,A nurse is providing teaching to a Calcium
client who has hypothyroidism and is
receiving levothyroxine. The nurse Calcium limits the development of osteoporosis in
should instruct the client that which clients who are postmenopausal and works as an
of the following supplements can antacid. Calcium supplements can interfere with
interfere with the effectiveness of the the metabolism of a number of medications,
medication? including levothyroxine. The nurse should instruct
the client to avoid taking calcium within 4 hr of
levothyroxine administration.
A nurse is conducting an admission History of asthma
history for a client who is to undergo
a CT scan with an IV contrast agent. A client who has a history of asthma has a greater
The nurse should identify that which risk of reacting to the contrast dye used during the
of the following findings requires procedure. Other conditions that can result in a
further assessment? reaction to contrast media include allergies to
foods, such as shellfish, eggs, milk, and chocolate.
A nurse in an ICU is assessing a client Bradycardia
who has a traumatic brain injury.
Which of the following findings A client who has increased intracranial pressure
should the nurse identify as a from a traumatic brain injury can develop
component of Cushing's triad? bradycardia, which is one component of Cushing's
triad. The other components of Cushing's triad are
severe hypertension and a widened pulse pressure.
A nurse is planning to irrigate and Use a 30-mL syringe
dress a clean, granulating wound for
a client who has a pressure injury. The nurse should use a 30-mL to 60-mL syringe
Which of the following actions with an 18- or 19- gauge catheter to deliver the
should the nurse take? ideal pressure of 8 pounds per square inch (psi)
when irrigating a wound. To maintain healthy
granulation tissue, the wound irrigation should be
delivered at between 4 and 15 psi.
, A nurse in an emergency department Administer an opioid analgesic to the client.
is reviewing the provider's
prescriptions for a client who The nurse should expect a prescription for an
sustained a rattlesnake bite to the opioid analgesic to promote comfort following a
lower leg. Which of the following rattlesnake bite.
prescriptions should the expect?
A nurse is reviewing the health Current medications
record of a client who is scheduled
for allergy skin testing. The nurse The nurse should review the client's medication
should postpone the testing and record and identify medications, including ACE
report to the provider which of the inhibitors, beta blockers, theophylline, nifedipine,
following findings? (Click on the and glucocorticoids, such as prednisone, that can
"Exhibit" button for additional alter the allergy skin test results. These medications
information about the client). can diminish the client's reaction to the allergens.
The nurse should notify the provider and instruct
the client to discontinue prednisone for 2 weeks
before allergy skin testing.
A nurse is a caring for a client who is Inject the medication into the anterolateral
on bed rest and has a new abdominal wall.
prescription for enoxaparin
subcutaneous. Which of the The nurse should inject the medication into the
following actions should the nurse anterolateral or posterolateral abdominal wall to
take? enhance medication absorption and prevent
hematoma formation.
A nurse is caring for a client who has Urine output 25 mL/hr
a stage III pressure injury. Which if
the following findings contribute to Urinary output reflects fluid status. Inadequate
delayed wound healing? urine output can indicate dehydration, which can
delay wound healing.
client who has hypothyroidism and is
receiving levothyroxine. The nurse Calcium limits the development of osteoporosis in
should instruct the client that which clients who are postmenopausal and works as an
of the following supplements can antacid. Calcium supplements can interfere with
interfere with the effectiveness of the the metabolism of a number of medications,
medication? including levothyroxine. The nurse should instruct
the client to avoid taking calcium within 4 hr of
levothyroxine administration.
A nurse is conducting an admission History of asthma
history for a client who is to undergo
a CT scan with an IV contrast agent. A client who has a history of asthma has a greater
The nurse should identify that which risk of reacting to the contrast dye used during the
of the following findings requires procedure. Other conditions that can result in a
further assessment? reaction to contrast media include allergies to
foods, such as shellfish, eggs, milk, and chocolate.
A nurse in an ICU is assessing a client Bradycardia
who has a traumatic brain injury.
Which of the following findings A client who has increased intracranial pressure
should the nurse identify as a from a traumatic brain injury can develop
component of Cushing's triad? bradycardia, which is one component of Cushing's
triad. The other components of Cushing's triad are
severe hypertension and a widened pulse pressure.
A nurse is planning to irrigate and Use a 30-mL syringe
dress a clean, granulating wound for
a client who has a pressure injury. The nurse should use a 30-mL to 60-mL syringe
Which of the following actions with an 18- or 19- gauge catheter to deliver the
should the nurse take? ideal pressure of 8 pounds per square inch (psi)
when irrigating a wound. To maintain healthy
granulation tissue, the wound irrigation should be
delivered at between 4 and 15 psi.
, A nurse in an emergency department Administer an opioid analgesic to the client.
is reviewing the provider's
prescriptions for a client who The nurse should expect a prescription for an
sustained a rattlesnake bite to the opioid analgesic to promote comfort following a
lower leg. Which of the following rattlesnake bite.
prescriptions should the expect?
A nurse is reviewing the health Current medications
record of a client who is scheduled
for allergy skin testing. The nurse The nurse should review the client's medication
should postpone the testing and record and identify medications, including ACE
report to the provider which of the inhibitors, beta blockers, theophylline, nifedipine,
following findings? (Click on the and glucocorticoids, such as prednisone, that can
"Exhibit" button for additional alter the allergy skin test results. These medications
information about the client). can diminish the client's reaction to the allergens.
The nurse should notify the provider and instruct
the client to discontinue prednisone for 2 weeks
before allergy skin testing.
A nurse is a caring for a client who is Inject the medication into the anterolateral
on bed rest and has a new abdominal wall.
prescription for enoxaparin
subcutaneous. Which of the The nurse should inject the medication into the
following actions should the nurse anterolateral or posterolateral abdominal wall to
take? enhance medication absorption and prevent
hematoma formation.
A nurse is caring for a client who has Urine output 25 mL/hr
a stage III pressure injury. Which if
the following findings contribute to Urinary output reflects fluid status. Inadequate
delayed wound healing? urine output can indicate dehydration, which can
delay wound healing.
