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1. A nurse is caring for a client who is to receive 1,500 mL of 0.9% sodium chloride IV over
8 hours.The nurse plans to use IV tubing with a drop factor of10gtt/mL. How many gtt/min
of IV fluid should the client receive? (Round youranswer to the nearest whole number).:
31gtt/min
2. A nurse is assessing a client who is receiving chloramphenicol (Chloromycetin).
Which of the following findings is an adverse effect of thismedication? (adverse affect
is thrombocytopenia)
Ecchymosis
Ototoxicity
Hypertension Anxiety:
Ecchymosis
3. A nurse is admitting a client to a long-term care facility. While reconciling the
medication prescribed at home with those prescribed in the facility, the nurse discovers
a discrepancy in the dosages.Which action should the nursetake?
1) clarify the med dose with the provider
,2) Change the prescribed medication dosages to reconcile the discrepancy 3)Contact the
pharmacist regarding the dosage discrepancies
4) Ask a family member to verify the medication dosages: 1) clarify the meddose with the
provider
4. A nurse is caring for a client who is receiving a fentanyl transdermal system(Duragesic).
What is important to document in the client's record?
Fluidintake
Skin integrity
Respiratory rate
Pulse rate: Respiratory rate
5. A nurse is caring for a client who has acute angina and has a prescription for
nitroglycerin. Which of the following is an appropriate intervention for thenurse to take
when administering this medication?
Massage the nitroglycerin ointment completely into the skin.Replace
the nitroglycerin transdermal patch every 4hours.
Administer a sustained nitroglycerin tabletorally.
Administer a nitroglycerin tablet sublingually every 5minutes: Administer a
nitroglycerin tablet sublingually every 5minutes
,6. A nurse is preparing to administer infliximab (Remicade) to a client who
hasrheumatoid arthritis. The nurse should watch the patient for which of thefollowing
adverse effects?(Select all that apply.)
Jaundice
Polyuria
Urtipenia Fever:
JaundiceUrtipenia
Fever
7. A nurse is providing teaching to a client who was recently diagnosed as HIVpositive.The
client is beginning medication therapy with zidovudine (Retrovir).Which of thefollowing
statements should the nurse include in the teaching. (Select all thatapply.)
Must be taken with otherr etroviral medicinesHas
few adverse effects
Cures an HIVinfection
Prevents you from transmitting the HIVinfection
Increases CD4+ cell count: Must be taken with other etroviral medicationsHas few
adverse effects
Increases CD4 and cell count
8. A nurse is assessing a school age client who is experiencing seizure activityand
isprescribed diazepam (Valium) IV. The nurse should should clarify the order if the client is
receivinga continuous infusion of which of the followingIV:
, Lactated Ringers solution
0.9% Sodium chloride with 100 units of regularinsulin0.9%
sodiumchloride
0.9% Sodium chloride with 20 mEq of potassium chloride: Lactated Ringerssolution
9. A nurse is assessing a client who is taking enalapril (Vasotec) for congestiveheartfailure.
Which of the following indicates an expected finding?
Activity tolerance
Orthostatic hypotension
Loss of strength
Increase in blood pressure: Orthostatic hypotension