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1. A nurse is reinforcing teaching with a Swallow the medication whole.
client who has a new prescription for The nurse should instruct the client to swallow
omeprazole oral capsules. Which of the the capsules or tablets whole and not chew
following instructions should the nurse or crush them. Omeprazole, a proton pump
include? inhibitor, blocks the secretion of gastric acid.
It is available in delayed-release capsules and
over the counter in delayed-release tablets, as
well as suspensions and powders.
2. A nurse is reinforcing teaching about Reye syndrome
comfort measures with the guardian of Aspirin is contraindicated for children and ado-
a 10-year-old child who has a viral infec- lescents who have a viral illness because it in-
tion. The nurse should plan to tell the creases the risk for the development of Reye
parent that aspirin is contraindicated be- syndrome.
cause of the risk for which of the follow-
ing conditions?
3. A nurse is caring for a client who has a "Your medication can't be given IV because it is
prescription for an IM injection of peni- not water-soluble."
cillin G benzathine. The client asks why The nurse should inform the client this type of
the injection must be given IM instead of penicillin has poor water solubility and is never
through the IV line. Which of the follow- administered intravenously.
ing responses should the nurse make?
4. A nurse is planning to reinforce teach- "Your baby will receive the first hepatitis B vac-
ing about newborn immunizations with cine before discharge."
a client who is 24 hr postpartum. Which The newborn should receive the first hepatitis
of the following information should the B vaccine at birth, with the next dose at age 1
nurse plan to include? to 2 months.
5. A client comes to an urgent care clinic Cocaine
and announces with great enthusiasm, "I The client who has cocaine toxicity typically has
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am an expert at all things medical as they tachycardia, elevated blood pressure, dilated
apply to me, and I require zolpidem." The pupils, and displays delusions. This client's be-
client's pupils are dilated, along with an havior and physiological data indicate cocaine
elevated heart rate and blood pressure intoxication.
level. The nurse should suspect intoxi-
cation with which of the following sub-
stances?
6. A nurse is caring for a client who is re- 31 gtt/min
ceiving 0.9% sodium chloride 1,000 mL to
infuse over 8 hr. The drop factor on the
manual IV tubing is 15 gtt/mL. The nurse
should ensure that the manual IV infu-
sion is set to deliver how many gtt/min?
(Round the answer to the nearest whole
number. Use a leading zero if it applies.
Do not use a trailing zero.)
7. A nurse is reinforcing teaching with a "I will take the medication with 8 ounces of
client who has a prescription for alen- water."
dronate. Which of the following client re- The client should take alendronate on an emp-
sponses indicates to the nurse an under- ty stomach with 240 mL (8 oz) of water to en-
standing of the teaching? sure it does not lodge in the esophagus, which
can result in esophageal ulcerations.
8. A nurse is monitoring a client who has Hypokalemia
been receiving long-term hydrochloroth- Hydrochlorothiazide is a thiazide diuretic that
iazide therapy for recurring episodes of can cause hypokalemia due to excessive potas-
heart failure. Which of the following find- sium excretion in the urine.
ings should the nurse identify as an ad-
verse effect of this medication?
9.