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A nurse is preparing to administer a scheduled dose of warfarin to a client. Which
of the following laboratory tests should the nurse review prior to administration?
A. PT
B. Total iron-binding capacity
C. WBC
D. PTT
A. PT
A nurse is caring for a group of clients. Which of the following situations requires
an incident report?
A. Client experiences a seizure.
B. A client vomits after receiving an oral medication.
C. A client receives their insulin 1 hours before scheduled.
D. A client receives their meal tray 20 min late.
C. A client receives their insulin 1 hour before scheduled.
A nurse is assessing a client who has received oxycodone. The nurse notes that the
client's respiratory rate is 8/min. The nurse should identify that which of the
following is the pathophysiology for the client's respiratory rate?
A. Oxycodone blocks the sodium channel suspending nerve conduction.
B. Oxycodone promotes vasodilation of cranial arteries.
C. Oxycodone causes central nervous system depression.
D. Oxycodone inhibits prostaglandin synthesis.
C. Oxycodone causes central nervous system depression.
,A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride 100 ml-
via intermittent IV bolus over 30 min. The drop factor of the manual IV tubing is
I5 gtt/mL. The nurse should set the manual IV infusion to deliver how many
gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it
applies. Do not use a trailing zero.)
50gtt/min
A nurse is caring for a client in the clinic.
Vital Signs 1 week ago:
Temp 37 HR64/min RR 12/min
BP 118/72 mm Hg
Today: Temp 37.2 HR 82/min
RR 16/min
BP 110/68 mm Hg.
Which of the following client statements indicates to the nurse the teaching was
effective?
A. "I will consume foods that are soft or semisolid."
B. "I will avoid consuming alcoholic beverages."
C. "I will perform oral hygiene using a firm-bristle toothbrush."
D. "I will avoid taking folic acid supplements while taking this medication.
A. "I will consume foods that are soft or semisolid."
A nurse is caring for a client who has diabetes insipidus and is receiving
desmopressin by intermittent IV bolus. Which of the following manifestations
should the nurse identify as an indication of a therapeutic response to the
medication?
A. Increase in serum sodium.
B. Decrease in urine output
C. Increase in heart rate
D. Decrease in blood pressure
B. Decrease in urinary output.
,A nurse in a provider's office is caring for a client. Nurses' Notes
3 months ago: Client seen in provider's office for routine physical.
Today: Client reports dizziness and light-headedness upon standing. Client reports
waking up at night to void. What actions should the nurse take? (SATA).
A. Advise the client to change positions slowly.
B. Check the client for orthostatic hypotension.
C. Monitor the client for dysrhythmias.
D. Advise the client to restrict potassium intake.
E. Advise the client to take the medication before bedtime.
A. Advise the client to change positions slowly.
B. Check the client for orthostatic hypotension.
A nurse is assessing a client who is in labor and is receiving epidural anesthesia.
Which of the following findings should the nurse identify as the priority?
A. Urinary retention
B. Leg weakness
C. Hypotension
D. Temperature 39°C (102.2°F)
C. Hypotension
A nurse is caring for a client in a provider's office. Nurses' Notes Day 1:
Client presents for evaluation of neurological changes, including stiffness of lower
extremities, and shaking of hands. Client is married, has no known allergies, and
no surgical history. Client is a retired airline pilot and the parent of five adult
children.
Day 7:
Client reports having trouble sleeping due to nightmares and states, "I'm not sure
this medication is doing what it's supposed to do." Client reports daily nausea.
Which of the following statements should the nurse include when teaching the
client about the prescribed medication? (SATA).
A. "Consumption of a high protein meal can reduce the effectiveness of the
medication. B. "You may notice your urine becomes lighter in color."
, C. "You may initially notice an increase in involuntary movements."
D. "You can experience vivid nightmares.
E. "The medication can cause nausea, s
B, C, D, E
A nurse is mixing regular insulin and NPH insulin in the same syringe prior to
administering it to a client who has diabetes mellitus. Which of the following
actions should the nurse take first?
A. Inject air into the NPH vial.
B. Withdraw the regular insulin from the vial. C. Inject air into the regular insulin
vial.
D. Withdraw the NPH insulin from the vial
A. inject air into the NPH vial.
A nurse is reviewing the medical record of a female client who asks about a
prescription for alendronate for the treatment of osteoporosis. Which of the
following findings should the nurse identify as a safety risk for the client when
taking this medication?
A. The client has a history of anaphylaxis following a bee sting.
B. The client has a first-degree relative who has Paget's disease.
C. The client is postmenopausal.
D. The client has immobility that restricts her to a supine position.
D. The client has immobility that restricts her to a supine position.
A nurse is teaching a client who has pernicious anemia to self-administer nasal
cyanocobalamin. Which of the following information should the nurse include in
the teaching?
A. "Use a nasal decongestant 15 minutes before the medication if you have a stuffy
nose. "
B. "Plan to self-administer this medication for the next 6 months."
C. "Lie down for 1 hour after administering the medication. "
D. "Administer the medication into one nostril once per week."