VERRIFIED CORRECT QUESTIONS AND ANSWERS GRADED A+|
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A nurse is teaching a guardian of a school-age child who has a new prescription for a
fluticasone metered-dose inhaler. Which of the following information should the
nurse include in the teaching? (SATA)
a. "Soak the inhaler in water after use."
b. "Have your child take one inhalation as needed for shortness of breath."
c. "Shake the device prior to administration."
d. "A spacer will make it easier to use the device."
e. "Rinse your child's mouth following administration."
c. "Shake the device prior to administration."
d. "A spacer will make it easier to use the device."
e. "Rinse your child's mouth following administration."
A nurse is preparing to administer potassium chloride elixir 20 mEq/day PO to divide
equally 12 hr. available is 6.7 mEq/5 mL. How many mL should the nurse administer
per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do
not use a trialing zero.)
7.5 mL
A nurse is instructing a client who has a new prescription for a daily dose of
lovastatin extended release. Which of the following information should the nurse
include in the teaching?
a. "You will need liver function tests before beginning therapy."
b. "Avoid consuming dairy products while taking this medication."
c. "You may crush the medication and mix it with applesauce."
d. "You should take the medication in the morning."
a. "You will need liver function tests before beginning therapy."
A nurse is assessing a client who is receiving a peripheral IV infusion and notes
infiltration of fluid into the tissue surrounding the insertion site. Which of the
following actions should the nurse take?
,a. Flush the IV catheter
b. Apply pressure to the IV site
c. Elevate the extremity
d. Slow the infusion rate
c. Elevate the extremity
A nurse is preparing to administer 4000 units of heparin subcutaneously to a client
who has deep-vein thrombosis. Available is heparin 10,000 units. How many mL of
heparin should the nurse administer? (Round to the nearest tenth. Use a leading zero
if it applies. Do not use a trailing zero.)
a. 0.4 mL
0.4 mL
A nurse us caring for a client who is in shock and is receiving an infusion of albumin.
Which of the following findings should the nurse expect?
a. Oxygen saturation 96%
b. PaCO2 30 mm Hg
c. Increase in BP
d. Decrease in protein
c. Increase in BP
A nurse is discussing adverse reactions to pain medications in older adult clients
with a newly licensed nurse. Which of the following findings should the nurse include
as risk factors for an adverse drug reaction? (SATA)
a. Polypharmacy
b. Increased rate of absorption
c. Decreased percentage of body fat
d. Multiple health problems
e. Decreased renal function
a. Polypharmacy
c. Decreased percentage of body fat
d. Multiple health problems
e. Decreased renal function
A nurse is reviewing the laboratory data of a client prior to administering IV
tobramycin. Which of the following laboratory values should the nurse report to the
provider?
,a. Sodium 137 mEq/L
b. Hct 4.3%
c. Hgb 15 g/dL
d. Creatinine 2.5 mg/dL
d. Creatinine 2.5 mg/dL
A nurse is preparing to administer enoxaparin to a client. Which of the following
actions should the nurse take?
a. Apply firm pressure to the injection site following administration
b. Administer the medication into the client's muscle
c. Expel the air bubble from the syringe prior to injection
d. Insert the syringe needle halfway into the client's skin
a. Apply firm pressure to the injection site following administration
A nurse is reviewing a client's 0800 laboratory values at 1100. The nurse notes that
the client received heparin at 1000. Which of the following laboratory values warrants
an incident report?
000/mm3
a. ePTT 90 seconds
b. Hgb 16 g/dL
c. INR 1.6
d. WBC 6000/mm3
a. ePTT 90 seconds
A nurse is caring for a client who has breast cancer and reports pain. 1 hr after
administration of prescribed morphine 10 mg IV. Which of the following medications
should the nurse expect to administer?
a. Naloxone IV
b. Morphine tablet
c. Lidocaine patch
d. Fentanyl transmucosal
d. Fentanyl transmucosal
c. Lidocaine patch
A nurse is assessing a client who reports taking over-the-counter antacids. Which of
the following findings should the nurse identify as a manifestation of hypercalcemia?
, a. Constipation
b. Decreased urine output
c. Positive Trousseau's sign
d. Headache
c. Positive Trousseau's sign
A nurse is caring for a client who is to receive potassium replacement. The provider's
prescription reads. "Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV
over 30 min." which of the following reasons should the nurse clarify this
prescription with the provider.
a. Potassium chloride should be diluted in dextrose 5% in water.
b. The potassium infusion rate is too rapid
c. Another formulation of potassium should be given IV
d. The client should be treated by giving potassium by IV bolus
b. The potassium infusion rate is too rapid
A nurse is monitoring laboratory values for a client who has chronic heart failure and
is receiving digoxin. Which of the following values should the nurse report to the
provider?
a. Sodium 1.38 mEq/dL
b. Magnesium 1.5 mEq/L
c. BUN level 10 mg/dL
d. Potassium 2.9 mEq/L
d. Potassium 2.9 mEq/L
A client who has active tuberculosis and is taking rifampin reports that his urine and
sweat have developed a red tinge. Which of the following actions should the nurse
take?
a. Check the client's liver function test results
b. Instruct the client to increase his fluid intake
c. Document this as an expected finding
d. Prepare the client for dialysis
c. Document this as an expected finding
A nurse accidently administers the medication metformin instead of metoprolol to a
client. Which of the following actions should the nurse take?
a. Monitor the client's thyroid function levels