PHARM PN A & B
A nurse is preparing to administer phenobarbital 3 mg/kg PO twice a day to a school-age child who weighs 44 lb. Available is phenobarbital elixir 20 mg/5 mL. How many mL should the nurse plan to administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
15 mL
A nurse is caring for a client who is receiving 0.9% sodium chloride 1,000 mL to infuse over 8 hr. The drop factor on the manual IV tubing is 15 gtt/mL. The nurse should ensure that the manual IV infusion is set to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
31 gtt/min
At 0800 a nurse assists with initiating a 1,000 mL IV infusion for a client, which is running at 125 mL/hr. How much fluid is left in the IV bag at 1300? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
375 mL Step 1: What is the unit of measurement the nurse should calculate? mL Step 2: What is the total volume to be infused? Total volume = 1,000 mL Step 3: What is the rate of infusion? Rate = 125 mL/hr Step 4: What is the total infusion time so far? Time = 5 hr Step 5: Should the nurse convert the units of measurement? No Step 6: Set up an equation and solve for X. Rate (mL/hr) x Time (hr) = Volume infused (X mL) 125 mL/hr x 5 hr = X mL Volume infused = 625 mL Total volume (mL) - Volume infused (mL) = Volume remaining (mL) 1,000 mL - 625 mL = 375 mL Volume remaining = 375 mL Step 7: Round if necessary. Step 8: Determine whether the amount remaining makes sense. If the rate of the IV infusion is 125 mL/hr, with a total volume of 1,000 mL, it makes sense that after 5 hr there are 375 mL of IV fluid remaining to infuse.
A nurse is preparing to administer cefazolin 1 g in 100 mL 0.9% sodium chloride to infuse over 30 min. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
50 gtt/min
A nurse is caring for a client who is receiving methylprednisolone. Which of the following laboratory values should the nurse plan to monitor? (Select all that apply.) A-White blood cell count B-Serum potassium C-Creatine phosphokinase D-Blood glucose E-Amylase
A,B,D
A nurse is reviewing a client's medical history before administering hydromorphone for postoperative pain. The nurse should notify the provider of which of the following findings before administering this medication? A-Benign prostatic hyperplasia B-History of hypertension C-Rheumatoid arthritis D-Allergy to aspirin
A-Benign prostatic hyperplasia
A nurse is caring for a client who has a new prescription for risperidone to manage schizophrenia. Which of the following laboratory tests should the nurse plan to obtain prior to administering the first dose? A-Fasting blood glucose level B-Albumin level C-CD4T-cell count D-Blood creatinine level
A-Fasting blood glucose level
A nurse is reviewing the medication administration record for a client who has a new prescription for tobramycin to treat a pulmonary infection. Which of the following medications should the nurse identify as increasing the risk for ototoxicity while taking tobramycin? A-Furosemide B-Propranolol C-Gabapentin D-Guaifenesin
A-Furosemide
A nurse is monitoring a client who has been receiving long-term hydrochlorothiazide therapy for recurring episodes of heart failure. Which of the following findings should the nurse identify as an adverse effect of this medication? A-Hypokalemia B-Hypermagnesemia C-Hypernatremia D-Hypocalcemia
A-Hypokalemia
A nurse is collecting data from a client who is taking tobramycin. Which of the following findings should the nurse report to the provider immediately? A-Report of nausea B-Fever C-Oliguria D-Report of headache
C-Oliguria
A nurse is collecting data from a client who received morphine IV for pain relief. Which of the following findings is the nurse's priority to report to the provider? A-Emesis B-Sedation C-Respiratory rate 11/min D-Blood pressure 90/54 mm Hg
C-Respiratory rate 11/min
A nurse is collecting data from a client who is taking lithium to treat bipolar disorder. Which of the following findings should the nurse report to the provider? A-Bloating B-WBC count 8,500/mm3 C-Slurred speech D-Sodium 140 mEq/L
C-Slurred speech
A nurse is collecting data from a client who has been taking digoxin for 1 month. The nurse should identify which of the following findings as a manifestation of digoxin toxicity? A-Pulse rate 100/min B-Blood pressure 140/90 mm Hg C-Wheezing D-Vomiting
D-Vomiting
A nurse is reinforcing teaching with a client about the adverse effects of simvastatin. For which of the following adverse effects should the nurse instruct the client to notify the provider? a-Muscle pain b-Fine hand tremors c- Urinary retention d-Double vision
a -Muscle pain
A nurse is reinforcing teaching with a female client who has a new prescription for isotretinoin. Which of the following information should the nurse include in the teaching? (Select all that apply.) a-"You will need to have your liver enzymes monitored after 1 month." b-"You can have nosebleeds while taking this medication." c-"You should report any thoughts of harming yourself." d-"You will need to have two negative pregnancy tests prior to starting the medication." e-"You will need to take a vitamin A supplement twice daily.
