Exam Q&A, Detailed Rationales & Mastery Review
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anaphylactic reaction
CORRECT ANSWER:
Client develops an anaphylactic reaction to IV administration.
Actions for Anaphylactic Reaction
CORRECT ANSWER:
Replace infusion with 0.9% sodium chloride, give diphenhydramine
IM, elevate client's legs and feet, administer epinephrine IM.
Sertraline and Supplements
CORRECT ANSWER:
Supplement to avoid: St. John's Wort.
Lisinopril Adverse Effects
CORRECT ANSWER:
Adverse effect to monitor: hypotension.
Heparin Vital Sign Changes
CORRECT ANSWER:
Vital sign change to monitor: increased pulse rate.
Medication Error Incident Report
CORRECT ANSWER:
,Responsible staff member for incident report: the nurse who
identifies the error.
Morphine Epidural Infusion Monitoring
CORRECT ANSWER:
Monitor for: pruritus (sign of allergic reaction to morphine).
Digoxin Administration Steps
CORRECT ANSWER:
Sequence of steps: obtain client's apical heart rate, remove
medication from dispensing system, open medication package,
compare client's wristband to medication administration record,
document administration of medication.
Acetaminophen Contraindication
CORRECT ANSWER:
Contraindication for receiving medication: chronic kidney disease.
Furosemide Weight Gain Action
CORRECT ANSWER:
Action to take first: notify the provider of the client's weight gain.
Penicillin G Allergic Reaction Indication
CORRECT ANSWER:
Indication of allergic reaction following injection: urticaria.
Sublingual Nitroglycerin Instruction
CORRECT ANSWER:
Instruction to include: place the tablet between your cheek and gum
to dissolve.
Theophylline Understanding Statement
CORRECT ANSWER:
,Statement indicating understanding of teaching: 'I will need to have
blood levels drawn.'
Mixing Insulin First Action
CORRECT ANSWER:
First action to take: inject air into the regular insulin vial.
Subcutaneous Heparin Administration Action
CORRECT ANSWER:
Action to take: insert the needle at least 5 cm (2 in) from the
umbilicus.
Amoxicillin Allergic Reaction Finding
CORRECT ANSWER:
Finding indicating allergic reaction: laryngeal edema.
Medication Reconciliation Instruction
CORRECT ANSWER:
Instruction for medication reconciliation: perform for a client who is
transferred to a step-down unit.
Atorvastatin Laboratory Values
CORRECT ANSWER:
Laboratory value indicating treatment effectiveness: LDL 120 mg/dL.
Transcribing Medication Prescription
CORRECT ANSWER:
Transcription in client's medical record: Morphine 6 mg IV push
every 3 hr PRN acute pain.
Assessing IV Infusion Site
CORRECT ANSWER:
, Action to take: apply a warm, moist compress.
Clozapine Teaching
CORRECT ANSWER:
Notify your provider if you develop a fever while taking this
medication.
Oral Contraceptives
CORRECT ANSWER:
Some herbal supplements can decrease the effectiveness of an oral
contraceptive.
Medication Administration for Dysphagia
CORRECT ANSWER:
Mix the medications with a semisolid food for the client.
Omeprazole Administration
CORRECT ANSWER:
You should take this medication before meals.
Influenza Vaccine Allergy
CORRECT ANSWER:
Allergy to report as contraindication: eggs.
Benign Prostate Hypertrophy
CORRECT ANSWER:
Supplement to suggest discussing with provider: saw palmetto.
Digoxin Toxicity
CORRECT ANSWER:
Predisposing factor for digoxin toxicity: taking a high ceiling diuretic.
Naloxone Effect