medication has a long half-life of 4 days. How many times per day should the nurse expect to administer this medication?
A. One B. Two C. Three D.
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A staff educator is reviewing medication dosages and factors that influence medication metabolism with a group of nurses at an in-service presentation. Which of the following factors should the educator include as a reason to administer lower medication dosages? (Select all that apply.)
A. Increased renal secretion
B. Increased medication-metabolizing enzymes C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes
A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take? (Select all that apply.)
A. Have the client lie on her side.
B. Ask the client to look up at the ceiling.
C. Tell the client to blink when the drops enter her eye.
D. Drop the medication into the center of the client's conjunctival sac. E. Instruct the client to close her eye gently after instillation
A nurse is completing discharge teaching for a client who has a new prescription for transdermal patches. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
A. "I will clean the site with an alcohol swab before I apply the patch." B. "I will rotate the application sites weekly."
C. "I will apply the patch to an area of skin with no hair." D. "I will place the new patch on the site of the old patch.
A nurse reviewing a client's medical record notes a new prescription for verifying the trough level of the client's medication. Which of the following actions should the nurse take?
A. Obtain a blood specimen immediately prior to administering the next dose of medication.
B. Verify that the client has been taking the medication for 24 hr before obtaining a blood specimen.
C. Ask the client to provide a urine specimen after the next dose of medication. D. Administer the medication,and obtain a blood specimen 30 min late
A nurse is preparing a client's medications. Which of the following actions should the nurse take in following legal practice guidelines? (Select all that apply.)
A. Maintain skill competency. B. Determine the dosage.
C. Monitor for adverse effects. D. Safeguard medications.
E. Identify the client's diagnosis
A nurse reviewing a client's health record notes a new prescription for Lisinopril 10 mg PO once every day. The nurse should identify this as which of the following types of prescription?
A. Single B. Stat
C. Routine D. Standing
A nurse is reviewing a new prescription for Ondansetron 4 mg PO PRN for nausea and vomiting for a client who has Hyperemesis Gravidarum. The nurse should clarify which of the following parts of the prescription with the provider?
A. Name B. Dosage C. Route
D. Frequency
A nurse is admitting a client and completing a preassessment before administering medications. Which of the following data should the nurse include in the preassessment? (Select all that apply.)
A. Use of herbal teas
B. Daily fluid intake C. Current health status
D. Previous surgical history E. Food allergies
A nurse orienting a newly licensed nurse is reviewing the procedure for taking a telephone prescription. Which of the following statements should the nurse identify as an
indication that the newly licensed nurse understands the process?
A. "A second nurse enters the prescription into the client's medical record." B. "Another nurse should listen to the phone call."
C. "The provider can clarify the prescription when he signs the health record." D. "I should omit the 'read back' if this is a one-time prescription
A nurse is preparing to administer vancomycin 1 g by intermittent IV bolus. Available is vancomycin 1 g in 100 mL of dextrose 5% in water (D5W) to infuse over 45 min. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should adjust the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Do not use a trailing zero.
A nurse is preparing to administer clindamycin 200 mg by intermittent IV bolus. The amount available is clindamycin injection 200 mg in 100 mL 0.9% sodium chloride (0.9% NaCl) to infuse over 30 min. The nurse should set the IV pump to deliver how many mL/hr? (Round
the answer to the nearest whole number. Do not use a trailing zero.
A nurse is preparing to administer furosemide 80 mg PO daily. The amount available is furosemide oral
solution 10 mg/1 mL. how many mL should the nurse administer? (Round the answer to the nearest whole number. Do not use a trailing zero.)
A nurse is preparing to administer Haloperidol 2 mg PO every 12 hr. The amount available is haloperidol 1 mg/tablet. how many tablets should the nurse administer? (Round the answer to the nearest whole number. Do not use a trailing zero.
A nurse is preparing to administer Amoxicillin 20 mg/kg/day PO to divide equally every 12 hr to a preschooler who weighs 44 lb. The amount available is amoxicillin suspension 250 mg/5 mL. how many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Do not use a trailing zero.)
