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A nurse is preparing to administer a medication the nurse has never administered previously. Which of
the following information should the nurse identify as a contraindication to administering the
medication? - ANS--The client is allergic to a component of the medication. -The client is five years
younger than the age requirements for the medication.
A nurse is preparing to administer an IM dose of penicillin to a client who has a new prescription. The
client states that they took penicillin 3 years ago, they developed a rash. Which action should the nurse
take? - ANS--Withhold the medication.
A nurse is comparing a newly prescribed medication to a clients current medications. Which of the
following interactions should the nurse identify as increasing the risk of medication toxicity? - ANS--The
new medication decreases the rate of metabolism of another medication.
A nurse is reviewing a client's health record notes that the client experienced permanent extrapyramidal
symptoms (EPS) caused by a previous medication. The nurse should recognize that the medication
affected which of the following systems of the client? - ANS--Central Nervous System
A nurse is caring for a client who is experiencing anaphylaxis. Which of the following medications should
the nurse expect to administer? - ANS--Antihistamine
A nurse is observing a client's IV infusion site. Which of the following findings should the nurse identify
as indications of phlebitis? - ANS--Erythema
-Pain
A nurse is assisting with the initiation of IV therapy for an older adult client. Which of the following
actions should the nurse plan to take? - ANS--Distend the veins with a blood pressure cuff.
A nurse is monitoring the IV catheter insertion site for a client receiving a nonvesicant solution and notes
swelling at the site with decreased skin temperature. Which of the following actions should the nurse
take? - ANS--Stop the infusion.
, -Apply warm compresses to the insertion site.
-Elevate the client's arm.
A nurse is reinforcing teaching with a client who has gout and a new prescription for allopurinol. For
which of the following adverse effects should the client be taught to monitor? - ANS--Nausea -Rash
-Increased gout pain
A nurse is caring for a client who has a ew prescription for adalimumab for rheumatoid arthritis. Based
on the route of administration of adalimumab, which of the following should the nurse plan to monitor?
- ANS--The subcutaneous site for redness following injection.
A nurse is assisting in the plan to administer belimumab for a client who has systemic lupus
erythematous. Which of the following interventions should the nurse recommend to include in the plan?
- ANS--Monitor the client for hypersensitivity reactions.
A nurse is caring for a client who has a new diagnosis of fibromyalgia. Which of the following medications
should the nurse expect to administer to this client? - ANS--Duloxetine
A nurse is reinforcing teaching with a client who has rheumatoid arthritis and a new prescription for
methotrexate. Which of the following statements by the client indicates understanding of the teaching? -
ANS--"I will let the doctor know if I develop sores in my mouth while taking this medication."
A nurse is reinforcing teaching with a client who is taking raloxifene to prevent postmenopausal
osteoporosis. The nurse should advise the client that which of the following are adverse effects of this
medication? - ANS--Hot flashes
-Swelling or redness in calf
-Shortness of breath
A nurse is reinforcing teaching for a client who has osteoporosis and a new prescription for alendronate.
Which of the following instructions should the nurse provide? - ANS--Take medication in the morning
before eating.
-Drink 8oz glass of water with each tablet.
-Avoid lying down after taking this medication.
A nurse is caring for client who has a new prescription for calcitonin-salmon for osteoporosis. Which of
the following tests should the nurse tell the client to expect before beginning this medication? - ANS-Skin
test for allergy to the medication
A nurse is caring for a client whose blood calcium is 8.8mg/dl. Which of the following medications should
the nurse anticipate administering to this client? - ANS--Calcium carbonate (8.8mg/dl is below expected
reference range)
A nurse is reinforcing the instructions given to a client who has a new prescription for calcitonin-salmon
for postmenopausal osteoporosis. Which of the following instructions should the nurse reinforce? - ANS-
Alternate nostrils each time calcitonin-salmon is inhaled