Exam Review
- The nurse is administering the muscle relaxant baclofen by mouth (PO) to a client diagnosed with multiple sclerosis. Which intervention should the nurse implement?A)Advise the client to move slowly and cautiously when rising and walking.B)Monitor intake and output every 8 hours.C)Ensure the client knows to stop baclofen before using other antispasmodics.D)Evaluate muscle strength every 4 hours.
- A female client who is a vegetarian has a new prescription for warfarin. The client states she eats leafy green vegetables every day. How should the nurse respond?A)Suggest that the client replace the leafy vegetables with a protein source such as nuts or beans.B)Advise the client that the healthcare provider needs to be made aware of her current diet.C)Commend the client for her healthy lifestyle and encourage her to continue her current diet habits.D)Confirm that her diet choices will help the medication be more effective in preventing blood clots.
- A client who received a renal transplant three months ago is readmitted to the acute care unit with signs of graft rejection. While taking the client's history, the nurse determines that the client has been self-administering St. John's Wort, an herbal preparation, on the advice of a friend. Which information is most significant about this finding?A)Ingestion of Wort can reduce the client's intake of sodium.B)Adding the herb decrease the need for corticosteroids.C)The client probably used this herb to treat depression.D)Wort can decrease plasma concentrations of cyclosporine.
- A client in the surgical recovery area asks the nurse to bring the largest possible dose of pain medication available. Which action should the nurse implement first?A)Ask the client to rate the current level of pain using a pain scale.B)Encourage the client to use diversional thoughts to manage pain.C)Review the history for a past use of recreational drugs.D)Determine when the last dose was administered.
Exam Review
- The nurse is planning care for a client with major depression who is receiving a new prescription for duloxetine. Which information is most important for the nurse to obtain?A)Family history of mental illnessB)Weight change in the last month.C)Liver function laboratory results.D)Recent use of other antidepressants.
- Prior to administering oral doses of calcitriol and calcium carbonate to a client with hypoparathyroidism, the nurse notes that the client's total calcium level is 14 mg/dL (3.5 mmol/L). Which action should the nurse implement? Reference Range: Total Calcium [Reference Range: Adult 9 to 10.5 mg\/dL or 2.25 to 2.62 mmol\/L]A)Administer both prescribed medications as scheduled.B)Hold both medications until contacting the healthcare provider.C)Hold the calcium carbonate, but administer the calcitriol as scheduled.D)Hold the, calcitriol but administer the calcium carbonate as scheduled.
- A client with chemotherapy induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report?A)Nausea.B)Diarrhea.C)Involuntary movements.D)Unusual irritability.
- The healthcare provider prescribes the antibiotic tetracycline HCI for an adult client that arrived at an outpatient clinic. Which instruction should the nurse include in the teaching plan for this client?A)Take with orange juice to enhance Gl absorption.B)Protect the skin from sunlight while taking the drug.C)Return to the clinic weekly to obtain serum drug levels.D)Take with milk or antacids to prevent gastrointestinal (GI) irritation.
Exam Review
- A client is receiving intravenous (IV) vancomycin and the nurse plans to draw blood for a peak and trough to determine the serum level of the drug. Which collection times provide the best determination of these levels?A)Two hours after completion of the IV dose and two hours before the next administration of the medication.B)One hour after completion of the IV dose and one hour before the next administration of the medication.C)Thirty minutes into the administration of the IV dose and 30 minutes before the next administration of the medication.D)Immediately after completion of the IV dose and 30 minutes before the next administration of the medication.E)NoneF)None
- A male client with a history of heart failure (HF) complains of heartburn when he lies down after dinner. The home health nurse should encourage the client to talk to the healthcare provider about using which over-the-counter medication to relieve this problem?A)Low sodium antacid.B)Diphenhydramine.C)Low dose aspirin.D)Acetaminophen.
- The nurse is providing instructions about a client's new medications. How should the nurse explain the purpose of probenecid, a uricosuric drug?A)Prevents the formation of kidney stones.B)Increases the strength of the urine stream.C)Decreases pain and burning during urinationD)Promotes excretion of uric acid in the urine.
- A client receives a new prescription for levothyroxine. Which statement made by client indicates to the nurse the education was effective?A)Consume foods that are high in iodine.B)Avoid the use of iron supplements.C)Administer levothyroxine at bed time.D)Take medication on an empty stomach.
Exam Review
- The nurse prepares to administer a scheduled dose of labetalol by mouth to a client with hypertension. The client's vital signs are temperature 99° F (37.2° C), heart rate 48 beats/minute, respirations 16 breaths/minute, and blood pressure (B/P) 150/90 mm Hg. Which action should the nurse take?A)Administer the dose and monitor the client's BP regularly.B)Withhold the scheduled dose and notify the healthcare provider.C)Apply a telemetry monitor before administering the dose.D)Assess for orthostatic hypotension before administering the dose.
