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, BSN 315
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1. A client with a history of COPD receives a new RX for A. Primes the inhaler with
an ipratropium inhaler. Which action indicates to the 7 pumps
nurse that additional teaching is needed?
A. Primes the inhaler with 7 pumps
B. Attaches spacer device to the inhaler
C. Rinses the mouth after each use
D. Stores the medication at room temp
2. A client with HF develops hyperaldosteronism and B. Limit intake of high
spironalactone is prescribed. Which instruction should potassium foods
the nurse include in this clients plan of care?
A. Cover your skin before going outside
B. Limit intake of high potassium foods
C. Replace salt with a salt substitute
D. Monitor skin for excessive bruising
3. A client with peptic ulcer receives a new RX for cimeti- A. Notify the HCP of lethar-
dine. Which statement provided by the client requires gy
additional instruction by the nurse?
A. Notify the healthcare provider of lethargy
B. Monitor for any signs of sexual dysfunction
C. Decrease cigaretter use to a pack per day
D. Take the medication an hour after antacids
4. A client with chemo induced nausea receives a RX for B. Involuntary movements
metoclopramide. Which adverse effect is most impor-
tant for the nurse to report?
A. Diarrhea
B. Involuntary movements
C. Unusual irratability
D. Nausea
, BSN 315
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5. The nurse admits a client with a diagnosis of stage 4 C. Remove the morphine
cancer. The client has a RX to wear a subq morphine patches
sulfate patch for pain, The client is short of breath
and difficult to arouse, While performing a head to
toe assessment the nurse discovers 4 patches on the
clients body, Which action should the nurse take first?
A. Monitor BP
B. Administer a narcotic reversal drug
C. Remove the morphine patches
D. Apply oxygen face mask
6. The nurse is providing instructions about clients new D. Promotes excretion of
medications, How should the nurse explain the purpos uric acid in the urine.
of probenecid a uricosuric drug?
A. Decreases pain and burning during urination
B. Prevents the formation of kidney stones
C. Increases the strength of the urine stream
D. Promotes excretion of uric acid in urine.
7. A client taking atorvastatin develops an increased B. Muscle tenderness
serum creatine phosphokinase (CK) level. The nurse
shold assess the client for the onset of which prob-
lem?
A. Excessive bruising
B. Muscle tenderness
C. Peripheral edema
D. Nausea and vomitting
8. A client receives a new RX for levothyroxine. Which A. Take medication on an
statement made by the client indicates to the nurse the empty stomach
education was effective?
A. Take medication on an empty stomach