Questions with Approved Answers| 100%
Correct | Latest 2026/2027 Update.
Question:
A nurse is caring for a client who is taking disulfiram and consumed
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alcohol 12 hr ago. Which of the following adverse reactions is the priority
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finding to report to the provider??
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Answer:
Respiratory depression i,-
When using the urgent vs. nonurgent approach to client care, the nurse
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should determine that the priority finding is respiratory depression, which
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can indicate the client is experiencing acetaldehyde syndrome, a life-
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threatening event. i,-
Question:
A nurse is reinforcing teaching about immunizations with a client who is
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pregnant. Which of the following vaccines should the nurse include in the
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teaching as safe to administer during pregnancy??
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Answer:
Tetanus and diphtheria (Td)
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,The nurse should include that either the Td vaccine or the tetanus,
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diphtheria, and pertussis (Tdap) vaccine is safe for administration during
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pregnancy. Tdap is the preferred vaccine. i,- i,- i,- i,- i,-
Question:
A nurse is assisting in the care of a client who has a history of psychosis
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and is taking chlorpromazine. Which of the following actions should the
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nurse take to counteract the adverse effects of this medication??
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Answer:
Inform the client to apply sunblock before going outside.
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The nurse should inform the client to apply sunblock, which will
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counteract the adverse effects of photosensitivity. Chlorpromazine
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increases skin's sensitivity to ultraviolet light causing temporary
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pigmentation changes and increases the risk of sunburn. i,- i,- i,- i,- i,- i,- i,-
Question:
A nurse is instilling timolol eyedrops for a client who has glaucoma. Which
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of the following actions should the nurse take after instilling the
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eyedrops??
Answer:
Press the nasolacrimal duct.
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The nurse should press the client's nasolacrimal duct after instilling the
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eye drops to prevent the medication from absorbing into systemic
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circulation.
, Question:
A nurse is reinforcing teaching with a client who is receiving enalapril 20
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mg PO daily. The nurse should instruct the client to monitor for which of
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the following adverse effects of this medication??
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Answer:
Dry cough i,-
The nurse should identify that a persistent dry or nonproductive cough is
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an adverse effect of enalapril. The underlying cause of the dry cough is
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the accumulation of bradykinin from the medication. The client should
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notify the provider of this adverse effect.
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Question:
A nurse is caring for a client who is taking phenylephrine. The nurse
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should plan to monitor the client for which of the following
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manifestations as an adverse effect of this medication?? i,- i,- i,- i,- i,- i,- i,-
Answer:
Increased heart rate i,- i,-
Due to cardiac effects, phenylephrine can cause tachycardia and other
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cardiac dysrhythmias. i,-
Question: