Answers
A client experiences a pulmonary embolism after abdominal surgery. Which
information in the client's history will contraindicate the use of thrombolytic
therapy?
1. Has type 2 diabetes mellitus
2. Takes medications as needed for angina pectoris
3. Is recovering from a concussion that occurred 3 weeks ago
4. Uses an inhaler for treatment of asthma correct answer Is recovering from a
concussion that occurred 3 weeks ago
A client is discharged from the emergency department after evaluation for a
concussion with loss of consciousness. Which statement by the spouse indicates
to the nurse that further teaching is necessary?
1. "I will wake my spouse up every 3 hours whenever sleeping and ask him his
name, my name, and where he is."
2. "If my spouse complains of a headache and needs aspirin, I will give it to him no
more than every 4 hours."
3. "If my spouse complains of blurry vision or has difficulty walking, I will bring
him to the emergency department."
4. "I will talk to my spouse's friend about doing the coaching for the soccer team
tomorrow." correct answer "If my spouse complains of a headache and needs
aspirin, I will give it to him no more than every 4 hours."
,A client is prescribed albuterol two puffs and beclomethasone two puffs. Which
information will the nurse provide when instructing the client on the use of these
inhalers?
1. Use the albuterol inhaler and then use the beclomethasone inhaler
2. Use the beclomethasone inhaler and then the albuterol inhaler
3. Take one puff of each inhaler, wait a minute, and then repeat the process
4. Use either inhaler first as long as the medications are separated by 2 minutes
correct answer Use the albuterol inhaler and then use the beclomethasone
inhaler
A client is prescribed digoxin 1.25 mg by mouth STAT for digitalization. The
medication is available in 0.25 mg tablets. Which number of tables will the nurse
administer? correct answer 5
A client is recovering from a myelogram that used an oil-based contrast medium.
Which action is most important for the nurse to take?
1. Apply ice packs to the puncture site
2. Ambulate the client
3. Monitor for seizures
4. Encourage oral fluids correct answer Encourage oral fluids
A client is scheduled for a colonoscopy, and the nurse is completing teaching
regarding the procedure. Which client statement indicates to the nurse an
appropriate understanding of the procedure?
, 1. "I need to not eat or drink anything by mouth 8 hours before the procedure."
2. "I need to begin a liquid diet 2 days before the procedure."
3. "I need to stop taking my oral hypoglycemic agent the day before the
procedure."
4. "I need to let my healthcare provider know that I am allergic to iodine before
the procedure." correct answer "I need to not eat or drink anything by mouth 8
hours before the procedure."
A client receives intravenous doxorubicin hydrochloride. Which observation
causes the nurse the MOST concern?
1. Mouth ulcer
2. Red urine
3. Alopecia
4. Fever correct answer Fever
A client receiving IV heparin 1400 units/hour is prescribed to have the dose
changed to 1200 units/hour. The concentration of heparin is 25,000 units per 500
mL normal saline. At which rate, in milliliters per hour, will the nurse adjust the
infusion pump to deliver the prescribed dose of 1200 units per hour? correct
answer 24 mL/hour
A client reports stabbing facial pain and twitching facial muscles a week after
having a toothache. Which actions are appropriate for the nurse to implement
when providing care to this client? (select all that apply)
1. Teach isometric exercises for facial muscles