a,b,c,d,
A nurse is caring for a client who has a prescription for an IM injection of penicillin G benzathine. The client asks why the injection must be given IM instead of through the IV line. Which of the following responses should the nurse make? a-"The medication is more rapidly absorbed when given IM." b-"Your medication can't be given IV because it is not water-soluble." c-"You will experience less discomfort with an IM injection." d-"An IM injection allows more precise control of the medication level in your blood."
b- "Your medication can't be given IV because it is not water-soluble." The nurse should inform the client this type of penicillin has poor water solubility and is never administered intravenously.
A nurse is reinforcing teaching with a client who is using phenylephrine nasal spray three times daily and reports rebound congestion. Which of the following instructions should the nurse include to reduce the effects of rebound congestion? a-"Decrease the frequency to twice daily." b-"Continue use for one more week." c-"Discontinue use in the left nostril, then in the right nostril." d-"Add oxymetazoline nasal spray to relieve symptoms."
c- "Discontinue use in the left nostril, then in the right nostril."
A nurse is reinforcing teaching with a newly licensed nurse about using metoprolol to treat hypertension. Which of the following conditions should the nurse include as a contraindication for this medication? a-Peripheral vascular disease b-Diabetes mellitus c-Bradycardia d-Chronic kidney disease
c- Bradycardia
A nurse is reinforcing teaching with a client who has a new prescription for regular insulin. Which of the following statements by the client indicates an understanding of the teaching? a-"I should eat right before I give myself an insulin injection." b-"I should shake the vial gently prior to drawing up the insulin." c-"I should ensure that the insulin is clear prior to drawing it up." d-"I should inject the insulin deep into a muscle."
c-"I should ensure that the insulin is clear prior to drawing it up."
A nurse is assisting with the care of a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection and is receiving vancomycin via IV infusion. Which of the following changes in the client's condition should the nurse identify as the priority finding to report to the provider? a-Nausea b-Back pain c-Hypotension d-Chills
c-Hypotension
A nurse is collecting data from a client who is receiving digoxin for treatment of heart failure. The nurse should identify which of the following findings as adverse effects of this medication? (Select all that apply.) a-Blurred vision b-Nausea c-Hyperactivity d-Increased appetite e-Dysrhythmia
a,b,e
A nurse is planning to reinforce teaching about newborn immunizations with a client who is 24 hr postpartum. Which of the following information should the nurse plan to include? a-"Your baby will receive the first hepatitis B vaccine before discharge." b-"Your baby will receive the rotavirus vaccine if your blood titer is low." c-"Your baby will receive their first influenza vaccine at the 4-week checkup." d-"Your baby will receive the varicella vaccine if you have a history of chickenpox.
a- "Your baby will receive the first hepatitis B vaccine before discharge.'
A nurse is reinforcing teaching with a client who has a new prescription for colchicine to manage gouty arthritis. Which of the following manifestations should the nurse include as an adverse effect of this medication? a-Abdominal pain b-Wheezing c-Excessive urination d-Tinnitus
a- Abdominal pain
A nurse is collecting data from a client who has Parkinson's disease and is taking levodopa/carbidopa. The nurse should identify which of the following findings as an adverse effect of this medication? a-Dark urine b-Hypertension c-Increased salivation d-Bradycardia
a- Dark urine
A nurse is caring for a client who has tuberculosis and will begin taking isoniazid. Which of the following actions should the nurse take? a-Determine the client's daily alcohol intake. b-Tell the client to expect red-orange colored urine c-Reinforce teaching about a low-calorie diet. d-Instruct the client to have a yearly tuberculin skin test.
