Complete Solutions
A nurse is administering epoetin intravenously to client with
renal failure; take which action?
Shake vial before using
Administer via IV bolus over 1-3 min
Dilute drug with D5W
Save used vial for next dose Correct Answer Administer via
IV bolus over 1-3 min
A nurse is adminstering cefotetan IV for bacterial meningitis; IV
insertion site is warm, edematous, and painful to touch; action
taken?
Decreae rate of infusion
Administer diphenhydramine
Request prescription for another antibiotic
Stop infusion Correct Answer Stop infusion
A nurse is adminstering hydroclorothiazide to client with gouty
arthritis; monitor which finding?
Hyperuricemia
Hypernatremia
Hyperkalemia
Hypoglycemia Correct Answer Hyperuricemia
A nurse is an ED assessing client taking warfarin and
experiencing rectal bleeding; expect to adminster?
,Filgrastim
Deferoxamine
Protamine
Vitamin K Correct Answer Vitamin K
A nurse is assessing a client taking a loop diuretic and
experiencing thready, irregular pulse, orthostatic hypotension,
and confusion; identify these manifestations indicate which
adverse effect?
Hypokalemia
Hypoglycemia
Hypouricemia
Hyponatremia Correct Answer Hypokalemia
A nurse is assessing a client with new prescription for
combination oral contraceptive ethinyl estradiol and
drospirenone; contraindicaiton is?
Drinks glass of wine each night
Smoke half a pack of cigarettes a day
Runs marathons regularly
Drives school bus Correct Answer Smokes half a pack of
cigarettes a day
A nurse is assessing a client with prescription for oxybutynin to
treat neruogenic bladder; which are adverse effects? (all that
apply)
Diaphoresis
,Dilated pupils
Dizziness
Distended bladder
Fever Correct Answer Dilated pupils
Dizziness
Distended bladder
Fever
A nurse is caring for a child with viral infection; identify which
increases risk of Reye syndrome?
Butorphanol
Acetaminophen
Tramadol
Aspirin Correct Answer Aspirin
A nurse is caring for a client starting aspirin to reduce risk of
cardiovascular event; drug inhibits platelet aggregation with
which mechanism?
Activating thromboxane A2
Blocking adenosine diphosphate receptor agonists
Suppressing specific clotting factors
Inhibiting cyclooxygenase action in platelets Correct Answer
Inhibiting cyclooxygenase action in platelets
A nurse is caring for a client starting finasteride for BPH;
monitor which labs?
Prostate-specific antigen/PSA
BUN
, Creatinine phosphokinase/CPK
ALT Correct Answer PSA
A nurse is caring for a client starting prednisone for long term
treatment of rheumatoid arthritis; monitor for which adverse
drug reaction?
Pulmonary embolism
Hepatitis
Bone loss
Breast cancer Correct Answer Bone loss
A nurse is caring for a client taking ferrous sulfate for iron-
deficiency anemia and develops iron toxicity; expect to use what
for treatment?
Flumazenil
Acetylcysteine
Naloxone
Deferoxamine Correct Answer Deferoxamine
A nurse is caring for a client taking furosemide and has new
prescription for prednisone; monitor for which manifestations?
Hypercalcemia
Hypoglycemia
Hypothermia
Hypokalemia Correct Answer Hypokalemia