A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following client outcomes should the nurse administer
... [Show More] chlordiazepoxide? CORRECT ANSWER A: Prevent delirium tremens
A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. The nurse should identify which of the following statements as an indication that the client understands the teaching? CORRECT ANSWER A: "I should sit up 30 minutes after taking the risedronate."
A nurse is assessing a client 1 hour after administering morphine for pain. The nurse should identify which of the following findings as the best indication that the morphine has been effective? CORRECT ANSWER A: The client rates pain as a 3 on a scale from 0 to 10
A nurse is administering donepezil to a client who has Alzheimer's disease. Which of the following findings should the nurse report to the provider immediately? CORRECT ANSWER A: Dyspnea
A nurse is caring for a client who is take acetazolamide for chronic open-angle glaucoma. For which of the following adverse effects should the nurse instruct the client to monitor and report? CORRECT ANSWER A: Tingling of fingers
A nurse is teaching a client who is to start taking hydrocodone with acetaminophen tablets for pain. Which of the following information should the nurse include in the teaching? CORRECT ANSWER A: Decreased respirations might occur
A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine. Which of the following instructions should the nurse include? CORRECT ANSWER A: "Report yellowing of the skin."
Math question: ciproflaxin 15mg/kg PO q12 hr. to a child who weighs 44lb. CORRECT ANSWER A: 300 mg
A nurse administers a dose of metformin to a client instead of the prescribed dose of metoclopramide. Which of the following actions should the nurse take first? CORRECT ANSWER A: Check the client's blood glucose
A nurse is caring for a 20-year-old female client who has a prescription for isotretinoin for severe nodulocystic acne vulgaris. Before the client can obtain a refill, the nurse should advise the client that which of the following tests is required? CORRECT ANSWER A: Pregnancy test
A nurse is assessing a client who is postoperative following an outpatient endoscopy procedure with midazolam. The nurse should monitor for which of the following findings as an indication that the client is ready for discharge? CORRECT ANSWER A: The clients capnography has returned to baseline.
A nurse is reviewing laboratory results for a client who is receiving heparin via continues IV infusion for deep vein thrombosis. The nurse should discontinue the medication infusion for which of the following findings? CORRECT ANSWER A: Platelets 96,000/mm3
A nurse receives a verbal order from the provider to administer morphine 5 mg every 4 hours subQ for severe pain as needed. The nurse should identify which of the following entries as the correct format for the medication administration record (MAR)? CORRECT ANSWER A: Morphine 5mg subset every 4 hr. PRN severe pain
A nurse in an emergency department is caring for a client who has heroin toxicity. The client is unresponsive which pinpoint pupils and a respiratory rate of 6/min. Which of the following medications should the nurse plan to administer? CORRECT ANSWER A: Naloxone
A nurse is teaching a client about warfarin. The client asks if they can take aspirin while taking warfarin. Which of the following responses should the nurse make? CORRECT ANSWER A: "Aspirin will increase the risk of bleeding"
A nurse is caring for a client who has cancer and is taking oral morphine and docusate sodium. The nurse should instruct the client that taking the docusate sodium daily can minimize which of the following adverse effects of morphine? CORRECT ANSWER A: Constipation
A nurse is planning care for a client who has hypertension and is to start taking metoprolol. Which of the following interventions should the nurse include in the pan of care? CORRECT ANSWER A: Determine apical pulse prior to administration.
A nurses caring for a client who is receiving filgrastrim. Which of the following findings should the nurse document to indicate the effectiveness of the therapy? CORRECT ANSWER A: Increased neutrophil count.
Math: gtt/min CORRECT ANSWER A: 100 gtt/min
A nurse is teaching g a client about cyclobenzaprine. Which of the following statements should indicate to the nurse that the teaching is effective? CORRECT ANSWER A: "I will taper off the medication before discontinuing it"
A nurse is caring for the parent of a newborn. The parent asks the nurse when the newborn should receive first diphtheria, tetanus, and pertussis vaccine (DTaP). The nurse should instruct the parents at the newborn should receive the immunization at which of the following ages? CORRECT ANSWER A: 2 months
The nurses providing teaching to a client who has a peptic ulcer disease and is to start sucralfate. Which of the following actions of sucralfate should the nurse include in the teaching? CORRECT ANSWER A: Forms a protective barrier over ulcers
A nurse is assessing a client who is taking propylthiouracil for treatment of Graves' disease. Which of the following findings should the nurse identify as an indication that the medication has been effective? CORRECT ANSWER A: Increase in ability to focus.
A nurses caring for a client who has acute acetaminophen toxicity. The nurse should anticipate administering which of the following medications? CORRECT ANSWER A: Acetylcysteine
The nurse is assessing a client's vital signs prior to the administration of PO digoxin. The client's BP is 144/86 mmHg, heart rate is 55/min, and respiratory rate is 20/min. The nurse should withhold the medication and contact provider for which of the following findings? CORRECT ANSWER A: Heart rate
A nurse is reviewing the laboratory results for a client whose taking digoxin for heart failure. Which of the following results should the nurse report to the provider? CORRECT ANSWER A: Potassium level 2.8 mEq/L
A nurse is assessing the client after administering a second dose of cefazolin IV. The nurse notes that client has anxiety, hypotension, and dyspnea. Which of the following medications should the nurse administered first? CORRECT ANSWER A: Epinephrine
A nurse is caring for a client receiving heparin therapy via continuous IV infusion to treat a pulmonary embolism. Which of the following findings should the nurse identify as an adverse effect of the medication and report to the provider? CORRECT ANSWER A: Blood in the urine
A nurse is providing discharge instructions for client who has heart failure and a new prescription for captopril. Which of the following client statements indicates an understanding of the teaching? CORRECT ANSWER A: "I should tell my provider if I develop a sore throat."
A nurse is providing discharge teaching about handling medication to a client who is to continue taking oral transmucosal fentanyl raspberry-flavored lozenges on a stick. Which of the following information should the nurse including the teaching? CORRECT ANSWER A: Store unused medication sticks in a storage container.
A nurse is reviewing the medication administration record of a client who has hypocalcemia and a new prescription for IV calcium gluconate. The nurse should identify that which of the following medications can interact with calcium gluconate? CORRECT ANSWER A: Digoxin
A nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hours instead of over 8 hours as prescribed. Which of the following information should the nurse enter as a complete documentation of the incident? CORRECT ANSWER A: 0.9% sodium chloride 1 L IV infused over 4 hr. Vital signs stable, provider notified.
A nurse is planning to teach about the use of a spacer to a child who has a new prescription for fluticasone inhaler to treat chronic asthma. The nurse should include that the spacer decreases the risk for which of the following adverse effects f the medication? CORRECT ANSWER A: Oral candidiasis
A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. The nurse should report which of the following findings to the provider as an adverse effect of the medication? CORRECT ANSWER A: Tinnitus
A nurse is preparing to administer medication to a patient who has gout. The nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol. Which of the following actions should the nurse take first? CORRECT ANSWER A: Obtain the client's blood pressure.
A nurse is providing teaching to a client who is to start treatment for asthma with beclomethasone and albuterol inhalers. Which of the following instructions should the nurse include in the teaching? CORRECT ANSWER A: "Rinse your mouth after inhaling beclomethasone."
A nurse is caring for a client who is in labor. The client is receiving oxytocin by continuous IV infusion with a maintenance IV solution. The external FHR (fetal heart rate) monitor indicates late decelerations. which of the following actions should the nurse take first? CORRECT ANSWER A: Turn the client to side-lying position [Show Less]