,C. Data Collection - CORRECT ANSWERS-A nurse is caring for a client who has
multiple medication allergies. During which of the following steps of the nursing process
should the nurse identify the client's allergies?
A. Planning
B. Evaluation
C. Data Collection
D. Implementation
C. check the client's apical pulse - CORRECT ANSWERS-A nurse is caring for a client
and realizes after administering the 0900 medications that she gave digoxin 0.25 mg
PO to the client instead of the prescribed dose of digoxin 0.125 mg PO. Which of the
following actions should the nurse take first?
A. notify the provider
B. contact the nursing supervisor
C. check the client's apical pulse
D. complete an incident report
C. QID - CORRECT ANSWERS-A nurse is preparing to administer medication to a
client. Which of the following abbreviations indicates the greatest frequency of
medication administration?
A. BID
B. TID
C. QID
D. Q8h
B. Levothyroxine 75 mcg PO q AM before breakfast
EC = enteric coated, XR = extended release, SL = sublingually - CORRECT
ANSWERS-A nurse is reviewing the medication administration record of a client who
has impaired swallowing. The nurse should crush the medication when administering
which of the following prescriptions?
A. Aspirin EC 80 mg PO daily
B. Levothyroxine 75 mcg PO q AM before breakfast
C. Metformin XR 500 mg PO daily
D. Nitroglycerin 0.3 mg SL PRN chest pain, can repeat q 5 min for 2 additional doses.
B. Epistaxis
, Cefotetan is an antibiotic that affects vitamin K levels, which can result in bleeding and
epistaxis. It is a second generation cephalosporin. - CORRECT ANSWERS-A nurse is
caring for a client who is receiving cefotetan 1 g via intermittent IV bolus every 12 hours
to treat a postoperative infection. Which of the following manifestations should the nurse
monitor for as an adverse effect of the medication?
A. disorientation
B. epistaxis
C. constipation
D. jaundice
B. Intravenous - CORRECT ANSWERS-A nurse is assisting with the care of a client
who is postoperative. The client reports a pain level of 8 on a scale of 0 to 10 and has a
prescription for meperidine. Which of the following routes of administration will deliver
the medication with the shortest time of onset?
A. oral
B. Intravenous
C. intramuscular
d. subcutaneous
C. laryngeal edema
this can indicate an allergic reaction, possibly anaphylaxis - CORRECT ANSWERS-
nurse is monitoring a client with pneumonia who has received penicillin G
intramuscularly. Which of the following findings should the nurse plan to evaluate first?
A. pain at the injection site
B. prolonged motor dysfunction
C. laryngeal edema
D. temperature of 99.7 F
c. hepatic toxicity - CORRECT ANSWERS-A nurse is reviewing the laboratory results of
a client who is taking a medication and notes that the client's blood tests show an
elevated level of the enzymes aspartate aminotransferase (AST) and alanine
aminotransferase (ALT). The nurse should recognize that these findings are potential
indications of which of the following conditions?
a. renal dysfunction
b. myelotoxicity
c. hepatic toxicity
d. cardiac dysrhythmia
B. Creatinine clearance 35 mL/min - CORRECT ANSWERS-A nurse is reviewing the
laboratory data for a client who has Alzheimer's disease and a new prescription for
memantine. The nurse should identify that which of the following findings increases the
risk for reduced clearance of the medication?
A. Alanine aminotransferase (ALT) 60 international units.
B. Creatinine clearance 35 mL/min
C. HbA1c 5%
D. BMI 31
multiple medication allergies. During which of the following steps of the nursing process
should the nurse identify the client's allergies?
A. Planning
B. Evaluation
C. Data Collection
D. Implementation
C. check the client's apical pulse - CORRECT ANSWERS-A nurse is caring for a client
and realizes after administering the 0900 medications that she gave digoxin 0.25 mg
PO to the client instead of the prescribed dose of digoxin 0.125 mg PO. Which of the
following actions should the nurse take first?
A. notify the provider
B. contact the nursing supervisor
C. check the client's apical pulse
D. complete an incident report
C. QID - CORRECT ANSWERS-A nurse is preparing to administer medication to a
client. Which of the following abbreviations indicates the greatest frequency of
medication administration?
A. BID
B. TID
C. QID
D. Q8h
B. Levothyroxine 75 mcg PO q AM before breakfast
EC = enteric coated, XR = extended release, SL = sublingually - CORRECT
ANSWERS-A nurse is reviewing the medication administration record of a client who
has impaired swallowing. The nurse should crush the medication when administering
which of the following prescriptions?
A. Aspirin EC 80 mg PO daily
B. Levothyroxine 75 mcg PO q AM before breakfast
C. Metformin XR 500 mg PO daily
D. Nitroglycerin 0.3 mg SL PRN chest pain, can repeat q 5 min for 2 additional doses.
B. Epistaxis
, Cefotetan is an antibiotic that affects vitamin K levels, which can result in bleeding and
epistaxis. It is a second generation cephalosporin. - CORRECT ANSWERS-A nurse is
caring for a client who is receiving cefotetan 1 g via intermittent IV bolus every 12 hours
to treat a postoperative infection. Which of the following manifestations should the nurse
monitor for as an adverse effect of the medication?
A. disorientation
B. epistaxis
C. constipation
D. jaundice
B. Intravenous - CORRECT ANSWERS-A nurse is assisting with the care of a client
who is postoperative. The client reports a pain level of 8 on a scale of 0 to 10 and has a
prescription for meperidine. Which of the following routes of administration will deliver
the medication with the shortest time of onset?
A. oral
B. Intravenous
C. intramuscular
d. subcutaneous
C. laryngeal edema
this can indicate an allergic reaction, possibly anaphylaxis - CORRECT ANSWERS-
nurse is monitoring a client with pneumonia who has received penicillin G
intramuscularly. Which of the following findings should the nurse plan to evaluate first?
A. pain at the injection site
B. prolonged motor dysfunction
C. laryngeal edema
D. temperature of 99.7 F
c. hepatic toxicity - CORRECT ANSWERS-A nurse is reviewing the laboratory results of
a client who is taking a medication and notes that the client's blood tests show an
elevated level of the enzymes aspartate aminotransferase (AST) and alanine
aminotransferase (ALT). The nurse should recognize that these findings are potential
indications of which of the following conditions?
a. renal dysfunction
b. myelotoxicity
c. hepatic toxicity
d. cardiac dysrhythmia
B. Creatinine clearance 35 mL/min - CORRECT ANSWERS-A nurse is reviewing the
laboratory data for a client who has Alzheimer's disease and a new prescription for
memantine. The nurse should identify that which of the following findings increases the
risk for reduced clearance of the medication?
A. Alanine aminotransferase (ALT) 60 international units.
B. Creatinine clearance 35 mL/min
C. HbA1c 5%
D. BMI 31
