1. A nurse is caring for a client admitted with suspected meningitis. The provider
has prescribed contact precautions for the client. What action should the nurse
take?
- Prepare for a lumbar puncture for a definite diagnosis
- Start to administer an antibiotic
- Obtain a blood culture to diagnose the causative agent
- Place on isolation
2. The nurse is caring for a client with osteoporosis. Discuss general nursing care
required for this client including fall prevention techniques. (Review the Fundamentals
Review Module)
- Make sure the clients diet is high in Vitamin D and Calcium
- Foe fall prevention make sure to discard of rugs and loose carpet, place
electrical cords behind furniture or close to walls, provide aids as needed use
nonskid mats in the shower, place grab bars near toilet and shower, place
shower chair in the shower and provide bedside commode as needed ensure
adequate lighting
- Help assess the home environment for safety hazards if possible
- Instruct client on adequate values of vitamin D, calcium protein magnesium
and other trace minerals
- Encourage weight bearing exercises
3. A nurse is providing education to a client at risk for osteoporosis. What information
for prevention of osteoporosis should the nurse include in this education?
- Make sure the clients diet is high in Vitamin D and Calcium
- Encourage things like weight bearing exercises
- Tell the client to not drink carbonated beverages
- Look at the pros and cons of using contraceptives
4. A client with hip osteoarthritis will undergo a total hip arthroplasty. What are two (2)
postoperative complications following total hip arthroplasty?
- Monitor for evidence of incisional infection: fever, increased redness,
swelling, purulent drainage
- Monitor for DVT, Which can lead to pulmonary embolism anemia
infection and neurovascular compromise.
5. A nurse is caring for a client in Buck’s traction. What is the purpose of this type
of traction?
- The goal of traction is to prevent soft tissue injuries, realign bone
fragments, decrease muscle spasms and pain and correct or prevent
further deformities
6. Why should propranolol be avoid for clients with asthma?
- Propranolol is a nonselective beta adrenergic blocker and blocks both beta1
and beta2 receptors. A blockade of beta2 receptors in the lungs causes
bronchoconstriction and is contraindicated in clients with asthma.
, 7. A client has been prescribed warfarin. What are some common medication
interactions for this medication?
- Medications that can increase the risk for bleeding while taking warfarin
are: heparin, aspirin, acetaminophen, glucocorticoids, sulfonamides and
parental cephalosporin.
Medications can reduce anticoagulant effects: phenobarbital, carbamazepine,
phenytonin. Contraceptives and vitamin K.
8.Identify two (2) baseline labs the nurse anticipates the healthcare provider to
order before starting a client on lovastatin.
Suggested Pharmacology Learning Activity: Antilipemic Agents
9. A client diagnosed with a deep vein thrombosis (DVT) is prescribed intravenous
heparin. What nursing actions should the nurse take related to this medication?
(Review the Pharmacology Review Module)
- You want to monitor platelet level.
- One serious side effect to look for with patients prescribed heparin is
heparin induced thrombocytopenia.
The nurse is providing discharge education for a client who will be self-
administering enoxaparin. Identify three (3) things to teach this client about self-
administering enoxaparin.Suggested Pharmacology Learning Activity:
Anticoagulants
A client is started on total parenteral nutrition (TPN) for malnutrition. Identify three (3)
complications of TPN and one (1) nursing action for each complication.Suggested
Pharmacology Learning Activity: TPN
A nurse is caring for a client with a history of esophageal varices. Identify three (3)
priority actions the nurse should take if bleeding is suspected.Suggested Adult Med
Surg Learning
Activity: Alteration in Body Systems - GI
A nurse is caring for a client who is to have a fecal occult blood test done. What
information regarding dietary and medication restrictions should the nurse provide to
this client?
Suggested Medical Surgical Learning Activity: Colorectal Cancer
A nurse is caring for a client post-mastectomy. What postoperative exercises should be
included in the client's discharge teaching?
Suggested Medical Surgical Learning Activity: Cancers of the Female Reproductive
System
List five (5) teaching points to be included when educating a client newly diagnosed with
has prescribed contact precautions for the client. What action should the nurse
take?
