A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid
... [Show More] volume excess? - Distended neck veins
A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective? - Improved cognition
A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following instructions should the nurse include? - "Remove the patch prior to going to bed."
A nurse is reviewing the laboratory results of a client who has a prescription for sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to the provider? - Potassium 5.2 mEq/L
1.) A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen? - a. The client has a negative sputum culture
1.) A client is caring for a client who develops an anaphylactic reaction to IV administration. After assessing the client's respiratory status and stopping the medication infusion. Which of the following actions should the nurse take next? - a. Administer epinephrine IM
1.) A nurse is caring for a client who is taking sertraline and reports a desire to begin taking supplements. Which of the following supplements should the nurse advise the client to avoid? - a. St. John's Wort
1.) A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For which of the following adverse effects should the nurse monitor when administering lisinopril? - a. Hypotension
1.) A nurse is assessing a client who is receiving IV continuous IV. The client has an PPT of 90 seconds. They should monitor the client for which of the following changes in their vital signs? - a. Increased blood pressure
1.) A nurse is preparing to administer medication to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report? - a. The nurse who identifies the error
1.) A nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following? - a. Pruritus - Sign of allergic reaction to morphine
1.) A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) - a. Obtain the client's apical heart rate
b. Remove the medication from the dispensing system
c. Open the medication package
d. Compare the client's wristband to the medication administration record
e. Document administration of the medication
1.) A nurse is reviewing the medical record of an adult client who has a fever and a prescription for acetaminophen. Which of the following findings should the nurse identify as a contraindication for receiving this medication? - a. Chronic kidney disease [Show Less]