a- Determine the client's daily alcohol intake
A nurse is reinforcing teaching with a client who has a new prescription for etanercept to treat rheumatoid arthritis. Which of the following instructions about self-administering this medication should the nurse include? a-Discard any solutions that are cloudy. b-Attach a 21-gauge needle to the syringe for injection. c-Self-administer the medication on alternate days d-Shake the reconstituted solution well before self-administration.
a- Discard any solutions that are cloudy
A nurse is instilling timolol eyedrops for a client who has glaucoma. Which of the following actions should the nurse take after instilling eyedrops? a-Press the nasolacrimal duct. b-Apply pressure to the upper eyelid. c-Ask the client to blink their eyes several times. d-Tell the client to keep their eyes open for at least 15 seconds.
a- Press the nasolacrimal duct.
A nurse is caring for a client who has a new prescription for sumatriptan. The nurse notes that the client takes fluoxetine. The nurse should notify the provider that the combination of these medications will place the client at risk for which of the following adverse effects? a-Tremors b-Renal calculi c-Dysphagia d-Hearing loss
a- Tremors
A nurse is reinforcing teaching with a client who has seizures and a new prescription for valproic acid. The nurse should instruct the client to report which of the following adverse effects of valproic acid to the provider immediately? a-Abdominal pain b-Hair loss c-Weight gain d-Ataxia
a-Abdominal pain
A nurse is caring for a client who has multiple sclerosis and a new prescription for baclofen. Which of the following findings indicates to the nurse that the medication is having a therapeutic effect? a-Decreased muscle spasticity b-Increased urinary output c-Increased mental alertness c-Decreased heart rate
a-Decreased muscle spasticity
A nurse is reinforcing teaching with a client who has a new prescription for theophylline. The nurse should instruct the client that which of the following is an expected outcome of this medication? a-Dilates bronchioles b-Reduces inflammation c-Loosens secretions d-Blocks leukotrienes
a-Dilates bronchioles
A nurse is collecting data from the parent of a toddler who is about to receive the varicella immunization. The nurse should identify that an anaphylactic reaction to which of the following substances is a contraindication for receiving this immunization? a-Gelatin b-Penicillin c-Sulfa d-EggS
a-Gelatin
A client comes to an urgent care clinic and announces with great enthusiasm, "I am an expert at all things medical as they apply to me, and I require zolpidem." The client's pupils are dilated, along with an elevated heart rate and blood pressure level. The nurse should suspect intoxication with which of the following substances? a-Alcohol b-Cocaine c-Barbiturates d-Heroin
b- Cocaine
A nurse is reviewing medication prescriptions for a group of clients. The nurse should recognize that which of the following prescriptions can result in a medication administration error? a-Penicillin G benzathine 1.2 million units IM daily b-Furosemide 10.0 mg PO daily c-Albuterol 2.5 mg 2 inhalations every 6 hr as needed for shortness of breath d-Insulin glargine 15 units subcutaneous daily at bedtime
b- Furosemide 10.0 mg PO daily
A nurse is caring for a client who has a history of psychosis and is taking chlorpromazine. Which of the following actions should the nurse take to counteract the adverse effects of this medication? a-Suggest that the client apply antiperspirant deodorant more frequently. b-Inform the client to apply sunblock before going outside. c-Give the client a list of over-the-counter antidiarrheal medications. d-Recommend that the client take the medication on an empty stomach.
b- Inform the client to apply sunblock before going outside
A nurse is reinforcing teaching with a client who has hypertension and a new prescription for spironolactone. Which of the following instructions should the nurse include in the teaching? a-Increase foods high in zinc. b-Restrict foods high in potassium. c-Restrict foods high in vitamin K. d-Increase foods high in magnesium.
b- Restrict foods high in potassium
A nurse is reinforcing teaching about comfort measures with the parent of a 10-year-old child who has a viral infection. The nurse should plan to tell the parent that aspirin is contraindicated because of the risk for which of the following conditions? a-Juvenile idiopathic arthritis b-Reye syndrome c-Glomerulonephritis d-Iron-deficiency anemia
b- Reye syndrome
A nurse is reinforcing teaching with a client who has a new prescription for omeprazole oral capsules. Which of the following instructions should the nurse include? a-Take the medication at bedtime. b-Swallow the medication whole. c-Take the medication with food. d-Avoid antacids when taking this medication.
b- Swallow the medication whole.
