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A client with osteoarthritis receives a new prescription for celecoxib
orally for symptom management. The nurse notes the client is allergic
,to sulfa. Which action is most important for the nurse to implement
prior to administering the first dose?
a) Review the client's hemoglobin results.
b) Notify the healthcare provider.
c) Inquire about the reaction to sulfa.
d) Record the client's vital signs. - Answer: b) Notify the healthcare
provider.
The nurse is making early morning rounds on a group of clients when a
client begins exhibiting symptoms of an acute asthma attack. The nurse
administers a PRN prescription for a Beta 2 receptor agonist agent.
Which client response should the nurse expect?
a) Tachycardia
b) Increased blood pressure
c) Rapid resolution of wheezing
d) Improved pulse oximetry values
e) Reduced fever and airway inflammation - Answer: a) Tachycardia
c) Rapid resolution of wheezing
d) Improved pulse oximetry values
,Which change in data indicates to the nurse that the desired effect of
the angiotensin II receptor antagonist valsartan has been achieved?
a) Dependent edema reduced from +3 to +1
b) Serum HDL increased from 35 to 55 mg/dl
c) Pulse rate reduced from 150 to 90 beats/minute
d) Blood pressure reduced from 160/90 to 130/80 mmHg - Answer: d)
Blood pressure reduced from 160/90 to 130/80 mmHg
The nurse is assessing the effectiveness of high-dose aspirin therapy for
an 88-year-old client with arthritis. The client reports that she can't
hear the nurse's questions because her ears are ringing. Which action
should the nurse implement?
a) Refer the client to an audiologist for evaluation of her hearing.
b) Advise the client that this is a common side effect of aspirin therapy.
c) Notify the healthcare provider of this finding immediately.
d) Ask the client to turn off her hearing aid during the exam. - Answer:
c) Notify the healthcare provider of this finding immediately.
, The nitrate isosorbide dinitrate is prescribed for a client with angina.
Which instruction should the nurse include in this client's discharge
teaching plan?
a) Quit taking the medication if dizziness occurs.
b) Do not get up quickly. Always rise slowly.
c) Take the medication with food only.
d) Increase your intake of potassium-rich foods. - Answer: b) Do not get
up quickly. Always rise slowly.
Which medications should the nurse caution the client about taking
while receiving an opioid analgesic?
a) Antacids
b) Benzodiazepines
c) Antihypertensives
d) Oral antidiabetics - Answer: b) Benzodiazepines
A client who has been taking levodopa PO TID to control the symptoms
of Parkinson's disease has a new prescription for sustained-release
levodopa/carbidopa PO BID. The client took his levodopa at 0800.