A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicates an understanding of the teaching? Correct Answer - "I will take the patch off right after my evening meal"
A nurse receives a verbal order from the provider to administer morphine 5 mg every 4 hours subcutaneously for severe pain as needed. The nurse should identify which of the following entries as the correct format for the medication administration record (MAR)? Correct Answer - Morphine 5 mg subcut every 4 hr PRN severe pain
A nurse is caring for a client who is taking acetazolamide for chronic open-angle glaucoma. For which of the following adverse effects should the nurse instruct the client to monitor and report? Correct Answer - Tingling of fingers.
A nurse administers a dose of metformin to a client instead of the prescribed dose of metoclopramide. Which of the following actions should the nurse take first? Correct Answer - Check the client's blood glucose
A nurse is caring for a client who has cancer and is taking oral morphine and docusate sodium. The nurse should instruct the client that taking the docusate daily
can minimize which of the following adverse effects of morphine? Correct Answer
- Constipation
A nurse is assessing a client's vital signs prior to the administration of PO digoxin. The client's BP is 144/86 mmHg, heart rate is 55/min, and respiratory rate is 20/min. The nurse should withhold the mediction and contact the provider for which of the following findings? Correct Answer - Heart rate A nurse is caring for a client who received 0.9% sodium chloride 1L over 4 hr instead of over 8 hrs as prescribed. Which of the following information should the nurse enter as a complete documentation of the incident? Correct Answer - 0.9% sodium chloride IL IV infused over 4 hr. Vital signs stable, provider notified
A nurse is providing teaching to a client who has peptic ulcer disease and is to start
a new prescription for sucralfate. Which of the following actions of sucralfate should the nurse include in the teaching? Correct Answer - Forms a protective barrier over ulcers
A nurse is reviewing the ECG of a client who is receiving IV furosemide for heart failure. The nurse should identify which of the following findings as an indication of hypokalemia? Correct Answer - Presence of U-waves
A nurse on the acute care unit is caring for a client who is receiving gentamicin IV.
The nurse should report which of the following findings to the provider as an adverse effect of the medication? Correct Answer - Tinnitus
A nurse at a clinic is providing follow-up care to a client who is taking fluoxetine for depression. Which of the following findings should the nurse identify as an adverse effect of the medication? Correct Answer - sexual dysfunction
A nurse is preparing to administer PO sodium polystyrene sulfonate to a client who
has hyperkalemia. Which of the following actions should the nurse plan to take? Correct Answer - Monitor the client for constipation
A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and discovers the antibiotic is not present in the client's medication drawer. The nurse should identify that administration of the medication can occur at which of the following time periods without requiring an incident report? Correct Answer - 0830 A nurse is planning care for a client who is prescribed metoclopramide following bowel surgery. For which of the following adverse effects should the nurse monitor? Correct Answer - sedation
A nurse is teaching a client who is to start taking hydrocodone with acetaminophen
tablets for pain. Which of the following information should the nurse include in the
teaching? Correct Answer - Decreased respirations might occur
A nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking. Which of the following findings should the nurse identify as an adverse effect of the medication? Correct Answer - insomnia
A nurse is administering donepizil to a client who has Alzheimer's disease. Which of the following findings should the nurse report to the provider immediately? Correct Answer - Dyspnea
A nurse is teaching a client about warfarin. The client asks if they can take aspirin while taking the warfarin. Which of the following responses should the nurse make? Correct Answer - "Aspirin will increase the risk of bleeding"
A nurse if teaching a client about cyclobenzaprine. Which of the following client statements should indicate to the nurse that the teaching is effective? Correct Answer - "I will taper off the medication before discontinuing it"
A nurse is providing to a client who is to begin taking oxybutynin for urinary incontinence. Which of the following adverse effects should the nurse include in the teaching? (select all that apply) Correct Answer - Dry mouth
Blurred vision
dry eyes