A nurse is caring for a client who is taking phenylephrine. The nurse should plan to monitor the client for which of the following manifestations as an adverse effect of this medication? a-Increased drowsiness b-Increased heart rate c-Decreased blood pressure d-Decreased WBC count
b-Increased heart rate
A nurse is collecting data from a client who is postoperative and taking morphine for pain. Which of the following findings is the priority for the nurse to report to the provider? a-Constipation b-Oxygen saturation 87% c-Vomiting d-Urinary output 25 mL over 1 hr
b-Oxygen saturation 87%
A nurse is collecting data from a female client who has been taking propylthiouracil (PTU) for 2 months to treat Graves' disease. Which of the following findings should the nurse recognize as an indication that the medication is effective? a-Weight loss b-Pulse 82/min c-Respiratory rate 22/min d- Decreased menstrual flow
b-Pulse 82/min
A nurse is reinforcing teaching with the parent of a preschooler who has otitis media. The child has had a low-grade fever and irritability for 2 days. Which of the following instructions should the nurse include in the teaching? a-"Administer amoxicillin twice a day for 3 days." b-"Apply cold packs every 4 hours for relief of pain." c-"Give acetaminophen as needed for discomfort and fever." d-"Return to the office in 72 hours for a follow-up appointment."
c- "Give acetaminophen as needed for discomfort and fever."
A nurse is reinforcing teaching with a client who has HIV and a new prescription for zidovudine. Which of the following client statements should indicate to the nurse an understanding of the teaching? a-"I can have unprotected sex after 6 months of taking this medication. b-"I can expect to have constipation while taking this medication.' c-"I will be sure to have my blood tested for anemia." d-"My fingers might feel numb after I start therapy."
c- "I will be sure to have my blood tested for anemia."
A nurse is reinforcing teaching with a client who has a new prescription for ethinyl estradiol/norethindrone, an oral contraceptive. Which of the following client statements should indicate to the nurse an understanding of the teaching? a-"I should expect my menstrual flow to increase." b-"I should monitor my blood pressure for hypotension while on this medication." c-"I will take the medication at the same time each day." d-"This type of medication is the most effective because it only contains estrogen."
c- "I will take the medication at the same time each day."
A nurse is reinforcing teaching with a client who has a new prescription for propranolol. Which of the following information should the nurse include in the teaching? a-"If you miss a dose, double the next scheduled dose." b-"Discontinue this medication if lightheadedness occurs." c-"If your pulse rate is less than 50 beats per minute, notify your provider." d-"This medication can cause heat intolerance."
c- "If your pulse rate is less than 50 beats per minute, notify your provider."
A nurse is reinforcing teaching with a client following placement of a cast for a fractured ankle. The client is to take oxycodone for pain management. The nurse should instruct the client that which of the following over-the-counter medications is contraindicated while taking oxycodone? a-Docusate sodium b-Famotidine c-Diphenhydramine d-Ibuprofen
c- Diphenhydramine
A nurse is caring for a client who has chronic kidney disease and has been receiving epoetin for 2 weeks. Which of the following findings should indicate to the nurse that the client's medication is having the desired therapeutic effect? a-Albumin is within the expected reference range b-Urine output increases to 60 mL/hr c-Hemoglobin rises 0.5 g/dL d-Blood urea nitrogen level is within the expected reference range
c- Hemoglobin rises 0.5 g/dL
A nurse is collecting data from a client who is asking about taking celecoxib for treatment of joint pain. The nurse should identify that which of the following findings is a contraindication to receiving celecoxib? a-Hyperglycemia b- Allergy to penicillin c-History of myocardial infarction d-Peptic ulcer disease
c- History of myocardial infarction Celecoxib increases the risk of myocardial infarction caused by increased vasoconstriction and unimpeded platelet aggregation. It is contraindicated for a client who has a history of myocardial infarction or heart disease.
