A nurse is caring for a client who is experiencing cycloplegia following the administration
of atropine eyedrops during an eye examination which of the
... [Show More] following findings should
the nurse expect as a result of cycloplegia
A. inability to tolerate bright lights
B. pinpoint pupils
C. blurred vision
D. inability to perform an upward gaze - ANSWER ==C. blurred vision
Assessment findings of cycloplegia include blurred vision because focusing for near
vision is impaired this action occurs following the administration of atropine because the
paralysis of the ciliary muscle prevents near vision focus accommodation or looking
from far to near and vice versa is also temporarily impaired
A nurse is assessing a client who has multi drug resistant tuberculosis and takes
ethambutol the nurse should identify which of the following findings as an adverse effect
of this medication?
A. Motteling of the extremities
B. orange red urine and bodily secretions
C. yellowing of the sclera
D. loss of the red green color discrimination - ANSWER ==D. loss of the red green
color discrimination
Ethambutol is an antitubercular medication that impairs ribonucleic acid synthesis a
common adverse reaction is the loss of red green color discrimination due to optic
neuritis the nurse should notify the provider of this finding and expect to discontinue the
medication
A nurse is caring for a client who is taking glucocorticoids the nurse should monitor the
client for which of the following adverse effects of the medication?
A. Weight loss
B. peptic ulcer
C. hyperkalemia
D. diplopia - ANSWER ==B. peptic ulcer
the nurse should monitor this client who is taking glucocorticoids for peptic ulcer disease
due to irritation of the gastric mucosal the nurse should periodically check the clients
stool for occult blood and instruct the client to contract contact the provider of any black
or tarry stools occur.
A nurse is providing teaching to a client who has rheumatoid arthritis and a prescription
for long-term prednisone therapy the nurse should instruct the client to monitor for which
of the following address effects?
A. Stress fractures
B. orthostatic hypotension
C. gingival ulcerations
D. weight loss - ANSWER ==A. Stress fractures
prednisone can cause demineralization of the bones and can lead to osteoporosis and
stress fractures
A nurse in an acute care facility is preparing a reconciled list of medications for a client
who is being discharged home which of the following actions should the nurse take?
A. Give the client a hand written medication list to take to the next care provider
following discharge
B. include a list of medications the client received during care at the facility
C. inform the client that he can get a complete list of his medications from the provider
who will care for him after discharge
D. provide the client and the next care provider with a list of medications the client will
take after discharge - ANSWER ==D. provide the client and the next care provider
with a list of medications the client will take after discharge
the nurse should provide a reconciled medication list that includes any medications the
provider prescribed at the time of discharge for the client to take after discharge the list
should also include any other medications the client will be taking including over-thecounter medications and supplements if the client was taking other prescription
medications before admission to the acute care facility and did not receive them during
treatment in the facility a provider should confirm whether the client should resume
taking them after discharge
A nurse administering subcutaneous epinephrine for a client who is experiencing
anaphylaxis the nurse should monitor the client for which of the following adverse
effects?
A. Hypotension
B. Hyperthermia
C. hypoglycemia
D. tachycardia - ANSWER ==D. tachycardia
adverse effects of epinephrine and adrenergic agonist can include tachycardia and
dysrhythmias due to cardiac stimulation
Oh and nurse is providing teaching to a client with chronic bronchitis about
administering acetylcysteine using a handheld nebulizer which of the following client
statements indicates an understanding of the teaching
A. "I should discard an open vial of the medication after 24 hours"
B. "I should limit my fluid intake while taking this medication"
C. "I should try to cough productively just before I begin the treatment"
D. "if the medication becomes discolored I should throw it out and get a new supply" -
ANSWER ==C. "I should try to cough productively just before I begin the treatment"
a productive cough prior to the beginning of treatment will clear sputum from lung
surfaces allowing better absorption of the medication
A nurse is preparing to administer 150 units per hour of regular insulin to a client.
regular insulin is available at 1500 units in 0.9% sodium chloride 500 ML the nurse
should set the IV pump to deliver how many ml/hr? (Fill in the blank with the numeric
value only round to the nearest whole number and use a leading zero if applicable do
not use a trailing zero) - ANSWER ==50
Follow these steps for the ratio and proportion method of calculation
step one: what is the unit of measurement the nurse should calculate? ml/hr step two:
what is the does the nurse should administer? 150 units
step three: what is the dose available? 1500 units
step four: should the nurse convert the units of measurement? No
step five: what is the quantity of the dose available? 500 ml
step six: set up an equation and solve for X
have/quantity = desired/X
1500 units/500 ml = 150 units/ X ml
X=50 ml
Step seven: round if necessary
step eight: reassess to determine whether the amount you get makes sense
if there are 1500 units/500 ml and the amount prescribed is 150 units/hr the nurse
should set the IV pump to deliver 50 ml/hr
A nurse is caring for a client who has cystic fibrosis and has a prescription for high dose
ibuprofen daily the nurse should identify that which of the following is an expected
outcome of the client receiving this medication?
A. Thinned pulmonary secretions that are retained in the airways
B. Slowed progression of pulmonary damage
C. potentiated action of bronchodilator therapy
D. decreased risk of fevers associated with CF - ANSWER ==B. Slowed progression
of pulmonary damage [Show Less]