1. A nurse is caring for a client who has acute cocaine toxicity. The nurse should plan to provide which of the following treatments?
a. Gastric
... [Show More] Lavage
b. Saline cathartic
c. Nalaxone
d. Diazepam - d. Diazepam
2. A nurse is caring for a client who is taking phenytoin, for which of the following adverse effects should the nurse monitor and report to the provider:
a. Cognitive impairment
b. Tachycardia
c. Elevated blood pressure
d. Tinnitus - a. Cognitive impairment
3. A nurse is teaching a client who has a history of acute myocardial infarction about taking metoprolol to treat angina. Which of the following instructions should the nurse include?
a. Stop taking the medication if you become dizzy
b. Check your pulse rate daily
c. Expect to see an increase in your urinary output
d. Call you provider if you lose more than 1 pound per week - b. Check your pulse rate daily
4. A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing the client's respiratory status and stopping the medication infusion, which of the following actions should the nurse take next?
a. Elevate the client's legs and feet
b. Administer epinephrine IM
c. Replace the solution with with 0.9 % sodium chloride
d. Give diphenhydramine IM - b. Administer epinephrine IM
5. A nurse is assessing a client who is receiving OXYTOCIN via continuous IV infusion for labor augmentation. The nurse notes six contractions in a 10 minute period with a nonreassuring FHR. Which of the following actions should the nurse take first ?
a. Administer Terbutaline 0.25 mg subcutaneously
b. Discontinue the oxycontin IV infusion
c. Turn the client on the left side
d. Apply oxygen at 10 L / min via face mask - c. Turn the client on the left side
6. A nurse is administer lactated ringer's solution at 100ml/hr. The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should set the manual IV infusion to deliver how many drops per minute? Round the answer to the nearest whole number? - 100 x 15/60 = 25 gtts/min
7. A client who has active Tuberculosis and is taking rifampin reports that this urine and sweat have developed a red orange tinge. Which of the following actions should the nurse take ?
a. Prepare the client for dialysis
b. Instruct the client to increase the fluid intake
c. Check the the clients liver function tests results
d. Document this as an expected finding - d. Document this as an expected finding
8. A nurse is teaching a client about self administration of enoxaparin. Which of the following instructions should the nurse include? (Select all that apply)
a. Grasp the skin between the thumb and forefinger, while injecting the medication
b. Alternate the injection sites between the side of the abdomen
c. Expel the air bubble from the prefilled syringe
d. Massage the insertion site after injecting the medication
e. Insert the entire length of the needle into the skin during injection - a. Grasp the skin between the thumb and forefinger, while injecting the medication.
b. Alternate the injection sites between the side of the abdomen.
e. Insert the entire length of the needle into the skin during injection.
9. A nurse is caring for a client who is receiving warfarin to treat atrial fibrillation. Which of the following laboratory lab values should the nurse identify as the outside the expected range for this client?
a. aPTT 36 seconds
b. Hgb 15.2 g/dl
c. Hct 43 %
d. INR 4.5 - d. INR 4.5
10. A nurse is caring for a client who is receiving ondansetron IV. Which of the following is an indication that the ondansetron is effective?
a. Increased urinary output
b. Decreased Nausea
c. Absence of peripheral neuropathy
d. Reduced dizziness - b. Decrease nausea [Show Less]