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A male client reports to the nurse that he is experiencing GI distress from high dose of a
corticosteroid and is planning to stop taking the medication. In response to the client's statement
what nursing action is most important for the nurse to take?
a. Encourage the client to take medication with food to decrease GI distress
b. Advice the client that the medication should be stopped gradually rather than abruptly.
c. Review the clients dosing schedule to ensure he is taking the prescribed amount
d. Assess the client for other indication of adverse effects of corticosteroid - Answer>>> b.
advise the client that the medication should be stopped gradually rather than abruptly
A client tells the nurse that her biopsy results indicate that the cancer cells are well differentiated
How should the nurse respond?
a. offer the client reassurance that this information indicates that the clients cancer cells are
benign
b. explain that these tissue cells often respond more effectively to radiation than to chemotherapy
c. ask the client if the healthcare provider has given her any information about the classification
of her cancer
d. help the client make plans to begin immediate treatment since her cancer is likely to spread
quickly - Answer>>> c. ask the client if the healthcare provider has given her any information
about the classification of her cancer
When preparing to apply a fentanyl (Duragesic) transdermal patch the nurse notes that the
previously applied patch is intact on the client's upper back and the client denies pain. What
action should the nurse take?
a. Remove the patch and consult with the healthcare provider about the client pain resolution
, b. Place the patch on the clients shoulder and leave both patches in place for 12 hours
c. Administer an oral analgesic and evaluate its effectiveness before applying a new patch
d. Apply a new patch in a different location after removing the original patch - Answer>>> d.
apply a new patch in a different location after removing the original patch
A client who had a myocardial infarction is admitted to the coronary critical care unit (CCU)
with a nitroglycerin drip infusing. The clients last blood pressure measurements was 78/36. What
action should the nurse implement?
a. obtain blood pressure q5 minutes using duranap machine
b. change the dilution of the nitroglycerin infusion
c. reduce the rate of the nitroglycerin infusion
d. begin dopamine infusion at 5mcg/kg per minute - Answer>>> c. reduce the rate of the
nitroglycerin infusion
Twenty minutes after the nurse starts a secondary IV infusion of cafepime (maxipime) 2 grams
using an infusion pump to deliver the dose in one hour, the client reports feeling nauseated. What
action should the nurse implement?
a. stop medication infusion and notify the healthcare provider of the adverse effect
b. increase the rate of the infusion to complete the dose of the medication more rapidly
c. continue the infusion and administer a prn antiemetic prescription
d. reassure the client that the nausea is not related to the iv infusion - Answer>>> c. continue the
infusion and administer a PRN antiemetic prescription
Following involvement in a motor vehicle collision, a middle aged adult client is admitted to the
hospital with multiple facial fractures. The client's blood alcohol level is high on admission.
Which PRN prescription should be administer if the clients begins to exhibit signs and symptoms
of delirium tremens (DT s)?
a. Lorazepam (Ativan) 2mg IM