#11
A nurse is caring for a client who is receiving haloperidol. The nurse should identify
which of the following findings as an adverse effect of the medication?
A. Akathisia
B. Paresthesia
C. Excess tear production
D. Anxiety - correct answer A. Akathisia
A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the
following adverse effects should the nurse instruct the client to monitor for and report to
the provider?
A. Chest pressure
B. White patches on the tongue
C. Bruising
D. Insomnia - correct answer A. Chest pressure
A nurse is teaching a client who is starting to take amitriptyline. Which of the following
findings should the nurse include in the teaching as an adverse effect of the
medication?
A. Muscle twitching
B. Cough
C. Urinary retention
D. Increased libido - correct answer C. Urinary retention
A nurse is assessing a client who is taking tamoxifen to treat breast cancer. Which of
the following findings is the priority for the nurse report to the provider?
A. Hot flashes
B. Gastrointestinal irritation
C. Vaginal dryness
D. Leg tenderness - correct answer D. Leg tenderness
A nurse is teaching a client who is taking allopurinol for the treatment of gout. Which of
the following information should the nurse include in the teaching?
A. Plan to increase the dosage each week by 200mg increments
B. Prolonged use of the medication can cause glaucoma
C. Drink 2 L of water daily
D. A fine red rash is transient and can be treated with antihistamines - correct answer C.
Drink 2 L of water daily
, A nurse is caring for a client who has diabetes mellitus and is taking glyburide. The
client reports feeling confused and anxious. Which of the following actions should the
nurse take first?
A. Perform a capillary blood glucose test
B. Provide the client with a protein-rich snack
C. Give the client 120 ml (4oz) of orange juice
D. Schedule an early meal tray - correct answer A. Perform a capillary blood glucose
test
A nurse is administering cefotetan via intermittent IV bolus to a client who suddenly
develops dyspnea and widespread hives. Which of the following actions should the
nurse take first?
A. Administer epinephrine 0.5ml via IV bolus
B. Discontinue the medication IV infusion
C. Elevate the client's legs above the level of the heart
D. Collect a blood specimen for ABG'd - correct answer B. Discontinue the medication
IV infusion
A nurse is preparing to administer 0.9% sodium chloride 1,000 ml IV over 8 hr to a
client. The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should set the
manual IV infusion to deliver how many gtt/min. Round to the nearest whole number -
correct answer 31 gtt/min
A nurse is teaching about a new prescription for ciprofloxacin to a client who has a
urinary tract infection. The nurse should identify which of the following statements as an
indication that the client understands the teaching?
A. "I will take this medication with an antacid to prevent gastrointestinal upset"
B. "I will stop taking this medication when I no longer have pain during urination"
C. "I will report any signs of tendon pain or swelling"
D. "I will take this medication with milk" - correct answer C. "I will report any signs of
tendon pain or swelling"
A nurse is preparing to teach a client who is to start a new prescription for extended
release verapamil. Which of the following instructions should the nurse plan to include?
A. Take the medication on an empty stomach
B. Avoid crowds
C. Discontinue the medication if palpitations occur
D. Change positions slowly - correct answer D. Change positions slowly
A nurse is caring for a client who is refusing to take their scheduled morning
furosemide. Which of the following statements should the nurse make?