SATA NCLEX Saunders Review questions with 100% Correct Answers

Rifabutin (Mycobutin) is prescribed for a client with active Mycobacterium avium complex (MAC) disease and tuberculosis. The nurse monitors for which side effects of the medication? Correct Answer Signs of hepatitis Flu-like syndrome Low neutrophil count Ocular pain or blurred vision A nurse in a medical unit is caring for a client with heart failure. The client suddenly develops extreme dyspnea, tachycardia, and lung crackles, and the nurse suspects pulmonary edema. The nurse immediately notifies the registered nurse and expects which interventions to be prescribed? Correct Answer Administering oxygen Inserting a Foley catheter Administering furosemide (Lasix) Administering morphine sulfate intravenously A client with coronary artery disease complains of substernal chest pain. After checking the client's heart rate and blood pressure, a nurse administers nitroglycerin, 0.4 mg, sublingually. After 5 minutes, the client states, "My chest still hurts." Select the appropriate actions that the nurse should take. Correct Answer Assess the client's pain level. Check the client's blood pressure. Administer a second nitroglycerin, 0.4 mg, sublingually. Contact the registered nurse. The nurse monitoring a client receiving peritoneal dialysis notes that the client's outflow is less than the inflow. The nurse should take which actions? Correct Answer Check the level of the drainage bag. Reposition the client to his or her side. Place the client in good body alignment. Check the peritoneal dialysis system for kinks. The nurse is preparing a teaching plan for a client who is undergoing cataract extraction with intraocular implant. Which home care measures will the nurse include in the plan? Correct Answer To avoid activities that require bending over To place an eye shield on the surgical eye at bedtime To contact the surgeon if a decrease in visual acuity occurs To take acetaminophen (Tylenol) for minor eye discomfort The nurse is preparing to administer eye drops. Select the interventions that the nurse takes to administer the drops Correct Answer Wash hands. Put on gloves. Place the drop in the conjunctival sac. Pull the lower lid down against the cheek bone. A client is receiving meperidine hydrochloride (Demerol) for pain. Which of the following are side effects of this medication Correct Answer Hypotension Tremors Drowsiness A nurse is preparing a list of cast care instructions for a client who just had a plaster cast applied to his right forearm. Which instructions should the nurse include on the list? Correct Answer Keep the cast and extremity elevated. The cast needs to be kept clean and dry. Allow the wet cast 24 to 72 hours to dry. A nurse is preparing a list of cast care instructions for a client who just had a plaster cast applied to his right forearm. Which instructions should the nurse include on the list? Correct Answer Symptom control during periods of emotional stress Normal white blood cell counts, platelet, and neutrophil counts Radiological findings that show nonprogression of joint degeneration An increased range of motion in the affected joints 3 months into therapy Which interventions would apply in the care of a client at high risk for an allergic response to a latex allergy. Correct Answer Use non-latex gloves. Use medications from glass ampules Keep a latex-safe supply cart available in the client's area. Do not puncture rubber stoppers with needles Ketoconazole is prescribed for a client with a diagnosis of candidiasis. Select the interventions that the nurse includes when administering this medication Correct Answer Monitor hepatic and liver function studies. Instruct the client to avoid alcohol. Instruct the client to avoid exposure to the sun. A client with human immunodeficiency virus is taking nevirapine (Viramune). The nurse should monitor for which adverse effects of the medication? Correct Answer Hepatotoxicity Rash The nurse in the mental health unit reviews the therapeutic and nontherapeutic communication techniques with a nursing student. Which of the following are therapeutic communication techniques? Correct Answer Restating Listening Maintaining neutral responses Providing acknowledgment and feedback