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A. PT
A nurse is preparing to administer a scheduled
dose of warfarin to a client. Which of the
following laboratory tests should the nurse
review prior to administration?
A. PT
B. Total iron-binding capacity
C. WBC
D. PTT
C. A client receives their insulin 1 hour before scheduled.
A nurse is caring for a group of clients. Which of
the following situations requires an incident
report?
A. Client experiences a seizure.
B. A client vomits after receiving an oral
medication.
C. A client receives their insulin 1 hours before
scheduled.
D. A client receives their meal tray 20 min late.
C. Oxycodone causes central nervous system depression.
A nurse is assessing a client who has received
oxycodone. The nurse notes that the client's
respiratory rate is 8/min. The nurse should
identify that which of the following is the
pathophysiology for the client's respiratory rate?
A. Oxycodone blocks the sodium channel
suspending nerve conduction.
B. Oxycodone promotes vasodilation of cranial
arteries.
C. Oxycodone causes central nervous system
depression.
D. Oxycodone inhibits prostaglandin synthesis.
50gtt/min
A nurse is preparing to administer cefazolin 1 g
in 0.9% sodium chloride 100 ml- via intermittent
IV bolus over 30 min. The drop factor of the
manual IV tubing is I5 gtt/mL. The nurse should
set the manual IV infusion to deliver how many
gtt/min? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not
use a trailing zero.)
D. Reason
A nurse is preparing to transcribe a prescription
for a client that reads "ondansetron 8 mg by
mouth every 12 hr PRN." Which of the following
parts of the prescription should the nurse clarify
with the provider?
A. Dose
B. Route
C. Frequency
D. Reason
A. Blood pressure
1. A nurse is caring for a client who has a
prescription for nifedipine. Which of the
following findings should the nurse assess prior
to administration of the medication?
A. Blood pressure
B. Respiratory rate
C. Temperature
D. Oxygen saturation
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A. Blurred vision
A nurse is providing teaching to a client who has
a new prescription for carbamazepine for the
treatment of seizures. The nurse should instruct
the client to monitor for which of the following
adverse effects?
A. Blurred vision
B. Insomnia
C. Metallic taste
D. Tachypnea
D. WBC count
A nurse is reviewing the laboratory data of a
client who is receiving filgrastim. Which of the
following laboratory values should the nurse
monitor to evaluate the effectiveness of the
treatment?
A. Potassium level
B. BUN
C. INR
D. WBC count
B. Administer IV dextrose.
A nurse is caring for a client who is receiving
parenteral nutrition and identifies that the client
has hypoglycemia. Which of the following
actions should the nurse take?
A. Discontinue the infusion.
B. Administer IV dextrose.
C. Warm formula to room temperature.
D. Obtain arterial blood gases.
B. Hypotension
A nurse is assessing a client who has septic shock
and is receiving dopamine by continuous IV
infusion. Which of the following findings
indicates that the nurse should increase the rate
of infusion?
A. Headache
B. Hypotension
C. Chest pain
D. Extravasation
A. Ginkgo biloba
A nurse is caring for a client who is taking
warfarin and reports taking several new herbal
supplements. The nurse should identify which of
the following supplements is contraindicated for
concurrent use with warfarin?
A. Ginkgo biloba
B. Coenzyme
C. Valerian
D. Probiotics
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A. HR of 56/min
A nurse is assessing a client with hypertension
who is receiving propranolol. Which of the
following findings requires the nurse's
intervention?
A. Heart rate of 56/min
B. Sa02 95% on 2 L/min of oxygen
C. Respirations 22/min
D. Blood pressure 106/68 mm Hg
D. A client who has AIDS
A nurse is preparing to administer the varicella
vaccine to a group of clients. The nurse should
identify which of the following clients as having
a contraindication for receiving this
immunization?
A. An older adult client living in a long-term care
facility.
B. A young adult who has an allergy to eggs C. A
child who recently received the human
papillomavirus vaccine.
D. A client who has AIDS
C. Prochlorperazine
A nurse is caring for a client who is experiencing
severe vomiting. Which of the following
medications should the nurse plan to administer?
A. Propafenone
B. Simvastatin
C. Prochlorperazine
D. Metformin
325mcg per day.
A nurse is preparing to administer filgrastim 5
mcg/kg/day subcutaneous to a client who weighs
143 lb. How many mcg should the nurse
administer per day? (Round the answer to the
nearest whole number. Use a leading zero if it
applies. Do not use a trailing zero.)
A. Administer epinephrine IM.
A nurse is caring for a client who develops an
anaphylactic reaction to IV antibiotic
administration. After assessing the client's
respiratory status and stopping the medication
infusion. Which of the following actions should
the nurse take next?
A. Administer epinephrine IM.
B. Replace the infusion with 0.9% sodium
chloride.
C. Give diphenhydramine IM.
D. Elevate the client's legs and feet.
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D. The client will wear his reading glasses when drawing up a dose of insulin glargine.
A nurse is developing a teaching plan for an
older adult client who has a new prescription for
insulin glargine. Which of the following
expected outcomes should the nurse include in
the plan?
A. The client will administer insulin glargine
before each meal.
B. The client will use the deltoid muscle as an
injection site.
C. The client will take an additional dose of
insulin glargine prior to exercise.
D. The client will wear his reading glasses when
drawing up a dose of insulin glargine.
B. Consult a drug reference guide for possible interactions.
A nurse is preparing to administer medication to
a client for the first time and needs to know
about potential food and medication interactions.
Which of the following actions should the nurse
take?
A. Have the client take the medication on an
empty stomach to avoid interactions.
B. Consult a drug reference guide for possible
interactions.
C. Ask another nurse if they are aware of
potential interactions.
D. Check the client's medical record for
medication and food interactions.
B. Calcium
A nurse is taking a medication history from a
client who has a new prescription for
levothyroxine. The nurse should instruct the
client to wait 4 hr after taking levothyroxine
before taking which of the following
supplements?
A. Ginkgo biloba
B. Calcium
C. Vitamin C
D. Zinc
C. Keep the solution refrigerated until 1 hr before infusion.
A nurse is preparing to administer total parenteral
nutrition to a client. Which of the following
actions should the nurse take?
A. Obtain the client's weight three times a week.
B. Check the client's WBC count daily.
C. Keep the solution refrigerated until 1 hr before
infusion.
D. Change the solution every 36 hrs.
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