Two months after taking nitrofurantoin for a bacterial infection, a client reports the onset of severe, watery diarrhea to the home health nurse. How should the nurse respond?

The healthcare provider prescribes propylthiouracil (PTU) and Lugol's solution, a strong iodine solution, for a client with hyperthyroidism. How should the nurse schedule the administration of these medications?

The nurse is planning the home health care of a client who is receiving a mydriatic medication. Which environment is best for this client?

The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later, nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action should the nurse implement?

Review the H&P, nurse's notes, flow sheet, and prescriptions below. For each assessment finding, mark whether it represents (A) a therapeutic result of the bisacodyl administered, (B) a non-therapeutic side effect, or (C) an unrelated finding. Orders: Hospitalization Day 1 — Admit to the surgical floor; regular diet; bedrest; vital signs every 4 hours; ibuprofen 800 mg PO every 8 hours for pain 1--3/10; morphine 1 mg IV every 4 hours for pain greater than 4/10; record daily intake and output. Hospitalization Day 4, 0800 — Bisacodyl 10 mg suppository rectally daily. History and Physical: 44-year-old female with multiple traumatic injuries from an assault (struck in the legs with a baseball bat); multiple leg fractures; wrist fracture; abrasions on the right arm; Buck's traction applied and stabilized. Flowsheet: Day 1 — Intake 1,800 mL, Output 1,680 mL, no bowel movement. Day 2 — Intake 2,000 mL, Output 2,100 mL, no bowel movement. Day 3 — Intake 1,900 mL, Output 1,900 mL, no bowel movement. Day 4, 0800 — Heart rate 74, respiratory rate 15, blood pressure 110/65. 0930 — Heart rate 104, respiratory rate 17, blood pressure 135/81. Nurses' Notes: Day 4, 0800 — Client on her right side; reports itching in her legs; pain 7/10; skin pink and well perfused around Buck's traction; morphine, ibuprofen, and bisacodyl given. 0930 — Semifluid stool, 400 mL; reports burning in the anus; itching on legs has increased; bed bath given; non-blanchable red area found on the right buttock near the anus; pain now 2/10; heart rhythm sinus tachycardia.

The client reports to the nurse that the last time penicillin was prescribed a severe maculopapular rash appeared over the entire chest. Which information should the nurse provide the client regarding future antibiotic prescriptions?

A male client receives a scopolamine transdermal patch 2 hours before surgery. Four hours after surgery, the client tells the nurse that he is experiencing pain and asks why the patch is not working. Which action should the nurse take?

A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction?

A client who weighs 91 kg receives a prescription for a continuous infusion of dopamine at 3 mcg/kg/min. The solution is labeled, "Dopamine 400 mg in 5% Dextrose Injection 250 mL." How many mL/hr should the nurse program the infusion pump to deliver?

After receiving the third dose of a new oral anticoagulant prescription, an older adult client develops bleeding and tender gums and has many new bruises. Which actions should the nurse implement? Select all that apply.

A client who is taking dextroamphetamine-amphetamine extended-release tablets for attention deficit hyperactivity disorder (ADHD), reports about having difficulty sleeping at night. Which assessment is most important for the nurse to obtain?

A client who is newly diagnosed with diabetes insipidus (DI) is receiving a synthetic vasopressin IV. Which side effect of vasopressin reported by the client should the nurse report to the healthcare provider?

The nurse is preparing a dose of ketorolac 12 mg intravenously using a 1 mL vial containing 30 mg/mL. How many mL should the nurse administer?

A client with neuroleptic malignant syndrome receives a prescription for dantrolene 1.5 mg/kg IV. The client weighs 132 pounds. The label on the 250 mg vial reads, "Reconstitute with 5 mL sterile water for injection, USP. Reconstitution yields 50 mg/mL." How many mL should the nurse administer?

Which intervention is most important for the nurse to implement for a client with type 2 diabetes mellitus (DM) who is receiving insulin lispro?

A child who weighs 30 kg is experiencing a grand mal seizure. The healthcare provider prescribes diazepam 0.3 mg/kg/dose IV STAT. The medication is available in 5 mg/mL vials. How many mL should the nurse administer?

A client is receiving IV dextrose 5% in water (D5W) at 125 mL/hour and a secondary infusion of pantoprazole 40 mg IV daily. The pharmacy provides a 110 mL premixed solution of pantoprazole to be infused over 15 minutes. The nurse should program the secondary infusion to deliver how many mL/hour?

The healthcare provider prescribes a liter of normal saline 0.9% to be infused over 9 hours for a client who is NPO. The nurse should program the infusion pump to deliver how many mL/hour?

A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?

A female client with a history of peptic ulcer disease receives a prescription for misoprostol. Which information provided by the client indicates to the nurse a need for further teaching?

A client with eczema receives a prescription for betamethasone cream. Which client statement indicates to the nurse that further teaching is needed?

An older adult client is receiving vancomycin for a hospital acquired infection (HAI). Which intervention is most important for the nurse to implement?

A client is receiving one liter of D5W 0.45% normal saline IV every 8 hours by gravity infusion. The IV tubing has a drip factor of 12 gtt/mL. The nurse should regulate the IV to deliver how many drops per minute?

A client with anemia secondary to chronic kidney disease (CKD) started a prescription for epoetin alfa two months ago. Which client finding best indicates that the medication is effective? (Reference range: Hemoglobin 14--18 g/dL.)