A nurse is reviewing laboratory results for a client who is receiving heparin via
continuous IV infusion for deep-vein thrombosis. The nurse should
... [Show More] discontinue the
medication infusion for which of the following client findings?
A) Potassium mEq/L
B) aPTT times the control
C) Hemoglobin g/dL
D) Platelets 96,000/mm^3
D) Platelets 96,000/mm^3
A nurse is preparing to administer dextrose 5% in water (D5W) 400 mL IV to
infuse over 1 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 gtt/min? (Round the answer
to the nearest whole number. Use a leading zero if it applies. Do not use a trailing
zero.)
100gtt/min
A nurse is providing teaching to a client who is to begin taking oxybutynin for
urinary incontinence. The nurse should instruct the client to report which of the
following findings as an adverse effect of the medication? (Select all that apply.)
A) Dry mouth
B) Tinnitus
C) Blurred vision
D) Bradycardia
E) Dry eyes
A) Dry mouth
C) Blurred vision
E) Dry eyes
A nurse is caring for a client who is experiencing acute alcohol withdrawal. For
which of the following client outcomes should the nurse administer
chlordiazepoxide?
A) Minimizes diaphoresis
B) Maintain abstinence
C) Lessen craving
D) Prevent delirium tremens
D) Prevent delirium tremens
A nurse is assessing a client who is taking amitriptyline for depression. Which of
the following findings should the nurse identify as an adverse effect of the
medication?
A) Tinnitus
B) Urinary frequency
C) Dry mouth
D) Diarrhea
C) Dry mouth
A nurse is providing follow-up care to a client who is taking lisinopril. Which of
the following manifestations should the nurse instruct the client to report as an
adverse effect of lisinopril?
A) Drowsiness
B) Hallucinations
C) Persistent cough
D) Weight gain
C) Persistent cough
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?
A) Constipation
B) Tinnitus
C) Hypoglycemia
D) Joint pain
B) Tinnitus
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?
A) The med should be taken prior to 1hr prior to eating
B) It takes 48hr for therapeutic effects to occur
C) Tablets should not be crushed or chewed
D) Decreased respiration might occur
D) Decreased respiration might occur
A nurse is teaching about a new prescription for ciprofloxacin to an older adult
client who has a urinary tract infection. The nurse should identify which of the
following statements as an indication that the client understands the teaching?
A) I will take this med with an antacid to prevent GI upset
B) I will stop taking this med when I no longer have pain upon urination
C) I will report any signs of tendon pain/swelling
D) I will take this med with milk
C) I will report any signs of tendon pain or swelling
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?
A) Take med on empty stomach for full effect
B) You may discontinue this med when stomach discomfort subsides
C) Report skin yellowing
D) Store med in fridge
C) Report skin yellowing
A nurse is caring for a client who is receiving cefazolin IV. The nurse should
identify that which of the following medications can potentiate nephrotoxicity if
administered concurrently?
A) Famotidine
B) Levofloxacin
C) Metoclopramide
D) Gentamicin
D) Gentamicin
A nurse is providing discharge teaching to a client who has a new prescription for
furosemide twice daily. The nurse should include which of the following
instructions in the teaching? (Select all that apply.)
A) take 2nd dose at bed time
B) Inc intake of potassium rich food
C) Obtain weight weekly
D) Monitor for muscle weakness
E) Dangle your legs from the side of the bed before standing
B) Inc intake of potassium rich food
D) Monitor for muscle weakness
E) Dangle your legs from the side of the bed before standing
A nurse in the emergency department is caring for a client who has myasthenia
gravis and is in a cholinergic crisis. Which of the following medications should the
nurse plan to administer?
A) Potassium iodide
B) Glucagon
C) Atropine
D) Protamine
C) Atropine
A nurse is teaching a client who is taking allopurinol for the treatment of gout.
Which of the following information should the nurse include in the teaching?
A) Plan to inc dosage each weak by 200mg increments
B) Prolonged use of med can cause glaucoma
C) Drink 2L of water daily
D) Fine red rash is transient and can be treated with antihistamines
C) Drink 2L of water daily
A nurse is instructing a client on the application of nitroglycerin transdermal
patches. Which of the following statements by the client indicates an understanding
of the teaching?
A) I should apply a patch every 5min if I develop chest pain
B) I will take the patch off right after my evening meal
C) I will leave the patch off at least 1 day each week
D) I should discard the used patch by flushing it down the toilet
B) I will take the patch off right after my evening meal
A nurse is providing teaching to a client who has peptic ulcer disease and is to start
a new prescription for sucralfate. Which of the following actions of sucralfate
should the nurse include in the teaching?