A nurse is preparing to administer heparin 15,000 units subcutaneously every 12 hr. The amount available is heparin injection 20,000 units/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Do not use a trailing zero.
A nurse is preparing to administer acetaminophen 650 mg PO every 6 hr PRN for pain. The amount available is acetaminophen liquid 500 mg/5 mL.
how many mL should
the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.
A nurse is preparing to administer dextrose 5% in water (D5W) 750 mL IV to infuse over 6 hr. The nurse should set the IV pump to
deliver how many mL/hr? (Round the answer to the nearest whole number. Do not use a trailing zero.
A nurse is assessing a client's IV infusion site. Which of the following findings should the nurse identify as an indication of phlebitis? (Select all that apply.) A. Pallor
B. Dampness C. Erythema D. Coolness E. Pain
A nurse manager is reviewing the facility's policies for IV therapy with the members of his team. The nurse manager should remind the team that which of the following techniques helps minimize the risk of catheter embolism?
A. Performing hand hygiene before and after IV insertion B. Rotating IV sites at least every 72 hr
C. Minimizing tourniquet time
D. Avoiding reinserting the needle into an IV catheter
A nurse is preparing to initiate IV therapy for an older adult client. Which of the following actions
should the nurse plan to take?
A. Use a disposable razor to remove excess hair on the extremity. B. Select the back of the client's hand to insert the IV catheter.
C. Distend the veins by using a blood pressure cuff.
D. Direct the client to raise his arm above his heart
A nurse assessing a client's IV catheter insertion site notes a hematoma. Which of the following actions should the nurse take? (Select all that apply.)
A. Stop the infusion.
B. Apply alcohol to the insertion site.
C. Apply warm compresses to the insertion site D. Elevate the client's arm.
E. Obtain a specimen for culture at the insertion site
A nurse in a clinic is caring for a group of clients. The nurse should contact the provider about a
potential contraindication to a medication for which of the following clients? (Select all that apply.)
A. A client at 8 weeks of gestation who asks for an Influenza immunization B. A client who takes Prednisone and has a possible Fungal infection
C. A client who has chronic liver disease and is taking Hydrocodone
D. A client who has Peptic Ulcer Disease, takes Sucralfate, and tells the nurse she has started taking OTC Aluminum Hydroxide
E. A client who has a prosthetic heart valve, takes Warfarin, and reports a suspected pregnancy
A nurse is preparing to administer an IM dose of penicillin to a client who has a new prescription. The client states she took penicillin 3 years ago and developed a rash. Which of the following actions should the nurse take?
A. Administer the prescribed dose. B. Withhold the medication.
C. Ask the provider to change the prescription to an oral form. D.Administer an oral antihistamine at the same time
A nurse is providing discharge instructions for a client who has a new prescription for an antihypertensive medication. Which of the following statements should the nurse give?
A."Be sure to limit your potassium intake while taking the medication." B."You should check your blood pressure every 8 hours while taking this medication."
C."Your medication dosage will be increased if you develop tachycardia." D."Change positions slowly when you move from sitting to standing."
A nurse is reviewing a client's health record and notes that the client experiences permanent
extrapyramidal effects caused by a previous medication. The nurse should recognize that the
medication affected which of the following systems in the client? A. Cardiovascular
B. Immune
C. Central nervous D. Gastrointestina
A nurse is preparing to administer medications to a 4-month-old infant. Which of the following pharmacokinetic principles should the nurse consider when administering medications to this client? (Select all that apply.)
A. Infants have a more rapid gastric emptying time. B. Infants have immature liver function.
C. Infants' blood-brain barrier is poorly developed.
D. Infants have an increased ability to absorb topical medications. E. Infants have an increased number of protein-binding sites.
A nurse in a provider's office is reviewing the medical record of a client who is pregnant and is at her first prenatal visit. Which of the following immunizations may the nurse administer safely to this client?