A nurse is caring for a client who has a new prescription for eplerenone to treat hypertension. The nurse should monitor for which of the following adverse effects of this medication? a-Hematuria b-Hypernatremia c-Hyperkalemia d-Constipation
c- Hyperkalemia
A nurse is monitoring a client who is receiving a transfusion of packed RBs. The client's temperature increases to 39.1° C (102.4° F). Which of the following actions should the nurse take first? a-Obtain a urine specimen. b-Administer diphenhydramine. c-Stop the transfusion. d-Notify the charge nurse.
c- Stop the transfusion
A nurse is preparing to administer diphenhydramine 50 mg PO at 2200 to a client who has difficulty swallowing pills and capsules. Available is diphenhydramine syrup 12.5 mg/5 mL PO. Which of the following nursing actions requires the completion of an incident report? a-Giving the medication at 2140 b-Administering the medication with grapefruit juice c-Giving the medication when the client's apical pulse is 58/min d-Administering 25 mL of the syrup
d -Administering 25 mL of the syrup
A nurse is caring for a client who has hyperthyroidism and has been taking methimazole. Which of the following findings should indicate to the nurse that the medication has had a therapeutic effect? a-Decreased blood glucose level b-Increased Hgb c-Increased platelets d-Decreased T4
d -Decreased T4
A nurse is collecting data from a client who is taking ferrous sulfate orally. Which of the following findings reported by the client should indicate to the nurse that the medication is having a therapeutic effect? a-Passing of a soft, formed stool daily b-Decreased number of viral illnesses c-Improved ability to fall asleep d-Increased tolerance to exercise
d -Increased tolerance to exercise
A nurse is reinforcing teaching with a client who has a prescription for alendronate. Which of the following client responses indicates to the nurse an understanding of the teaching? a-"I will take the medication with my breakfast." b-"I will take the medication with 1 tablespoon of an antacid." c-"I will lie down for 30 minutes after taking the medication." d- "I will take the medication with 8 ounces of water."
d- "I will take the medication with 8 ounces of water."
A nurse is preparing to administer a PRN medication to a group of clients. Which of the following clients should the nurse administer medication to first? a-A client who has GERD and requests an antacid b-A client who reports constipation for 3 days and requests a stool softener c-A client who has mild generalized anxiety disorder and requests an antianxiety medication d- A client who is attending postoperative physical therapy and requests pain medication
d- A client who is attending postoperative physical therapy and requests pain medication
A nurse is monitoring a client who has type 2 diabetes mellitus and is receiving repaglinide. Which of the following laboratory tests should the nurse plan to review to obtain information about the long-term therapeutic effect of this medication? a-Fasting blood glucose level b-1-hr oral glucose tolerance test c-Urinary ketones d-Glycosylated HbA1c
d- Glycosylated HbA1c
A nurse is reinforcing teaching with a client who has bipolar disorder and a new prescription for lithium. Which of the following instructions should the nurse include in the teaching? a-Take the medication on an empty stomach b-Monitor for signs of hyperthyroidism. c-Watch for signs of urinary retention. d-Maintain a consistent sodium intake
d- Maintain a consistent sodium intake
A nurse is reviewing the history of a client who is to start taking cefotetan to treat a bacterial infection. Which of the following information from the client's medical record should the nurse report to the provider before the client begins receiving this medication? a-Hearing impairment b-Milk-protein allergy c-Tendon pain d-Penicillin allergy
d- Penicillin allergy
A nurse is reinforcing teaching with a client who is to start therapy using a nitroglycerin transdermal patch. Which of the following instructions should the nurse include? a-Cover the patch with a dry dressing. b-Apply another patch if experiencing chest pain. c-Leave each patch in place for 24 hr. d-Place the patch on a different site for each application
d- Place the patch on a different site for each application
A nurse is planning to administer metoprolol to a client who has heart failure and a heart rate of 48/min. Which of the following actions should the nurse take? a-Encourage the client to ambulate b-Request a different beta blocker medication to administer. c-Administer one-half of the client's prescribed dose. d- Withhold the client's medication
d- Withhold the client's medication
A nurse is contributing to the plan of care for a client who has schizophrenia and a new prescription for clozapine. The nurse should include in the plan to monitor the client for which of the following adverse effects of this medication? a-Hypoglycemia b-Iron-deficiency anemia c-Serotonin syndrome d-Agranulocytosis
d-Agranulocytosis
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about adverse effects of metformin. The nurse should instruct the client to mentor for which of the following findings as manifestations of lactic acidosis? (Select all that apply.) A-Muscle pain B-Hyperventilation C-Weight gain D-Constipation E-Dizziness
A,B,E
A nurse in a community health clinic is preparing to administer the varicella vaccine to a young adult female client who has not previously had chickenpox or its vaccine. The nurse should withhold the vaccine and collect additional data when the client makes which of the following statements? A-"I am allergic to neomycin." B-"I am taking antibiotics for my acne." C-"My irritable bowel syndrome has been acting up the last few days." D-"I have been taking an oral contraceptive for the last 6 months."
