Exam Review
- A female client starts a new prescription, oxybutynin, for symptoms of an overactive bladder. The client tells the nurse that she is training to run in a half-marathon. Which instruction should the nurse emphasize?A)Wear padding to protect from bruising if a fall occurs.B)Take measures to avoid dehydration and over-heating.C)Avoid crowds to help prevent acquiring infections.D)Keep skin and eyes covered to protect from sun injury.
- 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? Reference Range: Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)] Hemoglobin [14 to 18 g/dL (140 to 180 g/L)] Potassium [3.5 to 5 mEq/L (3.5 to 5 mmol/L)] Ammonia [10 to 80 μg/dL (6 to 47 μmol/dL)]A)Hemoglobin level of 13.5 g/dL (135 g/L).B)Serum ammonia level of 30 μg/dL (17.62 μmol/dL).C)Serum potassium level of 3.8 mEq/L (3.8 mmol/L).D)Serum glucose level of 120 mg/dL (6.7 mmol/L).
- A client who is newly diagnosed with diabetes insipidus (DI) is receiving a synthetic vasopressin intravenously. Which side effect of vasopressin reported by the client should the nurse report to the healthcare provider?A)Worsening headache.B)Low urine specific gravity.C)Polyuria.D)Polydipsia.
- Which action should the nurse implement to assess the effectiveness of amlodipine?A)Monitor the client's serum electrolytes.B)Measure the client's blood pressure.C)Review the client's intake and output.D)Note the client's serum calcium levels.
Exam Review
- To control asthma, a client in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system, which provides an inhaled powdered form of these combined medications. Which instruction should the nurse provide to this client's caregivers?A)Clients using the discus may experience decreased blood pressure.B)Explain that the client should not use the discus more than twice daily.C)When using the discus, have the client breathe out rapidly into the mouthpiece.D)Offer the discus to the client for use during an acute asthma attack.
- A client with allergic rhinitis is taking the over-the-counter antihistamine diphenhydramine HCL. Which instruction is most important for the nurse to provide this client?A)Do not take the medication more than once every 8 hours.B)Take the medication with food to prevent gastric upset.C)Avoid driving, since this medication causes drowsiness.D)Use sugarless candy or gum to help prevent a dry mouth.
- The nurse is teaching a client who has been diagnosed with human immunodeficiency virus (HIV) about the antiretroviral medication regimen. Which statement provided by the client requires additional instruction by the nurse?A)The viral load can be decreased to an undetectable level.B)Antiretroviral medication prevents the transmission of the virus.C)The medications can decrease acquired immunodeficiency syndrome (AIDS) related complications.D)HIV infection is not cured by the antiretroviral regimen.
- The nurse is providing discharge instructions to a client who has been prescribed gabapentin 300 mg by mouth (PO) three times a day for postherpetic neuralgia. Which symptom should the nurse tell the client to report to the healthcare provider?A)Gastric irritation.B)Rapid weight gain.C)Sexual dysfunction.D)Photosensitivity.
Exam Review
- 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) [14 to 18 g/dl. (8.7 to 11.2 mmol/L)]A)Food diary shows increased consumption of iron-rich foods.B)Reports of increased energy levels and decreased fatigue.C)Takes concurrent iron therapy without adverse effects.D)Hemoglobin level increased to 12 g/dL (7.45 mmol/L).
- The client is a 75-year-old female admitted to the preoperative area to prepare for pacemaker insertion. Client reports she is having this done because her heart rate has been staying very low, she is always tired, and she has passed out once from low heart rate. Client has history of worsening symptomatic bradycardia. History of atrial fibrillation controlled. The nurse is preparing the client's plan of care. Select 4 findings that would indicate to the nurse that the administration of the vancomycin antibiotic would be safe to administer.(SATA)A)No known allergiesB)Peripheral IV in large veinC)Potassium 4.4 mEq/L (4.4 mmol/L)D)Used for prophylaxisE)Blood urea nitrogen 17 mg/dL (6.07 mmol/L)F)Dosage in safe range
- A male client is admitted for observation because he is reporting progressively increasing fatigue over the past month and a brief episode of dizziness that occurred today. He has a history of heartburn and indigestion that he self-treats with ibuprofen and antacids. Which assessment finding should the nurse report immediately to the healthcare provider? Reference Ranges: Hemoglobin (14 to 18 g/dL (8.7 to 11.2 mmol/L)] Hematocrit [42% to 52% (0.42 to 0.52 volume fraction)] Gastric pH [1.5 to 3.5]A)Hematocrit 42% (0.42 volume fraction).B)Hemoglobin 13 g/dL (8.07 mmol/L).C)Positive guaiac of stool.D)Gastric pH 2.0.
