding of the teaching? a. "i know that blurred vision is expected to happen while i'm taking digoxin" b. " i will measure my urine output each day and document it in my diary" c. "i will skip a dose of my digoxin if my resting heart rate is below 72 beats per minute" d. " i will eat fruits and vegetables that have a high potassium content every day"

" i will eat fruits and vegetables that have a high potassium content every day"

A nurse is providing teaching to a client about a new prescription for captopril to treat hypertension. Which of the following client statements indicates an understating of the teaching? a. " i might have a sore throat that will go away after a few days" b. "i will take this medication with food to avoid getting an upset stomach" c. "I might feel dizzy at times while taking this mediation" d/ "i will take ibuprofen if I get a fever while taking this mediation"

"I might feel dizzy at times while taking this mediation"

A nurse is teaching a client who is using a patient-controlled analgesia (PCA) pump to deliver morphine for pain management. Which of the following statements should the nurse identify as an indication that the client understands the instructions? a. "i'll limit pushing the button so i don't get an overdose" b. "if i push the button and still have pain after 2 mins, i'll push it again" c. "i'll ask my niece to push the button when i am sleeping" d. "i can still use my transcutaneous electrical nerve stimulation while i'm pushing the PCA button"

"i can still use my transcutaneous electrical nerve stimulation unit while i'm pushing the PCA button"

A nurse is providing teaching to a client with hypertension and type 1 diabetes mellitus who has a new prescription for metoprolol. Which of the following statements by the client indicates an understanding of the teaching? a. "i might have difficulty recognizing when my blood sugar is low" b. " i will have a lower risk of developing an infection while i take this medication" c. "i should be concerned about losing excess weight while I take this medication" d. "i could have more problems with high blood sugar while taking this medication"

"i might have difficulty recognizing when my blood sugar is low"

A nurse is providing discharge teaching to a client who has a bacterial infection about adverse effects of imipenem to report to the provider. Which of the following pieces of information should the nurse include? a. "seizures can occur with this medication" b. "you should observe for manifestations fo bleeding" c. "check your hands and feet for sensory dysfunction" d. "this medication can increase the risk of ototoxicity"

"seizures can occur with this medication"

A nurse is providing teaching to a client who has a prescription for famotidine to treat a gastric ulcer. Which of the following statements should the nurse include in the teaching? a. "this medication is more effective when taken on an empty stomach" b. "you should take this medication with an antacid for pain control" c. "this medication is less effective for people who smoke" d. "you should expect to experience dizziness when taking this medication"

"this medication is less effective for people who smoke"

A nurse is teaching about the adverse effects of morphine with a client who has acute pain. Which of the following statements should the nurse include in the teaching? a. "you might notice that you see better in dim areas" b. "you should increase your fluid intake" c. "you should expect to have excessive urination" d. "you might experience difficulty sleeping"

"you should increase yoru fluid intake"

A nurse is planning care for a client who is postoperative and scheduled to ambulate. At which of the following times should the nurse plan to administer PO morphine to the client for peak analgesic effect during the ambulation? a. 3 to 4 hr before ambulation b. 10 to 15 min prior to ambulation c. 60 to 90 min prior to ambulation d. immediately before ambulation

60 to 90 min prior to ambulation

A nurse caring for a client who is taking warfarin. Which of the following laboratory values should the nurse recognize as an effective response to the medication? a. Hct 45% b. Hgb 15 g/dL c. aPTT 35 seconds d. INR 3.0