A. Varicella vaccine B. Rubella vaccine
C. Inactivated influenza vaccine D. Measles vaccine
A nurse on a medical-surgical unit administers a hypnotic medication to an older adult client at 2100. The next morning, the client is drowsy and wants to sleep instead of eating breakfast. Which of the following factors should the nurse identify as a possible reason for the client's drowsiness?
A. Reduced cardiac function B. First-pass effect
C. Reduced hepatic function D. Increased gastric motility
A nurse working in an emergency department is caring for a client who has Benzodiazepine toxicity due to an overdose. Which of the following actions is the nurse's priority?
A. Administer flumazenil.
B. Identify the client's level of orientation. C. Infuse IV fluids.
D. Prepare the client for gastric lavage
A nurse is teaching a client who has a new prescription for Escitalopram for treatment of generalized Anxiety disorder. Which of the following statements by the client indicates
understanding of the teaching?
A. "I should take the medication on an empty stomach."
B. "I will follow a low-sodium diet while taking this medication." C. "I need to discontinue this medication slowly."
D. "I should not crush this medication before swallowing
A nurse is providing teaching to a client who has a new prescription for Buspirone to treat Anxiety. Which of the following information should the nurse include?
A. "Take this medication on an empty stomach"
B. "Expect optimal therapeutic effects within 24 hr." C. "Take this medication when needed for anxiety" D. "This medication has a low risk for dependency
A nurse is teaching a client who has OCD and has a new prescription for Paroxetine. Which of the following instructions should the nurse include? A. "It can take several weeks before you feel like the medication is helping." B. "Take the medication just before bedtime to promote sleep."
C. "You should take the medication when needed for obsessive urges." D. "Monitor for weight gain while taking this medication
A nurse is caring for a client who takes Paroxetine to treat PTSD and reports that he grinds his teeth during the night. The nurse should identify which of the following interventions to manage Bruxism? (Select all that apply.)
A. Concurrent administration of buspirone B. Administration of adifferent SSRI
C. Use of a mouth guard
D. Changing to a different class of antidepressant medication E. Increasing the dose of paroxetine
A nurse is caring for a client who has a new prescription for Phenelzine for the treatment of depression. Which of the following indicates that the client has developed an adverse effect of this medication?
A. Orthostatic hypotension
B. Hearing loss
C. Gastrointestinal bleeding D. Weight loss
A nurse is providing teaching to a client who has a new prescription for Amitriptyline for treatment of depression. Which of the following should the nurse include in the teaching? (Select all that apply.)
A. Expect therapeutic effects in 24 to 48 hr.
B. Discontinue the medication after a week of improved mood. C. Change positions slowly to minimize dizziness.
D. Decrease dietary fiber intake to control diarrhea. E. Chew sugarless gum to prevent dry mouth
A nurse is providing discharge teaching to a client who has a new prescription for Fluoxetine for PTSD. Which of the following statements should the nurse include in the teaching?
A. "You may have a decreased desire for intimacy while taking this medication." B. "You should take this medication at bedtime to help promote sleep."
C. "You will have fewer urinary adverse effects if you urinate just before taking this medication."
D. "You'll need to wear sunglasses when outdoors due to the light sensitivity caused by this medication
A nurse is caring for a client who has Depression and a new prescription for Venlafaxine. For which of the following adverse effects should the nurse monitor this client? (Select all that apply)
A. Cough B. Dizziness
C. Decreased libido D. Alopecia
E. hypotension
A nurse is caring for a client who has been taking Sertraline for the past 2 days. Which of the following assessment findings should alert the nurse to the possibility that the client is developing Serotonin syndrome?
A. Bruising B.Fever C.Abdominal pain D.Rash
A nurse is reviewing laboratory findings and notes that a client's plasma Lithium level is 2.1 mEq/L. Which of the following is an appropriate action by the nurse? A. Perform immediate gastric lavage.
B. Prepare the client for hemodialysis.
C. Administer an additional oral dose of lithium. D. Request a stat repeat of the laboratory test [Show Less]