A nurse is providing teaching to a group of new parents about medications. The nurse should include that aspirin is contraindicated for children who have a... [Show More] viral infection due to the risk of developing which of the following adverse effects? - CORRECT ANSWERReye's syndrome
Reasoning: Aspirin should not be given to children or adolescents who have a viral infection, such as chickenpox or influenza, due to the risk of developing Reye's syndrome.
A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula for hemodialysis and a new prescription for epoetin alfa. Which of the following therapeutic effects of epoetin alfa should the nurse include in the teaching? - CORRECT ANSWERPromotes RBC production
Reasoning: Epoetin alfa stimulates erythropoiesis in the bone marrow to increase RBC production and reduce anemia. Anemia is common in clients who have chronic kidney failure, since erythropoietin is produced by the kidney.
A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the following medications should the nurse plan to administer? - CORRECT ANSWERAcetaminophen
Reasoning: Acetaminophen is an analgesic used for mild to moderate pain. It can be administered to a client who has peptic ulcer disease because it does not affect blood coagulation and does not increase the risk of gastrointestinal bleeding.
A nurse is preparing to administer heparin 8,000 units subcutaneously every 8 hr. Available is heparin 10,000 units/1 mL. How many mL should the nurse administer per dose? - CORRECT ANSWER0.8 mL
A nurse is preparing to administer an enteral tube feeding through an NG tube a 250 mL over 4 hr. the nurse should set the pump to deliver how many mL/hr? - CORRECT ANSWER63 mL/hr
A nurse is preparing to administer amoxicillin 250 mg liquid suspension PO every 8 hr to an older adult client. The amount available is amoxicillin 50 mg/mL. How many should the nurse administer per dose? - CORRECT ANSWER5 mL
A nurse is caring for a client who has a prescription for clopidogrel. The nurse should monitor the client for which of the following adverse effects? - CORRECT ANSWERBleeding
Reasoning: Clopidogrel is an antithrombotic medication that inhibits platelet aggregation. It is used to prevent stenosis of coronary stents, myocardial infarctions, and strokes. The nurse should monitor for coffee ground emesis, black tarry stools, ecchymosis, or any indication of bleeding.
A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. The nurse should include a sever allergy to which of the following medications as a contraindication to ceftriaxone? - CORRECT ANSWERPiperacillin
Reasoning: Clients who have a severe allergy to piperacillin, which is a penicillin, can have a cross sensitivity to ceftriaxone, a third-generation cephalosporin. Ceftriaxone is contraindicated for the client who has an allergy to cephalosporins or a severe allergy to penicillin.
A nurse is providing teaching to a newly licenses nurse about metoclopramide. The nurse should include in the teaching that which of the following conditions is a contraindication to the medication? - CORRECT ANSWERIntestinal obstruction
Reasoning: Metoclopramide reduces nausea and vomiting by increasing gastric motility and promoting gastric emptying. It is contraindicated for a client who has an intestinal obstruction or perforation.
A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The client has a mask-like facial expression an is experiencing involuntary movements and tremors. Which of the following medications should the nurse anticipate administering? - CORRECT ANSWERAmantadine
Reasoning: The client is experiencing parkinsonism, which is an adverse effect of the antipsychotic medication chlorpromazine. Amantadine is an antiparkinsonian medication used to treat the extrapyramidal manifestations that can occur with chlorpromazine therapy.
A nurse is administering subcutaneous epinephrine for a client who is experiencing anaphylaxis. The nurse should monitor the client for which of the following adverse effects? - CORRECT ANSWERTachycardia
Reasoning: Adverse effects of epinephrine, an adrenergic agonist, can include tachycardia and dysrhythmias as the result of cardiac stimulation.
A nurse is providing teaching to a client who has a urinary tract infection and new prescriptions for phenazopyridine and ciprofloxacin. Which of the following statements by the client indicates the need for further teaching? - CORRECT ANSWER"I should notify my provider immediately if my urine turns an orange color."
Reasoning: Phenazopyridine is a urinary tract analgesic used to relieve pain and burning during urination. The medication can cause the client's urine to turn a reddish-orange color. This coloration is an expected effect of this medication, although it can stain clothing, and does not need to be reported to the provider.
A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote sleep. The nurse should plan to monitor the client for which of the following adverse effects? - CORRECT ANSWERDizziness
Reasoning: Zolpidem can cause dizziness and daytime drowsiness. It can cause confusion in the older adult client.
A nurse is reviewing laboratory values for a client who reports fatigue and cold intolerance. The client has an increased thyroid stimulating hormone (TSH) level and a decreased total T3 and T4 level. The nurse should anticipate a prescription for which of the following medications? - CORRECT ANSWERLevothyroxine
Reasoning: Levothyroxine replaces thyroid hormone for a client who has hypothyroidism. Laboratory values for hypothyroidism include an increased TSH level and decreased total T3 and T4 levels. Clinical manifestations for hypothyroidism include fatigue, cold intolerance, and a decreased body temperature and pulse.
A nurse is providing teaching to client who has a new prescription for hydrochlorothiazide 50 mg PO daily to treat hypertension. Which of the following instructions should the nurse include in the teaching? - CORRECT ANSWER"Take the hydrochlorothiazide in the morning."
Reasoning: The client should take hydrochlorothiazide in the morning to allow for diuresis during the day and prevent nocturia.
A nurse is caring for a client who is a 28 weeks of gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer? - CORRECT ANSWERNifedipine
Reasoning: Nifedipine is [Show Less]