HESI MED SURG
The nurse provides teaching about ampicillin. Which client statement indicates that additional teaching is needed?
"I can stop this medication after I am symptom-free for 48 hours."
Which client statement indicates understanding of the side effects of nitroglycerin ointment?
"I may experience a headache."
During a teaching session about insulin injections, a client asks the nurse, "Why can't I take the insulin in pills instead of taking shots?" How will the nurse respond?
"Insulin is destroyed by gastric juices, rendering it ineffective."
A client has been receiving digoxin. The client calls the clinic and complains of "yellow vision." Which response would the nurse provide?
"The medication may need to be discontinued. Come to the clinic this afternoon."
For the client taking clopidogrel, the nurse will monitor for which adverse effect?
Epistaxis
A client with Hodgkin's disease adds doxorubicin to current therapy. Which advice will the nurse provide about this medication?
Expect urine to turn red for a few days after taking this medication.
A client who takes rifampin tells the nurse, "My urine looks orange." Which action would the nurse take?
Explain that this is expected.
At 10:00 AM the nurse hangs a 1000-mL bag of 5% dextrose in water (D 5W) with 20 mEq of potassium chloride to be administered at 80 mL/h. At noon the health care provider prescribes a stat infusion of an intravenous (IV) antibiotic of 100 mL to be administered via piggyback over 1 hour. How much longer than expected will it take the primary bag to empty if the nurse interrupts the primary infusion for infusion of the antibiotic?
60 minutes
The nurse prepares to administer extended-release metformin to an older adult who has asked that it be crushed because it is difficult to swallow. Which rationale will prompt the nurse to ask the provider for a different form of metformin?
Extended-release formulations are designed to be released slowly and crushing the tablet will prevent this from occurring.
To be a universal recipient, a person must have which blood type?
AB
The nurse is administering serum albumin intravenously to a client with ascites. In response to this therapy, which client problem would the nurse expect to decrease?
Abdominal girth
After cataract surgery, a client reports feeling nauseated. How can the nurse prevent vomiting?
Administer the prescribed antiemetic medication.
The nurse is reviewing a newly admitted client's medication administration record (MAR). Which element, if missing, makes the record incomplete?
Allergies
The nurse is preparing to administer eardrops to a client who has impacted cerumen. Before administering the drops, the nurse will assess the client for which contraindications? Select all that apply. One, some, or all responses may be correct.
Allergy to the medication Evidence of a fungal infection Conductive hearing loss in the affected ear
Which medication is used to treat Helicobacter pylori infection? Select all that apply. One, some, or all responses may be correct.
Amoxicillin Tetracycline Pantoprazole Metronidazole Bismuth subsalicylate
The nurse is preparing to administer an intravenous piggyback antibiotic that has been newly prescribed. Shortly after initiation, the client becomes restless and flushed and begins to wheeze. After stopping the infusion, which priority action will the nurse take?
Assess the client's respiratory status.
A client is scheduled for discharge after surgery. The medical record indicates that the client has not had a bowel movement since before surgery, which was 4 days ago. Which prescribed medication will the nurse administer to ensure a bowel movement before discharge?
Bisacodyl suppository
The health care provider prescribes an oral hypoglycemic medication for the client with type 2 diabetes. Which statement will the nurse need to consider when developing the teaching plan?
Clients taking oral hypoglycemics may subconsciously relax dietary rules to gain a sense of control.
A client who is taking an oral hypoglycemic daily for type 2 diabetes develops an infection with anorexia. Which advice will the nurse provide to the client? Select all that apply. One, some, or all responses may be correct.
Continue to take the oral medication. Drink fluids throughout the day. Monitor capillary glucose levels.
The nurse is evaluating the results of treatment with erythropoietin. Which assessment finding indicates an improvement in the underlying condition being treated?
Decreased pallor
While awaiting surgery, a client with a history of Crohn disease is receiving total parenteral nutrition (TPN) on an outpatient basis. The nurse teaches the client that TPN helps prepare for surgery by which process?
Decreasing fecal bulk
Which goal is the priority for a client with asthma who has a prescription for an inhaled bronchodilator?
Demonstrates use of a metered-dose inhaler
Which life-threatening complication may occur in clients taking high-dose or long-term ibuprofen?
Gastrointestinal (GI) bleeding
A client who receives NPH insulin every morning reports feeling nervous at 4:30 PM. The nurse observes that the client's skin is moist and cool. Which condition is the client likely experiencing?
Hypoglycemia
A health care provider prescribes furosemide for a client with hypervolemia. The nurse recalls that furosemide exerts its effects in which part of the renal system?
Loop of Henle
The nurse provides education about signs and symptoms of hypoglycemia to a client with newly diagnosed type 1 diabetes. The nurse concludes that the teaching was effective when the client acknowledges the need to drink orange juice when experiencing which symptoms?
Nervous and weak
After teaching a family member how to administer subcutaneous enoxaparin sodium, how will the nurse evaluate the effectiveness of the training?
Observing the family member administering enoxaparin sodium to the client.
Sublingual nitroglycerin has been prescribed for a client with unstable angina. Which client response indicates that nitroglycerin is effective?
Pain subsides as a result of arteriole and venous dilation.
A client is admitted to the hospital after general paresis develops as a complication of syphilis. Which therapy is indicated for treatment of this condition
Penicillin therapy
Which effect has resulted in the avoidance of tetracycline use in children under 8 years old?
Permanent tooth discoloration
Which responses indicate that the client receiving total parenteral nutrition is experiencing hyperglycemia? Select all that apply. One, some, or all responses may be correct.
Polyuria Polydipsia Respiratory rate of 26 breaths/min
Which relationship reflects the relationship of naloxone to morphine sulfate?
Protamine sulfate to heparin
A client diagnosed with tuberculosis is taking isoniazid. To prevent a food and medication interaction, the nurse will advise the client to avoid which food item?
Red wine
A client with rheumatoid arthritis asks the nurse why it is necessary to inject hydrocortisone into the knee joint. Which reason would the nurse include in a response to this question?
Reduces inflammation
When providing postoperative teaching, which rationale would the nurse give to explain the purpose of administering an opioid analgesic via epidural catheter?
Relieves abdominal pain
A pain scale of 1 to 10 is used by the nurse to assess a client's degree of pain. The client rates the pain as an 8 before receiving an analgesic and a 7 after being medicated. Which conclusion would the nurse make regarding the client's response to pain medication?
The medication is not adequately effective.
A client with laryngeal cancer is receiving chemotherapy. Which laboratory report is most important for the nurse to monitor when considering the effects of chemotherapy?
White blood cells
A client who takes multiple medications complains of severe nausea, and the client's heartbeat is irregular and slow. The nurse determines that these signs and symptoms are toxic effects of which medication?
Digoxin
A client is receiving metoprolol. Which potential effect will the nurse teach the client to expect?
Dizziness with strenuous activity
Why would lactulose be prescribed for a client with a history of cirrhosis of the liver?
Elevated ammonia levels are lowered.
A client who takes four 325-mg tablets of buffered aspirin four times a day for severe arthritis complains of dizziness and ringing in the ears. Which complication would the nurse conclude that the client probably is experiencing?
Salicylate toxicity
A client with heart failure is to receive digoxin. Which therapeutic effect is associated with this medication?
Slows and strengthens cardiac contractions
The provider prescribes one unit of packed red blood cells to be administered to a client. To ensure the client's safety, which action will the nurse take during administration of blood products?
Stay with client during first 15 minutes of infusion.