INR 3.0

A nurse is caring for a child who has epilepsy and is scheduled to receive a dose of phenytoin. The nurse note the child's serum level is 14 mcg/mL. Which of the following actions should the nurse take? a. administer the dose b. administer half the dose c. do not administer the dose d. clarify the dose with the provider

administer the dose

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 medication into the client's abdomen b. inject the medication into a muscle c. massage the site after administering the medication d. use a 72 gauge needle to administer the medication

administer the medication into the client's abdomen

A nurse is assessing a client who is experiencing chest pain. Which of the following medications should the nurse expect to administer to suppress the aggregation of platelets? a. nitrogylcerin b. aspirin c. morphine d meoprolol

aspirin

A nurse is caring for a client and realizes after administering the 0900 medications that she administered digoxin 0.25 mg PO to the client instead of the prescribed digoxin 0.125 mg PO. Which of the following actions should the nurse take first? a. notify the provider b. contact the nursing supervisor c. assess the clients apical pulse d. complete an incident report

assess the clients apical pulse

A nurse is caring for a client with a pseudomonas infection who has a new prescription for ticarcillin-clavulanate. Which of the following data should the nurse collect before administering this medication? a. indications of superinfection b. peak and trough medication levels c. baseline BUN and creatinine d. history of allergy to aminoglycoside antibiotics

baseline BUN and creatinine

A nurse is caring for a client who is receiving IV famotidine. Which of the following adverse effects should the nurse report to the provider immediately? a. nausea b. bloody stools c. drowsiness d. headache

bloody stools

A nurse is monitoring a client who is receiving phenytoin IV for the treatment of status epilepticus. Which of the following should the nurse identify as an adverse reaction of the medication? a. hypertension b. cardiac dysrhythmias c. gastric discomfort d. tachycardia

cardiac dysrhythmias

A nurse is providing dischrage teaching to a client who has venous thrombosis and a prescription for warfarin. Which if the following instructions should the nurse include in the teaching? a. take ibuprofen as needed for headache or other minor pains b. carry a medical alert ID card c. report to the laboratory weekly to have blood drawn for a PTT d. increase intake of dark green vegetables

carry a medical alert ID card

A nurse is caring for a client who has congestive heart failure and is taking digoxin. The client reports nausea and refuses to eat breakfast. Which of the following actions should the nurse take first? a. encourage the client to eat the toast on the breakfast ray b administer an antiemetic c. inform the client's provider d. check the client's apical pulse

check the clients apical pulse

A nurse is caring for a client who is receiving continuous cardiac monitoring. Which of the following medications should the nurse anticipate administering to treat atrial fibrilation? a. atropine b. diltiazem c. epinephrine d. phenytoin

diltiazem

A nurse is caring for a client who has femoral thrombophlebitis and a prescription for enoxaparin. Which of the following actions should the nurse take? a. elevate the affected leg b. place the client on bed rest c. massage the affected leg d. administer aspirin for discomfort

elevate the affected leg

A nurse is caring for a client who is 12 hours postoperative following a total hip arthroplasty. Which of the following medication should the nurse anticipate administering to this client to prevent deep vein thrombosis (DVT)? a. aspirin b. warfarin c. ticagrelor d. enoxaparin

enoxaparin

A nurse is caring for a client who takes scheduled morphine for cancer pain. The client reports experiencing breakthrough pain. The nurse should anticipate a prescription from the provider for which of the following medications to treat breakthrough pain? a. meperidine b. buprenorphine c. methadone d. fentanyl

fentanyl

A nurse is preparing to administer digoxin to a client. Which of the following findings should the nurse identify as a contradiction to the client receiving this medication? a. blood pressure 180/70 mmHg b. oxygen saturation rate 94% c. heart rate 51/min d. respiratory rate 21/min

heart rate 51/min

A nurse is planning care for a client with thrombophlebitis who has a prescription to receive heparin via continuous IV infusion. Which of the following actions should the nurse include in the plan of care? a. infuse the heparin using an electronic IV pump b. administer vitamin K if the client has indications of hemorrhage c. adjust the dosage of heparin based on the client's PT levels d. inform the client that the heparin will dissolve the thrombus

infuse the heparin using an electronic IV pump

A nurse is monitoring a client with pneumonia who has received penicillin G intramuscularly (IM). Which of the following findings should the nurse plan to evaluate first? a. pain at the infection site b. prolonged motor dysfunction c. laryngeal edema d. temp 37.6 C (99.7 F)

