A nurse is caring for a client who is receiving haloperidol. The nurse should identify which of
the following findings as an adverse effect of the medication?
A. Akathisia
B. Paresthesia
C. Excess tear production
D. Anxiety - ANSA. Akathisia
A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the
following adverse effects should the nurse instruct the client to monitor for and report to the
provider?
A. Chest pressure
B. White patches on the tongue
C. Bruising
D. Insomnia - ANSA. Chest pressure
A nurse is teaching a client who is starting to take amitriptyline. Which of the following
findings should the nurse include in the teaching as an adverse effect of the medication?
A. Muscle twitching
B. Cough
C. Urinary retention
D. Increased libido - ANSC. Urinary retention
A nurse is assessing a client who is taking tamoxifen to treat breast cancer. Which of the
following findings is the priority for the nurse report to the provider?
A. Hot flashes
B. Gastrointestinal irritation
C. Vaginal dryness
D. Leg tenderness - ANSD. Leg tenderness
A nurse is teaching a client who is taking allopurinol for the treatment of gout. Which of the
following information should the nurse include in the teaching?
A. Plan to increase the dosage each week by 200mg increments
B. Prolonged use of the medication can cause glaucoma
C. Drink 2 L of water daily
D. A fine red rash is transient and can be treated with antihistamines - ANSC. Drink 2 L of
water daily
, A nurse is caring for a client who has diabetes mellitus and is taking glyburide. The client
reports feeling confused and anxious. Which of the following actions should the nurse take
first?
A. Perform a capillary blood glucose test
B. Provide the client with a protein-rich snack
C. Give the client 120 mL (4oz) of orange juice
D. Schedule an early meal tray - ANSA. Perform a capillary blood glucose test
A nurse is administering cefotetan via intermittent IV bolus to a client who suddenly develops
dyspnea and widespread hives. Which of the following actions should the nurse take first?
A. Administer epinephrine 0.5mL via IV bolus
B. Discontinue the medication IV infusion
C. Elevate the client's legs above the level of the heart
D. Collect a blood specimen for ABG'd - ANSB. Discontinue the medication IV infusion
A nurse is preparing to administer 0.9% sodium chloride 1,000 mL IV over 8 hr to a client.
The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV
infusion to deliver how many gtt/min. Round to the nearest whole number - ANS31 gtt/min
A nurse is teaching about a new prescription for ciprofloxacin to a client who has a urinary
tract infection. The nurse should identify which of the following statements as an indication
that the client understands the teaching?
A. "I will take this medication with an antacid to prevent gastrointestinal upset"
B. "I will stop taking this medication when I no longer have pain during urination"
C. "I will report any signs of tendon pain or swelling"
D. "I will take this medication with milk" - ANSC. "I will report any signs of tendon pain or
swelling"
A nurse is preparing to teach a client who is to start a new prescription for extended release
verapamil. Which of the following instructions should the nurse plan to include?
A. Take the medication on an empty stomach
B. Avoid crowds
C. Discontinue the medication if palpitations occur
D. Change positions slowly - ANSD. Change positions slowly
A nurse is caring for a client who is refusing to take their scheduled morning furosemide.
Which of the following statements should the nurse make?
A. "By not taking your furosemide, you might retain fluid and develop swelling."
B. "You can double your dose of furosemide this evening if that would be better for you"
C. "If you do not take your furosemide, we might get in trouble"
D. "lll go ahead and mix the furosemide into your breakfast ceral" - ANSA. "By not taking
your furosemide, you might retain fluid and develop swelling."