q's

A patient with intracranial pressure monitoring has a pressure of 13 mm Hg. The nurse understands that this pressure reflects.

A normal balance between brain tissue, blood, cerebrospinal fluid.

The nurse just administered glucagon to an unconscious diabetic client. Which of these interventions is the most important intervention for the nurse to perform once the client regain consciousness?

Administer carbohydrates

A nursing student is preparing for her medication pass with her clinical instructor and is reviewing how Ondansetron (serotonin antagonist) works. Her patient presents with severe dehydration related to uncontrolled vomiting. The student reviews her notes to find that this drug will believe the client's nausea by

Blocking serotonin receptors in the chemoreceptor trigger zone

The nurse has administered a dose of docusate sodium. The nurse evaluates that the medication has been effective if the client experiences which finding?

Bowel movement with soft, formed stool

Mannitol is given for the following conditions

Cerebral Edema

A nurse is providing teaching to a client who has renal failure and an elevated phosphorous level. The provider instructed the client to take aluminum hydroxide 300 mg PO three times daily. For which of the following adverse effects should the nurse inform the client?

Constipation

A nurse is reviewing the medical record of a 45-year-old client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication?

Decrease in level of TSH

A nurse is caring for an 88-year-old female client taking aluminum hydroxide with magnesium hydroxide (antacid). Which of the following potential problems would be most appropriate for this client?

Electrolyte imbalance related to hypophosphatemia

A nurse plans care for the patient with increased intracranial pressure with the knowledge that the best way to position the client is

Elevate the head of the bed to 30 degrees

Methimazole is prescribed for a client with hyperthyroidism. The nurse provides instructions to the client regarding the medication and informs the client to notify the PHCP if which sign or symptom occurs?

Fever

The nurse understands which lab measures the average blood sugar levels over the past 3 months

Hemoglobin A1C

The nurse knows the client with GERD needs further teaching when the client states

I should eat chocolate, peppermint, and coffee

a nurse has given instructions to a client prescribed lithium carbonate. What statement by the client indicates that the client needs further information?

I will decrease fluid intake while taking the lithium

A nurse is providing teaching to a client who takes opioid pain medication and has new prescription for docusate sodium. Which of the following statements by the client indicates an understanding of the teaching?

It might take up to 3 days for the medication to work

When instructing a client about taking buspirone, you tell the client to watch for and report a paradoxical reaction to buspirone. Which of the following is a paradoxical effect of buspirone?

Nervousness

Which of the following is a major risk factor for type II diabetes?

Obesity

A nurse is reviewing the medication list for a client who has a new diagnosis of type II diabetes mellitus. The nurse should recognize which of the following medications can cause glucose intolerance/hyperglycemia.

Prednisone

A nurse is teaching a client who has Grave's disease and a new prescription for propranolol. Which of the following client statements indicates effective teaching?

Propranolol will decrease my tremors and fast heart beat

The physician has ordered a client to receive an extra dose of insulin IV for an elevated glucose level. The nurse prepares to administer which type of insulin?

Regular (Humulin R)

A nurse is providing teaching to a client who has gastroesophageal reflux disease and a new prescription for omeprazole. Which of the following instruction should the nurse provide?

Report diarrhea to the provider.

The nurse notes that a client with schizophrenia and receiving an antipsychotic medication is moving her mouth, protruding her tongue, and grimacing as she watches television. The nurse determines that the client is experiencing which medication complication?

Tardive Dyskinesia

A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hrs as needed. The client asks the nurse how metoclopramide will relieve her nausea.

The medication relieves gastric emptying

A client taking lithium reports vomiting, abdominal pain, diarrhea, blurred vision, tinnitus, and tremors. The lithium level is 2.5 mEq/L (2.5 mmol/L). The nurse plans care based on which representation of this level?

Toxic

The nurse is monitoring a client receiving levothyroxine sodium for hypothyroidism. Which findings indicate the presence of a side effect associated with this medication?

Weight loss

A client is taking Famotidine (H2 receptor antagonist) for the treatment of GERD. She continues to have gastric discomfort and asks whether she can take an antacid. Which response by the nurse is most appropriate?

Yes, but be sure to wait at least 2 hours after taking the Famotidine to take the antacid

The nurse determines that the client needs further instruction about prescribed thyroid replacement if which statement is made?

"I should expect full therapeutic effect from the medication within 3 to 5 days"

Kate is experiencing status epilepticus. The physician orders IV diazepam. What special precautions need to be taken by a nurse to administer IV diazepam?

Administer the drug very slowly, no faster than 5mg/min

A nurse is teaching a client who has a new prescription for the SSRI, fluoxetine, to treat depression. Which of the following statements by the client indicates an understanding of the teaching?

I'll take this medication first thing in the morning.

A client is diagnosed with diabetic gastroparesis. Which medication would help treat the gastroparesis

Metoclopramide

Joe asks you "How long do I gotta take this stuff" referring to his seizure medications. What is the best response to give Joe?

You will always have to be on seizure medications, our goal is to control the frequency and severity of your seizures.