- While assessing a client who takes acetaminophen for chronic pain, the nurse observes that the client's skin looks yellow in color. Which action should the nurse take in response to this finding?A)Check the client's capillary glucose level.B)Use a pulse oximeter to assess oxygen saturation.C)Report the finding to the healthcare provider.D)Advise the client to reduce the medication dose.
- The nurse is administering sodium polystyrene sulfonate to a client in acute kidney injury (AKI). Which laboratory finding indicates that the medication has been effective? Glucose [Reference Range: 74 to 106 mg/dL (4.1 to 5.9 mmol/L)] Hemoglobin (Hgb) [Reference Range:12-16 g/dL (120-160 g/L)] Potassium (K+) [Reference Range: 3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L)] Ammonia [Reference Range: Adult: 10 to 80 Mcg/dL (6 to 47 Mcmol/dL)]A)Serum ammonia level of 30 Mcg/dL (17.62 Mcmol /dL).B)Serum potassium level of 3.8 mEq/L (3.8 mmol/L).C)Serum glucose level of 120 mg/dL (6.7 mmol/L).D)Hemoglobin level of 13.5 g/dL (135 g/L).
- The nurse is caring for a client who has been taking ibuprofen. Which finding is most important for the nurse report to the healthcare provider?A)Hematemesis.B)Nausea.C)Insomnia.D)Dizziness.
Exam Review
- After taking orlistat for one week, a female client tells the home health nurse that she is experiencing increasingly frequent oily stools and flatus. Which action should the nurse take?A)Instruct the client to increase her intake of saturated fats over the next week.B)Ask the client to describe her dietary intake history for the last several days.C)Advise the client to stop taking the drug and contact her healthcare provider.D)Obtain a stool specimen to evaluate for occult blood and fat content.
- An older adult with iron deficiency anemia is being discharged with a prescription for ferrous sulfate enteric-coated tablets. To promote best absorption of the medication, which information should the nurse include in the discharge instructions?A)Bedtime is the best time to take the tablet.B)Crush the tablets and mix with pudding.C)Wait 2 hours after meals to take the tablet.D)Take the tablet with a daily multivitamin.
- The nurse initiates an infusion of piperacillin-tazobactam for a client with a urinary tract infection. Five minutes into the infusion, the client reports not feeling well. Which client manifestation should the nurse identify as a reason to stop the infusion?A)Scratchy throat.B)Pupillary constriction.C)Hypertension.D)Bradycardia.E)NoneF)None
- 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 (Hgb) [Reference Range: Male: 14 to 18 g/dL (8.7 to 11.2 mmol/L)]A)Hemoglobin level increased to 12 g/dL (7.45 mmol/L).B)Reports of increased energy levels and decreased fatigue.C)Food diary shows increased consumption of iron-rich foods.D)Takes concurrent iron therapy without adverse effects.
Exam Review
- The nurse is preparing a discharge teaching plan for a client who is taking ciprofloxacin hydrochloride tablets, which were prescribed because of a suspected anthrax exposure. Which instruction(s) should be included in the teaching plan? (Select all that apply.)A)Crush and mix the tablets with pudding if you have trouble swallowing the tablets.B)Use non-steroidal anti-inflammatory drugs (NSAID) to relieve mild joint aches and pains caused by the medication.C)Report any tendon pain or swelling to the healthcare provider immediately.D)Increase fluid intake while taking the medication.
- A client with heart failure (HF) develops hyperaldosteronism and spironolactone is prescribed. Which instruction should the nurse include in this client's plan of care?A)Monitor skin for excessive bruising.B)Replace salt with a salt substitute.C)Cover your skin before going outside.D)Limit intake of high-potassium foods.
- Find information about a client below. Exhibits What should the nurse double-check with a second nurse? Select all that apply.A)The insulin vial for color and clarityB)The history and physical with the diabetes diagnosis listed C The dose of insulin drawn up in the syringeC)The sliding scale insulin lispro order E The expiration date on the insulin vialD)The site for the insulin administration G The insulin concentration H The type of insulin to be administeredE)The site for the insulin administrationF)The insulin concentrationG)The type of insulin to be administered
- Exhibits The nurse is preparing the client for discharge and discussing home medications. What home medications may affect the amount of insulin needed by the client? Select all that apply.A)St. John's WortB)CorticosteroidsC)FluconazoleD)IbuprofenE)Oral contraceptives