- Prepare for a lumbar puncture for a definite diagnosis
- Start to administer an antibiotic
- Obtain a blood culture to diagnose the causative agent
- Place on isolation
2. The nurse is caring for a client with osteoporosis. Discuss general nursing care
required for this client including fall prevention techniques. (Review the Fundamentals
Review Module)
- Make sure the clients diet is high in Vitamin D and Calcium
- Foe fall prevention make sure to discard of rugs and loose carpet, place
electrical cords behind furniture or close to walls, provide aids as needed use
nonskid mats in the shower, place grab bars near toilet and shower, place
shower chair in the shower and provide bedside commode as needed ensure
adequate lighting
- Help assess the home environment for safety hazards if possible
- Instruct client on adequate values of vitamin D, calcium protein magnesium
and other trace minerals
- Encourage weight bearing exercises
3. A nurse is providing education to a client at risk for osteoporosis. What information
for prevention of osteoporosis should the nurse include in this education?
- Make sure the clients diet is high in Vitamin D and Calcium
- Encourage things like weight bearing exercises
- Tell the client to not drink carbonated beverages
- Look at the pros and cons of using contraceptives
4. A client with hip osteoarthritis will undergo a total hip arthroplasty. What are two (2)
postoperative complications following total hip arthroplasty?
- Monitor for evidence of incisional infection: fever, increased redness,
swelling, purulent drainage
- Monitor for DVT, Which can lead to pulmonary embolism anemia
infection and neurovascular compromise.
5. A nurse is caring for a client in Buck’s traction. What is the purpose of this type
of traction?
- The goal of traction is to prevent soft tissue injuries, realign bone
fragments, decrease muscle spasms and pain and correct or prevent
further deformities
6. Why should propranolol be avoid for clients with asthma?
- Propranolol is a nonselective beta adrenergic blocker and blocks both beta1
and beta2 receptors. A blockade of beta2 receptors in the lungs causes
bronchoconstriction and is contraindicated in clients with asthma.
, 7. A client has been prescribed warfarin. What are some common medication
interactions for this medication?
- Medications that can increase the risk for bleeding while taking warfarin
are: heparin, aspirin, acetaminophen, glucocorticoids, sulfonamides and
parental cephalosporin.
Medications can reduce anticoagulant effects: phenobarbital, carbamazepine,
phenytonin. Contraceptives and vitamin K.
8.Identify two (2) baseline labs the nurse anticipates the healthcare provider to
order before starting a client on lovastatin.
Suggested Pharmacology Learning Activity: Antilipemic Agents
9. A client diagnosed with a deep vein thrombosis (DVT) is prescribed intravenous
heparin. What nursing actions should the nurse take related to this medication?
(Review the Pharmacology Review Module)
- You want to monitor platelet level.
- One serious side effect to look for with patients prescribed heparin is
heparin induced thrombocytopenia.
The nurse is providing discharge education for a client who will be self-
administering enoxaparin. Identify three (3) things to teach this client about self-
administering enoxaparin.Suggested Pharmacology Learning Activity:
Anticoagulants
A client is started on total parenteral nutrition (TPN) for malnutrition. Identify three (3)
complications of TPN and one (1) nursing action for each complication.Suggested
Pharmacology Learning Activity: TPN
A nurse is caring for a client with a history of esophageal varices. Identify three (3)
priority actions the nurse should take if bleeding is suspected.Suggested Adult Med
Surg Learning
Activity: Alteration in Body Systems - GI
A nurse is caring for a client who is to have a fecal occult blood test done. What
information regarding dietary and medication restrictions should the nurse provide to
this client?
Suggested Medical Surgical Learning Activity: Colorectal Cancer
A nurse is caring for a client post-mastectomy. What postoperative exercises should be
included in the client's discharge teaching?
Suggested Medical Surgical Learning Activity: Cancers of the Female Reproductive
System
List five (5) teaching points to be included when educating a client newly diagnosed with