- A client has a prescription for heparin 1,000 units IV STAT. Several pre filled syringes of low molecular weight heparin are available in the client's medication drawer. Which action should the nurse implement?A)Request a prescription to change the route of administration and use the available heparin.B)Advise the pharmacy of the need to deliver a vial of heparin to the nursing unit immediately.C)Calculate and administer the equivalent dose of the available low molecular weight heparin.D)Dilute the available heparin in 250 mL of normal saline solution prior to IV administration.
Exam Review
- 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?A)Offer both drugs together with a meal.B)Administer iodine one hour before PTU.C)Schedule both medications at bedtime.D)Give parental dose once every 24 hours.
- The nurse is educating a client about acetaminophen. Which information provided by the client requires additional instruction by the nurse?A)Avoid the consumption of alcohol.B)Report any color changes to urine.C)Take additional doses as needed.D)Stop medication if a rash develops.
- The nurse is planning the home care of a client who is receiving a mydriatic medication. Which environment is best for this client?A)A quiet, restful environment.B)A dimly lit room.C)A warm room temperature.D)Cool, humidified air.
- The nurse is assessing a client who was recently diagnosed with Parkinson's disease and is taking carbidopa-levodopa. The client is concerned that the medication is not working. Which intervention should the nurse implement first?A)Explore what the client means by the drug "is not working."B)Determine if the client is taking the medication before meals.C)Evaluate the client for signs of dyskinesia.D)Ask if the client's morning voids are dark colored.
Exam Review
- 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)Begin therapy 1 week before the next normal menstrual cycle.B)Call the healthcare provider immediately if there is a chance of conception.C)Use condoms and a backup method of birth control to prevent pregnancy.D)Ensure a negative pregnancy test result 2 weeks before therapy.
- A client with peptic ulcer disease receives a new prescription for cimetidine. Which statement provided by the client requires additional instruction by the nurse?A)Notify the healthcare provider of lethargy.B)Decrease cigarette use to a pack per day.C)Monitor for any signs of sexual dysfunction.D)Take the medication an hour after antacids.
- The nurse is reviewing the client's laboratory values. Which serum laboratory value indicates to the nurse that a prescription for atorvastatin is having the desired effect for a client at risk for coronary artery disease?A)High density lipoprotein (HDL)B)Low density lipoprotein (LDL).C)Creatine phosphokinase (CK).D)Prothrombin time (PT).
- 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)Determine daily caffeine intake.B)Ask about the client's bedtime routine.C)Determine what time the dose is taken.D)Inquire about perceived anxiety.
Exam Review
- A client receives a prescription for penicillin 1.2 million units IM. The available vial is labeled, "600,000 units/2 mL." How many mL should the nurse administer? (Enter numeric value only.)
- The nurse is caring for an adult client who is taking digoxin. Which laboratory value should be reported to the healthcare provider immediately? Reference Range: Sodium [Adult 136 to 145 mEq/L (136 to 145 mmol/L)] Digoxin level (0.8 to 2.0 ng/mL (0.6 to 13 nmol/L)] Potassium (K+) [Adult: 3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L)] Creatinine [0.5 to 1.1 mg/dL (44 to 97 μmol/L)]A)Digoxin level of 1.1 ng/mL (1.4 nmol/L).B)Creatinine level of 0.8 mg/dL (70.72 μmol/L).C)Potassium level of 3.2 mEq/L (3.2 mmol/L).D)Sodium level of 135 mEq/L (135 mmol/L).
- The nurse is caring for a client who takes methotrexate for rheumatoid arthritis and receives a prescription for adalimumab. Which instructions should the nurse provide the client?A)Undergo annual eye examinations.B)Avoid crowds and people who are sick.C)Have a chest x-ray prior to your first dose.D)Obtain routine vaccinations as scheduled.
- A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (DW) 200 mL. The nurse should program the infusion pump to deliver how many mL/hr? (Enter numerical value only.)