A-"I am allergic to neomycin."
A nurse on a medical-surgical unit is preparing to administer medications to a client. Which of the following questions should the nurse ask the client to verify the client's identity? A-"What is your phone number?" B-"What is your room number?" C-"What is your provider's name?" D-"What is your diagnosis?"
A-"What is your phone number?"
A nurse is reinforcing teaching with a client who is to start therapy with a nitroglycerin transdermal patch. Which of the following statements by the client indicates an understanding of the teaching? A-"While using the patch, I will be careful when rising from a chair." B-"I should leave the patch in place for 24 hours." C-"I should apply the patch to the same location with each application." D-"I will apply a new patch if I have chest pain."
A-"While using the patch, I will be careful when rising from a chair."
A nurse is caring for a client who has schizophrenia and is to start therapy with risperidone. For which of the following manifestations should the nurse monitor to determine whether the treatment is effective? A-Improved social interactions B-Decreased obsessive-compulsive thoughts C-Decreased hand tremors D-Improved urinary control
A-Improved social interactions
A nurse is reinforcing teaching with a client who recently began taking furosemide. Which of the following instructions should the nurse include in the teaching? A-Increase dietary potassium while taking the medication. B-Lie down for 30 min after taking the medication. C-Take the medication 30 min before going to bed. D-Avoid taking the medication with dairy products.
A-Increase dietary potassium while taking the medication
A nurse is collecting data from a client who has hyperthyroidism and a new prescription for propylthiouracil. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication? A-Sore throat B-Metallic taste C-Mania D-Urinary retention
A-Sore throat
A nurse is collecting data from a client who has been taking levodopa/carbidopa. Which of the following findings should indicate to the nurse that the medication is effective? A-The client is able to wash their face. B-The client experiences fewer seizures. C-The client reports decreased heartburn. D-The client is able to sleep through the night.
A-The client is able to wash their face.
A nurse is reinforcing dietary teaching with a client who has a new prescription for phenelzine. Which of the following foods should the nurse include in the teaching as an appropriate food choice? A-Yogurt B-Avocado C-Smoked salmon D-Pepperoni
A-Yogurt
A nurse is reinforcing teaching with a client who has a new prescription for timolol eye drops to treat glaucoma. Which of the following client statements indicates an understanding of the teaching? A-"I will rub my eyes for 10 seconds after putting in the medication." B-"I will look up when putting the medication into my eyes." C-"I will clean my eyes from the outer edge toward the nose before putting in the medication. D-"I will close my eyes tightly after putting in the medication."
B-"I will look up when putting the medication into my eyes."
