Key Latest Updated 2024
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 - answers-D. 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 -
answers-C. Drink 2 L of water daily
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 - answers-A. 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 - answers-A. 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 - answers-C. Urinary retention
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 - answers-A. 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 - answers-B. 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 - answers-31 gtt/min