100% VERIFIED Q & A
A nurse is reviewing a client's 0800 Laboratory values at 1100. The nurse notes that the client
received heparin at 1100. Which of the following laboratory values warrants an incident report?
CORRECT ANSWERS aPTT 90 seconds
A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic
administration. After assessing a client's respiratory status and stopping the medication infusion,
which of the following actions should the nurse take next?
CORRECT ANSWERS Administer Epinephrine IM
A nurse is caring for a client who is taking triamterene. For which of the following laboratory
values should the nurse withhold the medication?
CORRECT ANSWERS Potassium 5.3 mEq/ L
A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the
nurse should take. (Move the steps into the box on the right, placing them in the order of
performance. Use all the steps)
CORRECT ANSWERS
Obtain the client's apical heart rate
Remove the medication from the dispensing system
Open the medication package
Compare the client's wristband to the medication administration record
Document administration of the medication
A nurse is reviewing the list of current medications for a client who is to start a new prescription
for carbamazepine. The nurse should identify which of the following medications interacts with
carbamazepine?
,CORRECT ANSWERS estrogen-containing contraceptives
A nurse is providing teaching to a client who has a new prescription for clozapine. Which of the
following statements should the nurse include in the teaching?
CORRECT ANSWERS Notify your provider if you develop a fever while taking this medication"
you should have your WBC monitor every week
A nurse is reviewing the medication list of a client who has erectile dysfunction and is requesting
for prescription for sildenafil. the nurse should identify which of the following medications is a
contraindication for receiving medication?
CORRECT ANSWERS nitroglycerin
A nurse in a medical surgical unit is preparing to administer an influenza vaccine to a client. The
client tells the nurse I no longer want this vaccine. Which of the following responses should the
nurse make?
CORRECT ANSWERS the influenza vaccine this strongly and coverage but I understand you
would like to decline right now
A nurse is discussing adverse reactions to pain medications in older adults clients with a newly
licensed nurse. Which of the following findings should the nurse include as risk factors for an
adverse drug reaction? select all that applies
CORRECT ANSWERS
multiple health problems
decrease percentage of body fat
decreased renal function
A nurse is reviewing a client's medical record before administering acetaminophen 650 mg by
mouth every 6 hours. Which of the following findings indicate a need for the nurse to notify the
provider?
CORRECT ANSWERS history of alcohol use disorder
, a nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed
hypertonic solution. Which of the following findings should indicate to the nurse that the
treatment is effective?
CORRECT ANSWERS improve cognition
A nurse is reviewing the laboratory results of a client who is receiving genital medicine for
Staphylococcus. Which of the following findings should the nurse report to there immediately?
CORRECT ANSWERS fasting blood glucose 130 mg
A nurse is reviewing the laboratory results of a client who is receiving Heparin by continuous IV
infusion. Which of the following Results indicates the nurse should decrease the infusion rate?
CORRECT ANSWERS aPTT 90 sec
The nurse is caring for a client who has diabetes mellitus and is taking Pioglitazone. The nurse
should plan to monitor the client for which of the following adverse effects?
CORRECT ANSWERS orthostatic hypotension
A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the following
manifestations should the nurse identify as an allergic reaction?
CORRECT ANSWERS Hypotension
A nurse is reviewing the laboratory results of a client who received a dose of sodium
polystyrene sulfonate. Which of the following findings should a nurse identify as an indication
that the medication has been effective?
CORRECT ANSWERS
calcium 8 mg- under normal range
potassium 4.6 meq- in normal range A nurse
is caring for a client who has heart failure
and is taking hydrochlorothiazide. The nurse
should monitor the client for which of the