A nurse is collecting data from a client who is taking exenatide to treat diabetes mellitus. For which of the following findings should the nurse withhold the exenatide dose and notify the provider immediately? A-Loss of appetite B-Abdominal pain C-Muscle weakness D-Heartburn
B-Abdominal pain
A nurse is caring for a client who has genital herpes. Which of the following medications should the nurse expect to administer? A-Levofloxacin B-Acyclovir C-Ceftriaxone D-Metronidazole
B-Acyclovir
A nurse is caring for a client who is having an acute asthma attack. Which of the following medications should the nurse administer first? A-Beclomethasone B-Albuterol C-Cromolyn D-Prednisone
B-Albuterol
A nurse is collecting data from a client who has bacterial pneumonia and is taking ceftriaxone. Which of the following findings indicates a therapeutic effect of the medication? A-WBC count 10,500/mm3 B-Clear, bilateral breath sounds C-Heart rate 110/min D-Tolerates small meal servings
B-Clear, bilateral breath sounds
A nurse is collecting data from a client who is taking oral amoxicillin to treat a respiratory infection. The nurse should monitor the client for which of the following manifestations as an adverse effect of the medication? A-Hearing loss B-Diarrhea C-Bruising D-Tendonitis
B-Diarrhea
A nurse is reviewing the medication administration record of a client who has a history of Stevens-Johnson syndrome when taking sulfamethoxazole-trimethoprim. Which of the following medications should the nurse identify as contraindicated for this client? A-Prednisone B-Furosemide C-Lansoprazole D-Digoxin
B-Furosemide
A nurse is assisting with collecting data for a client who is in preterm labor and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse identify as an indication of magnesium toxicity? A-Urinary output 60 mL/hr B-Hyporeflexia C-Respirations 16/min D-Tachycardia
B-Hyporeflexia
A nurse is caring for a client who has kidney failure and has been taking epoetin. Which of the following is a therapeutic effect of this medication? A-Decreased BUN B-Increased Hgb C-Decreased leukocyte production D-Increased platelet production
B-Increased Hgb
A nurse in a provider's office is reviewing the immunization records of a 12-month-old infant who is immunocompromised. Which of the following vaccines should the nurse identify as contraindicated for this client? A-Hepatitis A (HepA) B-Measles, mumps, and rubella (MMR) C-Pneumococcal conjugate (PCV13) D-Haemophilus B conjugate (Hib)
B-Measles, mumps, and rubella (MMR)
A nurse is reinforcing teaching with a client who has a new prescription for vitamin B12 intranasal to treat malabsorption syndrome. Which of the following instructions should the nurse include in the teaching? A-"Take this medication once per day.' B-"Drink a hot liquid after administering the medication." C-"Massage your nose gently after medication administration." D-"Store this medication in the refrigerator.
C-"Massage your nose gently after medication administration."
A nurse is reinforcing discharge teaching with a client who has a prescription for a metered-dose inhaler (MDI). Which of the following information should the nurse include in the teaching? A-"Wait for 15 seconds between each puff of the same medication." B-"Hold your breath for 5 seconds after inhaling the medication." C-"Take a slow, deep breath lasting 3 to 5 seconds after releasing the medication." D-"Roll the canister between your hands for 10 to 15 seconds to mix the medication."
C-"Take a slow, deep breath lasting 3 to 5 seconds after releasing the medication."
A client who has terminal cancer reports pain as 5 on a scale of 0 to 10. The client has a prescription for morphine 15 mg orally every 4 hr. The client's adult children express concern that the client is receiving too much of the medication. Which of the following responses should the nurse make? A-"Clients who receive this medication orally have a lower risk for addiction." B-"Additional doses will not be needed because this medication is given on a fixed schedule." C-"The dose should remain constant to prevent breakthrough pain." D-"We can switch from oral administration to rectal administration."
C-"The dose should remain constant to prevent breakthrough pain."
A nurse is reviewing the medical record of a client who has a new prescription for dimenhydrinate to treat motion sickness. Which of the following conditions in the client's medical record should the nurse report to the provider? A-Major depressive disorder B-Diabetes mellitus C-Benign prostatic hyperplasia D-Ménière's disease
C-Benign prostatic hyperplasia
A nurse is reinforcing teaching with a client who experiences migraine headaches and has a new prescription for sumatriptan. The nurse should instruct the client to report which of the following manifestations to the provider as an adverse effect of this medication? A-nsomnia B-Photophobia C-Chest tightness D-Respiratory depression
C-Chest tightness
A nurse is collecting data from a client who has multiple sclerosis and a new prescription for baclofen. Which of the following findings should the nurse identify as an adverse effect of this medication? A-Diarrhea B-Weight loss C-Drowsiness D-Hypertension
C-Drowsiness
A nurse is reinforcing teaching with a client who is receiving enalapril 20 mg PO daily. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? A-Hypokalemia B-Blurred vision C-Tremors C-Dry cough
C-Dry cough
A nurse is collecting data from a client who has angina and a new prescription for sublingual nitroglycerin. Which of the following manifestations should the nurse expect as an adverse effect of this medication? A-Shortness of breath B-Bradycardia C-Headache D-Double vision
C-Headache
A nurse is caring for a client who has a 10-year history of alcohol use disorder and is experiencing acute alcohol withdrawal. The nurse should identify which of the following interventions as the priority? A-Suggest the client attend a support group. B-Administer naltrexone. C-Implement seizure precautions. D-Assist the client to identify triggers of alcohol use.
