A nurse is reviewing medication prescriptions for a group of clients. The nurse should recognize that which of the following prescriptions can result in a
... [Show More] medication administration error? - correct answer furosemide 10.0 mg PO daily
A nurse is assisting with the care of a client who has a methicillin resistant staphylococcus aureus (MRSA) infection and is receiving vancomycin via IV infusion. Which of the following changes in the clients condition should the nurse identify as the priority finding to the provider? - correct answer hypotension
A nurse is caring for a client who is receiving 0.9% sodium chloride 1,000 mL to infuse over 8 hr. The drop factor on the manual IV tubing is 15 gtt/mL. The nurse should ensure that the manual infusion is set to deliver how many gtt/min? - correct answer 31 gtt/min
A nurse is collecting data from a client who is postoperative and taking morphine for pain. Which of the following findings is the priority for the nurser to report to the provider? - correct answer oxygen saturation 87%
At 0800 hr a nurse initiates a 1,000 mL IV infusion on a client which is running at5 125 mL/hr. It is now 1300 hr. How much fluid is in the IV bag? - correct answer 375 mL
A nurse is caring for a client who has chronic kidney disease and has been receiving epoetin alfa for 2 weeks. Which of the following findings should indicate to the nurse that the clients medication is having the de3sired therapeutic effect? - correct answer hemoglobin rises 0.5 g/dL
A nurse is reinforcing teaching with the parent of a preschooler who has otitis media. The child has had a low grade fever and irritability for 2 days. Which of the following instructions should the nurse include in the teaching? - correct answer give acetaminophen as needed for discomfort and fever
A nurse is reinforcing teaching to a newly licensed nurse about using metoprolol to treat hypertension. Which of the following conditions should the nurse includes as a contraindication for this medication? - correct answer Bradycardia/Second degree Av block
a nurse is reinforcing teaching with a client who has a new prescription for theophylline. The nurse should instruct the client that which of the following is an expected of the medication. - correct answer Dilated bronchioles
A nurse is planning to reinforce teaching regarding newborn immunizations with a client who is 24 hr postpartum. Which of the following information should the nurse plan to include? - correct answer your baby will receive the first hepatitis B vaccine before discharge
A client comes to an urgent care clinic and announces with great enthusiasm "I am an expert at all things medical as they apply to me and I require zolpidem." The clients pupils are dilated along with an elevated heart rate and blood pressure level. The nurse should suspect intoxication with which of the following substances? - correct answer cocaine
A nurse is reinforcing teaching to a client who has a new prescription for colchicine to manage gouty arthritis. Which of the following manifestation should the nurse include as an adverse effect of the medication? - correct answer Abdomen pain
A nurse is monitoring a client who is receiving repaglinide for type 2 diabetes mellitus. Which of the following lab tests should the nurse plan to review to obtain information about the long term therapeutic effect of this medication? - correct answer glycosylated HbA1c
A nurse is reinforcing teaching With a client who has a prescription fro alendronate. Which of the following client responses indicates to the nurse an understanding of the teaching? - correct answer I will take the medication with 8 ounces of water
A nurse is reinforcing teaching with a client who has HIV and a new prescription for zidovudine. Which of the following client statements should indicate to the nurse an understanding of the teaching? - correct answer I will be sure to have blood testes for anemia
A nurse is caring for a client who has prescription for an IM injection of penicillin G benzathine. The client asks why the injection must be given IM instead of through the IV line. Which of the following responses should the nurse make? - correct answer you're medication can't be given IV because it is not water soluble
A nurse is instilling timolol eyedrops for a client who has glaucoma. Which of the following actions should the nurse take after instilling the eyedrops? - correct answer press the nasolcarimal duct
A nurse is reinforcing with a client who is using phenylephrine nasal spray three dimes daily and reports rebound congestion. Which of the following instruction should the nurse include to reduce the effect of rebound congestion. - correct answer Discontinue use in the left nostril, then in the right nostril
A nurse is reinforcing teaching with a client following placement pf a cast for a fractured ankle. The client is to take oxycodone for pain management. The nurse should instruct the client that which of the following over the counter medications is contraindicated while taking oxycodone? - correct answer diphenhydramine
A nurse is reinforcing teaching with a client who has seizures and a new prescription for valproic acid. The nurse should instruct the client to report which of the following adverse effects of valproic acid immediately to the provider? - correct answer abdominal pain
A nurse is collecting data from a client who is receiving digoxin for treatment of heart failure. The nurse should identify which of the following findings as adverse effects of this medication? - correct answer blurred vision, nausea, and dysrythmia
A nurse is reinforcing teaching with a client who has hypertension and a new prescription for spironolactone. Which of the following instructions should the nurse include in the teaching? - correct answer restrict foods high in potassium
A nurse is collecting data from a client who is asking about taking celecoxib for treatment of joint pain. The nurse should identify that which of the following findings is a contraindication to receiving celecoxib? - correct answer history of myocardial infraction
A nurse is contributing to the plan of care for a client who has schizophrenia and a new prescription for clozapine. The nurse should include in the plan to monitor the client for which of the following adverse effects of this medication? - correct answer agranulocytosis
A nurse is reinforcing teaching With a client about the adverse effects of simvastatin. For which of the following adverse effects should the nurse instruct the client to notify the provider? - correct answer muscler pain
