Answers Newest And Verified Update.
SH
1. A nurse is caring for a client with heart failure who is receiving furosemide. Which of the following should the nurse
monitor to prevent complications?
KE
A. Blood glucose
B. Serum potassium
C. White blood cell count
D. Platelet count
CT
2. A client is experiencing anaphylaxis after receiving penicillin. What is the nurse’s priority action?
A. Notify the physician
B. Administer epinephrine
C. Apply oxygen
D. Document the reaction
LE
3. A nurse is teaching a client about insulin administration. Which statement indicates the client needs more teaching?
A. "I will rotate injection sites."
B. "I can mix regular insulin with NPH."
,C. "I will shake the insulin bottle before drawing it up."
D. "I will store unopened insulin in the refrigerator."
SH
4. A postpartum client reports severe headache, blurred vision, and epigastric pain. Which condition should the nurse
suspect?
A. Postpartum hemorrhage
B. Preeclampsia
C. Uterine atony
D. Mastitis
KE
5. A child with asthma has wheezing and retractions. Which medication should the nurse expect to administer?
A. Montelukast
B. Albuterol
C. Fluticasone
D. Cromolyn
CT
6. A nurse is caring for a client with schizophrenia who says, "The TV is talking to me." What is the appropriate response?
A. "That’s not true."
LE
B. "What is the TV saying to you?"
C. "You’re hallucinating."
D. "Ignore the TV and focus on reality."
7. Which lab value should the nurse report immediately in a client receiving warfarin?
, A. Hemoglobin 13 g/dL
B. INR 2.5
C. INR 5.5
D. Platelets 170,000/mm³
SH
8. Which of the following foods should a client with celiac disease avoid?
A. Cornbread
B. Rice noodles
C. Whole wheat bread
D. Tapioca pudding
KE
9. A nurse is caring for a client with COPD. Which of the following findings should be reported to the provider?
A. O2 sat 91%
B. Barrel chest
CT
C. New onset confusion
D. Clubbing of fingers
10. A nurse is reinforcing teaching to a client prescribed digoxin. Which statement indicates a need for further instruction?
LE
A. "I will take my medication with an antacid."
B. "I will check my pulse before taking digoxin."
C. "I will report blurred vision to my doctor."
D. "I will notify the provider if my heart rate is below 60 bpm."
MENTAL HEALTH