laryngeal edeam

A nurse is reviewing the medication administration record of a client who is receiving an opioid medication for pain. Which of the following prescriptions should the nurse calrify with the provider? a. metoprolol b. ondansetron c. lorazepam d. naloxone

lorazepam

A charge nurse is monitoring a newly licensed nurse who is caring for a postoperative client who is receiving morphine through a PCA pump. Which of the following actions by the newly licensed nurse requires intervention? a. instructing the client to administer a PCA dose prior to a dressing change b. providing increased fluids while the client is using the PCA pump c. informing the client's partner that only the client should administer the PCA dose d. maintaining the client on bed rest while the PCA pump is in use

maintaining the client on bed rest while the PCA pump is in use

A nurse is reinforcing teaching with a newly licensed nurse about contradictions to vaccines. Which of the following examples should the nurse provide as a true contradiction for all vaccines? a. previous local reaction to an injectable vaccine b. moderate illness without a fever c. recent exposure to an infectious disease d. family history of an allergy to penicillin

moderate illness without a fever

A nurse is caring for a client who is experiencing an acute asthma exacerbation. Which of the following medication should the nurse identify as being contraindicated for this client? a. dextromethorphan b. montelukast c. ciprofloxacin d. propranolol

propranolol

A nurse is reviewing the laboratory values of a client who is receiving a continuous IV heparin infusion and has a PTT of 90 sec. Which of the following actions should the nurse prepare to take? a. administer vitamin K b. reduce the infusion rate c. give the client a low-dose aspirin d. request an INR

reduce the infusion rate

A nurse. is providing teaching to a newly licensed nurse about administering morphine via IV bolus to a client. Which of the following pieces of information should the nurse include in the teaching? a. respiratory depression can occur 7 min after the morphine is administered b. the morphine will peak in 10 min c. withhold the morphine if the client has a respiratory rate on <16/min d. administer the morphine over 2 min

respiratory depression can occur 7 min after the morphine is administered

A nurse is assessing a client who is receiving a continuous morphine IV infusion and fins the client's respiratory rate has decreased from 20/min to 12/min. Which of the following actions should the nurse take? a. flush the IV line with saline b. administer flumazenil c. lower the head of the bed d. slow the rate of the infusion

slow the rate of the infusion

A nurse is teaching a client who has a new prescription for phenytoin. The nurse should inform the client that which of the following adverse reaction can occur with abrupt withdrawal of phenytoin? a. status epilepticus b. bleeding gums c. disorientation d. severe nausea

status epilepticus

A nurse is caring for a client who is experiencing acute pain and is receiving morphine. Which of the following should indicate to the nurse the need to withhold the client's next dose of morphine? a. the client reports an inability to void b. the client's respiratory rate is 10/min c. the client has hypoactive bowel sounds d. the client has vomited once in the last 4 hours

the client's respiratory rate is 10/min

A nruse is providing teaching to a client who has a new prescription for lisinopril. Which of the following should the nurse include in the teaching as an adverse effect of lisinopril? a. tongue swelling b. low potassium level c. runny nose d. bruising

tongue swelling

A nurse in a community health clinic is assessing a new client who has prescriptions for isoniazid and rifampin. Which of the following disorders should the nurse expect the client to have? a. tuberculosis b. hypertension c. diabetes d, cirrhosis

tuberculosis

A nurse is assessing a client who has heart failure and is receiving digoxin. Which of the following findings should indicate to the nurse the client is experiencing digoxin toxicity? a. suppression of dysrhythmias b. increased atrioventricular (AV) conduction c. visual disturbances d. weight gain

visual distrubances

A nurse is caring for a client who takes warfarin 2.5 mg PO daily and has an INR of 62. The nurse should anticipate a prescription from the provider for which of the following medications? a. protamine sulfate b. fondaparinux c. vitamin K d. bivalirudin

vitamin K