A nurse is reinforcing teaching with a client who is to start therapy using a nitroglycerin transdermal patch. Which of the following instruction should the nurse includes? - correct answer Place the patch on a different site for each application
A nurse is caring for a client who has tuberculosis and will begin taking isoniazid. Which of the following actions should the nurse take? - correct answer determine the clients daily alcohol intake
A nurse is reinforcing teaching with a client who has a new prescription for omeprazole oral capsule. Which of the following instructions should the nurse include? - correct answer swallow the medication whole
A nurse is collecting data from the parent of a toddler who is about to receive the varicella immunization. The nurse should identify that an anaphylactic reaction to which of the following substances is a contraindication for receiving this immunization? - correct answer gelatin
A nursing is caring for a client who is taking phenylephrine. The nurse should plan to monitor the client for which of the following manifestation as an adverse effect of this medication. - correct answer increase heart rate
A nurse is collecting data from a client who is taking ferrous sulfate orally. Which of the following findings reported by the client should indicate to the nurse that the medication is having a therapeutic effect?term-48 - correct answer increased tolerance to exercise
A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The clients temp increases to 39.1 C (102.4)F. Which of the following actions should the nurse take first? - correct answer stop the transfusion
A nurse is collecting data from a female client who has been taking propylthiouracil (PTU) for 2 months to treat Graves disease. Which of the following findings should the nurse recognize as an indication that the medication is effective? - correct answer pulse 82/min
A nurse is reinforcing teaching with a client who has bipolar disorder and a new prescription for lithium. Which of the following instructions should the nurse include in the teaching? - correct answer maintain a consistent sodium intake
A nurse is collecting data from a client who has Parkinsons disease and is taking levodopa/cardibopa. The nurse should identify which of the following findings as an adverse effect of this medication? - correct answer dark urine
A nurse is reinforcing teaching about comfort measures with the parent 10 year old child who has a viral infection. The nurse should plan to tell the parent that aspirin is contraindicated because of the risk for which of the following conditions? - correct answer reyes syndrome
A nurse is reinforcing teaching with a client who has a new prescription for entanercept to treat rheumatoid arthritis. Which of the following instructions about self administering this medication should the nurse include? - correct answer discard any solutions that are cloudy
A nurse is caring for a client who has multiple sclerosis and has a new prescription for baclofen. Which of the following findings indicates to the nurse that the medication is having a therapeutic effect? - correct answer decreased muscle spasticity
A nurse is caring for a client who has a new prescription for sumatriptan. The nurse notes that the client takes fluoxetine. The nurse should notify the provider that the combination of these medications will place the client at risk for which of the following adverse effects? - correct answer tremors
A nurse is reviewing the history of a client who is to start taking cefotetan to treat a bacterial infection. Which of the following information from the clients medical recovers should the nurse report to the provider before the clients begins this medication? - correct answer penicillin allergy
A nurse is caring for a client who has hyperthyroidism and has been taking methimazole. Which of the following lab results should indicate to the nurse that the medication has had a therapeutic effect? - correct answer decreased t4
A nurse is reinforcing teaching with a client who has a new prescription for pronaolol. Which of the following information should the nurse include in the teaching? - correct answer if your pulse rate is less than 50 beats per minute notify the provider
A nurse is preparing to administer a PRN medication to a group of clients. Which of the following clients should the nurse administer medication to first? - correct answer a client who is attending postoperative physical therapy and requests pain medication
A nurse is caring for a client who has a history of psychosis and is taking chlirpromazine. Which of the following actions should the nurse take to counteract the adverse effects of this medication? - correct answer inform the client to apply sunblock before going outside
A nurse is caring for a client who has a new prescription for eplerenone to treat hypertension. The nurse should monitor for which of the following adverse effects of this medication? - correct answer hyperkalemia
A nurse is planning to administer metoprolol to a client who has heart failure and a heart rate 48/min. Which of the following actions should the nurse take? - correct answer withhold the clients medication
A nurse is reinforcing teaching with a female client who has a new prescription for isotretinoin. Which of the following instructions should the nurse include in the teaching? - correct answer you will need to have your liver enzymes monitored after 1 month, you can have nosebleeds while taking this med, you should report any thoughts of harming yourself, you will need to have two negative pregnancy tests prior to taking this med
A nurse is preparing to administer diphenhydramine 50 mg PO at 2200 to a client who has difficulty swallowing pills and capsules. Available is diphenhydramine syrup 12.5 mg/ 5 mL PO. Which of the following actions requires the complication of an incident report? - correct answer administer 25 mL of the syrup
A nurse is reinforcing teaching Wirth a client who has a new prescription for ethinyl estradiol/northindrone an oral contraceptive. Which of the following clients statements should indicate to the nurse an understanding of the teaching? - correct answer I will take the medication at the same time each day
A nurse is reinforcing teaching with a client who has a new prescription for regular insulin. Which of the following statements by the client indicate an understanding of the teaching. - correct answer "I should ensure that the insulin is prior to drawing it up" [Show Less]