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7. A mnursemis mprovidingmteachingmto mamclientmwhomwas mrecently mdiagnosed mas mHIV m
positive.Them client mismbeginningmmedication mtherapy mwithmzidovudinem(Retrovir).mWhi
ch mofmthefollowingm statementsmshould mthemnursemincludeminmthemteaching.m(Select mall
mthatapply.)
o Must mbemtaken mwith mot
herm retroviralmedicines.o
o Cures man mHIVinfection
o Increases mCD4+mcellcount
8. A mnursemis massessingmamschool magemclientmwhomis mexperiencingmseizuremactivitymand m
isprescribed m diazepamm(Valium)mIV.mThemnursemshould mshouldmclarify mthemordermifmthe
mclient mis mreceivingam continuous minfusion mofmwhich mofmthemfollowingIV:
o Lactated mRingerssolution
o 0.9% mSodiummchloridemwith m100 munits mofmregularinsulin
o 0.9% msodiumchloride
o 0.9% mSodiummchloridemwith m20 mmEq mofmpotassiumchloride
9. A mnursemis massessingmamclient mwho mismtakingmenalapril m(Vasotec)mformcongestivemh
eartfailure.m Which mofmthemfollowingmindicates man mexpectedfinding?
o Activitytolerance
o Orthostatichypotension
o Loss mofmstrength
o Increasemin mbloodpressure
10. A mchild mwithmcerebral mpalsy mis mprescribedmBaclofenm(Lioresol).mWhichmofmthef
ollowingm therapeuticmeffects mshould mthemnursemonitor?
o Increased murineoutput
o Increasedenergy
o Decreased manxiety
o Decreased mspacity
11. Clinical mfindings mofmamclientmwho mhas mamprescriptionmformlithiummcarbonatem(Lit
hobid).Form which mreasons mshould mthemnursemwithholdmthemmedication mandmnotifymth
eprovider?
o Lithiummlevel m1.0mEq/L
o Potassiummat m3.7mEq/L
o Sodiummat m143mEq/L
o Lithiummlevel m2.5mEq/L
12. Themnursemis mcaringmformamclient mwho mhas mtuberculosismand mismbeingmtreated mwithc
ombinationm medication mtherapy.mTo mtest mthemeffectivenessmofmthemtreatment,mthemnurs
emshouldperiodically m monitormwhich mofmthemfollowingmlaboratoryresults.
o TT
o ESDrate
o Sputumculture
m oINR
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13. A mnursemis mcaringmformamclient mwho mis mtakingmamoxicillin m(Amoxil)mand misex
periencingm adversemeffects.mWhich mofmthemfollowingminstructions mshould mthemnurs
emgivemto mthisclient?m o m“Stand mup mslowly maftermtakingmthismedication.”
o“Monitorforincreasedurineoutput.” m o
“Takemthis mmedication mwith masnack.”
o “Administermthemmedication matbedtime.”
14. A mnursemis mreviewingmthemmedication madministration mrecord mformamclient mwhohas
metastaticmcancermand mamfentanyl m(Duragesic)mtransdermal mpatch mformpain.mThemclient mrep
orts mapain m level mofm10 mon mamscalemofm0 mto m10.mWhich mofmthemfollowingmmedications ms
hould mthemnurseanticipatem administering?
o Hydromorphone(Dilaudid)
o Butorphanol(Stadol)
o Alprazolam(Xanax)
o Carbenezepine(Tegretol)
15. A mnursemis mcaringmformamclient mwithmPCA mMorphinemSulfate.mWhich mofmth
efollowingm statements mis mnottrue?
o "Imwill mnot mreceivemany mpain mmedications mduringmthemlockoutperiod"
o "Imshould mpush mthembutton mwhen mthempain mbecomessevere"
o "Imwill mbemasked mto mratemmy mpainoccasionally"
o "Imdon't mhavemto mworry mabout mgettingman moverdosemofmthemedication"
16. A mnursemis mcaringmformamclient mwho mismto mreceivemamseries mofmallergy mtests.mTh
emnurseshouldm instruct mthemclientmto mavoidmwhich mmedicationsmformup mto m4 mweeks
mbeforemtheprocedure?
o Acetemetaphen(Tylenol)
o Diphenhyramine(Benadryl)
o Albuterol(Accuneb)
o Psuedoephedrinemhydrochloride(Sudafed)
17. A mnursemadministered mmeperidinem(Demerol)mintramuscularly mto mamclient mwith
mananklem fracture.mWhich mofmthemfollowingmactions mshould mthemnursemtakenext?
o Assesstheclient‟srespiratorystatus
o Document mon mthemclients mmedicationrecord
o Reassess mthemclient's mpainlevel
o Check mthemclient's mbloodpressure
18. A mnursemis mcaringmformamclient mwhomhas man mordermformclozapinem(Clozaril)m350 mmgm
PO mdaily.Them nursemshouldmrecognizemthat mwhich mofmthemfollowingmfindings mis mamsidem
effect mofmthismedication?
