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A patient newly diagnosed with hy-
pothyroidism is prescribed Levothyrox-
ine (Synthroid) 0.25 mg PO daily. After 6
weeks of treatment the nurse determines 1) Thyroid stimulating hormone (TSH)
that the medication was effective if the: level is 2 microunits/mL
1) Thyroid stimulating hormone (TSH)
level is 2 microunits/mL
2) Total t4 level is 2 mcg/dL
A nurse providing teaching to a client
who has just been prescribed prazosin
(Minipress) which of the following client
statement indicates understanding of
2) I will move slowly from sitting to stand-
teaching:
ing to prevent falls
1) I will not use a salt substitute while
taking meds
2) I will move slowly from sitting to stand-
ing to prevent falls
A nurse is providing teaching to a patient
who is prescribed phenytoin (Dilantin).
Which statement by the patient indicates
1) I should expect a rash to develop
further teaching:
1) I should expect a rash to develop
2) I may develop hair or face or chest
A nurse is receiving a telephone pre-
scription for an antibiotic from a client's
provider. Which of the following is the
nurse required to do: 3) Read the prescription back to the
3) Read the prescription back to the provider after transcribing
provider after transcribing
4) Write the trade name for the pre-
scribed medicine
A nurse is providing teaching to an ado-
lescent and her family regarding a new
prescription of phenytoin (Dilantin) for a
1) I will keep a seizure frequency chart
newly diagnosed seizure disorder. Which
of the following client statements indi-
cates the understanding of the teaching:
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1) I will keep a seizure frequency chart
2) I will skip a dose if I am experiencing
nausea
A nurse is caring for a client who has
heart failure and is receiving furosemide
(Lasix) and digoxin (Lanoxin). Routine
laboratory results reveal a potassium lev-
1) Apply a cardiac monitor
el of 2.6 mEq/L. Which of the following
actions should the nurse take first:
1) Apply a cardiac monitor
2) Provides foods high in potassium
A nurse administers ceftazidime (Fortaz)
to a client who has a severe penicillin
allergy. Which of the following client find-
ings requires an incident report: 2) The client reports shortness of breath
1) The client is also taking linsinophrel
(Prinivil)
2) The client reports shortness of breath
A nurse is providing teaching to a fe-
male client who has been newly diag-
nosed with a seizure disorder and has
begun phenytoin (Dilantin). The nurse
should tell the client that phenytoin can 1) Ethunyl estradiol/desogestrel (Cy-
decrease the effectiveness of which of clessa)
the following:
1) Ethunyl estradiol/desogestrel (Cy-
clessa)
2) Fluroxetine (Prozac)
A nurse providing teaching to a
client who is diagnosed with migrane
headaches. The client is prescribed
ergotamine (Ergostat) sublingual (SL).
Which of the following should the nurse 2) Take 1SL tablet at onset of migrane
include in her instructions:
1) Take 1SL tablet three times a day be-
fore meals
2) Take 1SL tablet at onset of migrane
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A nurse is reviewing a client's daily
laboratory findings before administer-
ing 0.125 mg of digoxin (Lanoxin). The
client's serum digoxin level is 0.7 mg/mL.
1) Give the medication
Which of the following actions should the
nurse take:
1) Give the medication
2) Request a dose increase
A nurse is planning to provide medica-
tion education for a client who will begin
a course of therapy with metronidazole
(Flagyl). Which of the following should
4) Beer
the nurse instruct the client to avoid dur-
ing the course of therapy:
3) Coffee
4) Beer
A nurse is teaching a client who has
heart failure about a new prescription for
captopril (Capoten). Which of the follow-
ing statements by the client indicates a
4) I will use a salt substitute with my
need for further teaching:
meals
3) I will take the medication 1 hr before
my meals
4) I will use a salt substitute with my
meals
A client is experiencing acute angle clo-
sure glaucoma and IV mannitol (Os-
mitrol) 25% is prescribed. Which of the
following client findings should the nurse
recognize as being the best indication 3) Decrease in intraocular pressure
that the medication is achieving it's ther-
apeutic effect:
3) Decrease in intraocular pressure
4) Lung fluids clear to auscultation
A nurse is educating a client who has
a new prescription for simvastatin (Za-
cor). Which of the following instructions
should the nurse include in the teaching