A) Dec stomach acid secretion
B) Neutralizes acids in the stomach
C) Forms a protective barrier over ulcers
D) Treats ulcers by eradicating H. pylori
C) Forms a protective barrier over ulcers
A nurse is teaching about neural tube defects to a client who is planning a
pregnancy. Which of the following vitamins should the nurse instruct the client to
start taking before becoming pregnant?
A) Folic acid
B) Thiamine
C) Pyridoxine
D) Riboflavin
A) Folic acid
A nurse is caring for a client who recently began taking oral
amoxicillin/clavulanate and reports urticaria. Which of the following actions
should the nurse take?
A) Request a change in the type of the antibiotic
B) Ask for a change in the route of the administration
C) Check for pitting edema
D) Check the client's WBC count
A) Request a change in the type of the antibiotic
A nurse is preparing to administer 0.9% sodium chloride (NaCl) 1,500 mL to
infuse over 8 hr to a client who is postoperative. The nurse should set the IV pump
to deliver how many mL/hr? (Round to the nearest whole number. Use a leading
zero if it applies. Do not use a trailing zero.)
188mL/hr
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
plan of care?
A) Weigh the client weekly
B) Determine apical pulse prior to admin
C) Admin the med 30min prior to breakfast
D) Monitor the client for jaundice
B) Determine apical pulse prior to admin
A nurse is caring for a client who has acute acetaminophen toxicity. The nurse
should anticipate administering which of the following medications?
A) Vit K
B) Acetylcysteine
C) Benztrophine
D) Physostigmine
B) Acetylcysteine
A nurse is providing discharge instructions to a client who has heart failure and a
new prescription for captopril. Which of the following client statements indicates
an understanding of the teaching?
A) I should take the med with food
B) I should take naproxen if I develop joint pain
C) I should tell my provider if I develop a sore throat
D) I should expect the med to cause orange urine
C) I should tell my provider if I develop a sore throat
A nurse is precepting a newly licensed nurse who is caring for four clients. The
nurse should complete an incident report for which of the following actions by the
newly licensed nurse?
A) Admin isosorbide mononitrate to client who has BP 82/60mmHg
B) Admin digoxin to client who has HR 92bpm
C) Admin reg insulin to client who has glucose of 250mg/dl
D) Admin heparin to client who has aPTT of 70sec
A) Admin isosorbide mononitrate to client who has BP 82/60mmHg
A nurse is assessing a client after administering a second dose of cefazolin IV. The
nurse notes the client has anxiety, hypotension, and dyspnea. Which of the
following medications should the nurse administer first?
A) Diphenhydramine
B) Albuterol inhaler
C) Epinephrine
D) Prednisone
C) Epinephrine
A nurse is teaching a client about warfarin. The client asks if she can take aspirin
while taking the warfarin. Which of the following responses should the nurse
make?
A) It is safe to take an enteric-coated aspirin
B) Aspirin will inc the risk of bleeding
C) Acetaminophen may be sub for aspirin
D) The INR lab work must be monitored more frequently if aspirin is taken
B) Aspirin will inc the risk of bleeding
A nurse is teaching a client who has a new prescription for docusate sodium about
the medication's mechanism of action. Which of the following information should
the nurse include in the teaching?
A) reduces the surface tension of the stools to change their consistency
B) causes rectal contractions
C) acts as a fiber agent, inc bulk in intestines
D) stimulates motility of the intestines
A) reduces the surface tension of the stools to change their consistency
A nurse is providing teaching to a client who is taking bupropion as an aid to quit
smoking. Which of the following findings should the nurse identify as an adverse
effect of the medication?
A) cough
B) Joint pain
C) Alopecia
D) Insomnia
D) Insomnia
A nurse is preparing to mix and administer dantrolene via IV bolus to a client who
has developed malignant hyperthermia during surgery. Which of the following
actions should the nurse take?
A) Admin reconstituted med slowly over 5min
B) Store reconstituted med in fridge
C) Use the reconstituted med within 12hr
D) Reconstitute the initial dose with 60mL of sterile water w/o a bacteriostatic
agent
D) Reconstitute the initial dose with 60mL of sterile water w/o a bacteriostatic
agent
A nurse is caring for a client who is taking atorvastatin for hyperlipidemia. Which
of the following client laboratory values should the nurse monitor?
A) Creatinine kinase
B) Erythrocyte sedimentation rate
C) International normalized ratio
D) Potassium
A) Creatinine kinase
A nurse is assessing a client who is taking propylthiouracil for the treatment of
Graves' disease. Which of the following findings should the nurse identify as an
indication that the medication has been effective?
A) Dec in WBC count
B) Dec in amount of time sleeping
C) Inc in appetite
D) Inc in ability to focus
D) Inc in ability to focus
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 t............................................................CONTINUED...................................................................................DOWNLOAD FOR BEST SCORES [Show Less]