o WBCm8,000mm3
o Serummsodiumm136mg/dL
o Fastingmblood mglucosemofm220mg/dL
o Weight mloss mofm2.26 mkgm(5 mlb)min m2weeks
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7. A mnursemis mprovidingmteachingmto mamclientmwhomwas mrecently mdiagnosed mas mHIV m
positive.Them client mismbeginningmmedication mtherapy mwithmzidovudinem(Retrovir).mWhi
ch mofmthefollowingm statementsmshould mthemnursemincludeminmthemteaching.m(Select mall
mthatapply.)
o Must mbemtaken mwith mot
herm retroviralmedicines.o
o Cures man mHIVinfection
o Increases mCD4+mcellcount
8. A mnursemis massessingmamschool magemclientmwhomis mexperiencingmseizuremactivitymand m
isprescribed m diazepamm(Valium)mIV.mThemnursemshould mshouldmclarify mthemordermifmthe
mclient mis mreceivingam continuous minfusion mofmwhich mofmthemfollowingIV:
o Lactated mRingerssolution
o 0.9% mSodiummchloridemwith m100 munits mofmregularinsulin
o 0.9% msodiumchloride
o 0.9% mSodiummchloridemwith m20 mmEq mofmpotassiumchloride
9. A mnursemis massessingmamclient mwho mismtakingmenalapril m(Vasotec)mformcongestivemh
eartfailure.m Which mofmthemfollowingmindicates man mexpectedfinding?
o Activitytolerance
o Orthostatichypotension
o Loss mofmstrength
o Increasemin mbloodpressure
10. A mchild mwithmcerebral mpalsy mis mprescribedmBaclofenm(Lioresol).mWhichmofmthef
ollowingm therapeuticmeffects mshould mthemnursemonitor?
o Increased murineoutput
o Increasedenergy
o Decreased manxiety
o Decreased mspacity
11. Clinical mfindings mofmamclientmwho mhas mamprescriptionmformlithiummcarbonatem(Lit
hobid).Form which mreasons mshould mthemnursemwithholdmthemmedication mandmnotifymth
eprovider?
o Lithiummlevel m1.0mEq/L
o Potassiummat m3.7mEq/L
o Sodiummat m143mEq/L
o Lithiummlevel m2.5mEq/L
12. Themnursemis mcaringmformamclient mwho mhas mtuberculosismand mismbeingmtreated mwithc
ombinationm medication mtherapy.mTo mtest mthemeffectivenessmofmthemtreatment,mthemnurs
emshouldperiodically m monitormwhich mofmthemfollowingmlaboratoryresults.
o TT
o ESDrate
o Sputumculture
m oINR
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13. A mnursemis mcaringmformamclient mwho mis mtakingmamoxicillin m(Amoxil)mand misex
periencingm adversemeffects.mWhich mofmthemfollowingminstructions mshould mthemnurs
emgivemto mthisclient?m o m“Stand mup mslowly maftermtakingmthismedication.”
o“Monitorforincreasedurineoutput.” m o
“Takemthis mmedication mwith masnack.”
o “Administermthemmedication matbedtime.”
14. A mnursemis mreviewingmthemmedication madministration mrecord mformamclient mwhohas
metastaticmcancermand mamfentanyl m(Duragesic)mtransdermal mpatch mformpain.mThemclient mrep
orts mapain m level mofm10 mon mamscalemofm0 mto m10.mWhich mofmthemfollowingmmedications ms
hould mthemnurseanticipatem administering?
o Hydromorphone(Dilaudid)
o Butorphanol(Stadol)
o Alprazolam(Xanax)
o Carbenezepine(Tegretol)
15. A mnursemis mcaringmformamclient mwithmPCA mMorphinemSulfate.mWhich mofmth
efollowingm statements mis mnottrue?
o "Imwill mnot mreceivemany mpain mmedications mduringmthemlockoutperiod"
o "Imshould mpush mthembutton mwhen mthempain mbecomessevere"
o "Imwill mbemasked mto mratemmy mpainoccasionally"
o "Imdon't mhavemto mworry mabout mgettingman moverdosemofmthemedication"
16. A mnursemis mcaringmformamclient mwho mismto mreceivemamseries mofmallergy mtests.mTh
emnurseshouldm instruct mthemclientmto mavoidmwhich mmedicationsmformup mto m4 mweeks
mbeforemtheprocedure?
o Acetemetaphen(Tylenol)
o Diphenhyramine(Benadryl)
o Albuterol(Accuneb)
o Psuedoephedrinemhydrochloride(Sudafed)
17. A mnursemadministered mmeperidinem(Demerol)mintramuscularly mto mamclient mwith
mananklem fracture.mWhich mofmthemfollowingmactions mshould mthemnursemtakenext?
o Assesstheclient‟srespiratorystatus
o Document mon mthemclients mmedicationrecord
o Reassess mthemclient's mpainlevel
o Check mthemclient's mbloodpressure
18. A mnursemis mcaringmformamclient mwhomhas man mordermformclozapinem(Clozaril)m350 mmgm
PO mdaily.Them nursemshouldmrecognizemthat mwhich mofmthemfollowingmfindings mis mamsidem
effect mofmthismedication?
o WBCm8,000mm3
o Serummsodiumm136mg/dL
o Fastingmblood mglucosemofm220mg/dL
o Weight mloss mofm2.26 mkgm(5 mlb)min m2weeks
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