C-Implement seizure precautions
A nurse is reinforcing teaching with a client who is newly diagnosed with hypertension and is taking metoprolol. The nurse should instruct the client to report which of the following manifestations to the provider as an adverse effect of this medication? A-Tachycardia B-Tinnitus C-Peripheral edema D-Urinary retention
C-Peripheral edema
A nurse is reinforcing teaching with a client who has a prescription for scopolamine transdermal patches to prevent motion sickness. Which of the following statements by the client indicates an understanding of the teaching? A-"I might have a runny nose during therapy." B-"I should replace the patch every day." C-"I might experience diarrhea while taking this medication." D-"I should place the patch behind my ear."
D-"I should place the patch behind my ear."
A nurse is reinforcing teaching with a client who has a new prescription for a fluticasone inhaler. Which of the following client statements indicates an understanding of the teaching? A-"I will administer two puffs of the medication consecutively." B-"I will use this inhaler if I feel an asthma attack coming on." C-"I will avoid intake of dairy products in my diet." D-"I will rinse my mouth after I use this inhaler."
D-"I will rinse my mouth after I use this inhaler."
A nurse is collecting data prior to administering digoxin to a client. For which of the following findings should the nurse withhold this medication and notify the provider? A-Digoxin level 0.9 ng/mL B-Blood pressure 142/80 mm Hg C-Potassium 4.4 mEq/L D-Apical pulse 52/min
D-Apical pulse 52/min
A nurse is monitoring a client who is 2 hr postoperative and has a prescription for opioid analgesics. Which of the following actions provides the nurse with the priority data to determine the client's need for analgesia? A-Observe the client for signs of restlessness. B-Monitor the client for facial grimacing. C-Watch the client for indications of decreased mobility. D-Ask the client to rate their pain level.
D-Ask the client to rate their pain level
A nurse is performing the third check before administering hydromorphone to a client. After opening the unit-dose packet, the client tells the nurse they do not want to take the medication now. Which of the following actions should the nurse take? A-Complete an occurrence report of the incident. B-Encourage the client to take the medication. C-Leave the medication at the client's bedside in case they change their mind. D-Dispose of the medication with a second nurse as a witness
D-Dispose of the medication with a second nurse as a witness
A nurse erroneously administered zolpidem to the wrong client. Which of the following actions should the nurse take? A-Document the completion of an incident report in the medical record of the client who received the zolpidem. B-Administer a dose of naloxone to reverse the effects of the medication. C-Keep a copy of the incident report on the unit. D-Document the notification of the client's provider.
D-Document the notification of the client's provider.
A nurse is evaluating a client who is receiving amphotericin B via intermittent IV bolus. Which of the following findings indicates an adverse reaction to this medication? A-Serum potassium 5.6 mEq/L B-Hematocrit 55% C-Polyuria D-Hypotension
D-Hypotension
A nurse is reinforcing teaching with a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following information should the nurse include in the teaching? A-Avoid grapefruit juice. B-Increase salt intake. C-Avoid aged cheese. D-Increase fluid intake.
D-Increase fluid intake
A nurse is caring for a client who is taking disulfiram and consumed alcohol 12 hr ago. Which of the following adverse reactions is the priority finding to report to the provider? A-Hyperemesis B-Severe headache C-Palpitations D-Respiratory depression
D-Respiratory depression
A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus and is learning to self-administer PH insulin. Which of the following client actions indicates an understanding of the teaching? A-The client shakes the insulin vial prior to drawing up the dose. B-The client uses the tip of the plunger to measure the correct dose. C-The client injects air into the vial after inverting it. D-The client wipes the cap with alcohol prior to filling the syringe.
D-The client wipes the cap with alcohol prior to filling the syringe.
