RN Comprehensive Predictor form B 2019 Latest Update 2023
A nurse in a provider's office is reviewing a female client's medical record during a routine
... [Show More] visit. The nurse should recommend increasing dietary intake of which of the following vitamins? (Exhibit: H&P: postmenopausal, hx DVT and iron deficiency anemia, works indoors, consumes 1-2 alcoholic beverages per week)
a. Vitamin D
b. Vitamin K
c. Vitamin A
d. Vitamin B12
Vitamin B12
A nurse is assessing a client who had heart failure is taking furosemide. Which of the following findings should the nurse monitor ?
Hyponatremia
Hyperkalemia- LESS
Hypercalcemia
hypoglycemia
Hyponatremia- loop diuretic (Lasix) - wherever water goes sodium and potassium will follow
A nurse is providing teaching to a client who has heart failure and a new prescription for furosemide. Which of the following statements should the nurse make?
"Rise slowly when getting out of bed"
A nurse is reviewing the medical records of four clients. The nurse should identify that which of the following client findings follow up care?
A client who is taking bumetanide and has potassium level of 3.6 mEq/L (normal)
A client who is scheduled for colonoscopy and taking sodium phosphate
A client who received a Mantoux test 48 hours ago and has induration
A client who is taking warfarin and has INR of 1.8 (normal if taking warfarin)
A client who received a Mantoux test 48 hours ago and has induration
A nurse is providing teaching about digoxin administration to the parents of a toddler who has heart failure. Which of the following statements should the nurse include in the teaching?
"Have your child drink a small glass of water after swallowing the medication."
"Repeat the dose if your child vomits within 1 hour after taking the medication."
"You can add the medication to a half-cup of your child's favorite juice."
"Limit your child's potassium intake while she is taking this medication."
"Have your child drink a small glass of water after swallowing the medication.
Pg 117 in ATI Nursing Care of children. "Give water following administration to prevent tooth decay if the child has teeth."
A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the following findings should the nurse report to the provider?
a. Potassium level 4.2 mEq/L
b. Apical pulse 58/min
c. Digoxin level 1 mg/mL
d. Constipation for 2 days
c. Digoxin level 1 mg/mL
A nurse is caring for a client who is receiving phenytoin for management of grand mal seizures and has a new prescription for isoniazid and rifampin. Which of the following should the nurse conclude if the client develops ataxia and incoordination?
a. The client is experiencing an adverse reaction to rifampin
b. The client's seizure disorder is no longer under control
c. The client is showing evidence of phenytoin toxicity
d. The client is having adverse effects due to combination antimicrobial therapy
c. The client is showing evidence of phenytoin toxicity
Rationale: http://www.webmd.com/drugs/2/drug-4157/dilantin-oral/details#interactions
Rationale ATI Pharm p96: Phenytoin complications include ataxia, sedation & cognitive impairment (http://emedicine.medscape.com/article/816447-clinical#b4 also states that this is an indication of phenytoin toxicity); According to my Davis Drug Guide book, progressive s/s of phenytoin toxicity include ataxia, nystagmus, confusion, nausea, slurred speech & dizziness. [Show Less]