A nurse in an outpatient clinic is caring for a client.
Initial visit:Temperature 36.5° C (97.7° F)Heart rate 72/minBlood
pressure 118/74 mm HgRespiratory rate 15/minSpO2 99% on room
airFollow-up visit:Temperature 36.7° C (98.1° F)Heart rate 92/minBlood
pressure 132/88 mm HgRespiratory rate 18/minSpO2 98% on room air
Initial visit:Client presents for evaluation of an increase in headaches over
past several months. Client reports headaches occur three to six times
per month and typically last a few hours to three days. Headaches are
often accompanied by neck pain and nausea. Client reports working full-
time at a desk job and is using a computer all day. States last eye exam
was three months ago.Follow-up visit:Client presents with report of a
severe headache for the past four days that is unrelieved by rest and
over the counter analgesics. The client states that they have been
nauseated and had 2 episodes of vomit - ANSWER-When generating
solutions and planning teaching about sumatriptan, an abortive
medication for migraine, the nurse should inform the client that a feeling
of pressure in the chest or arm heaviness is an expected adverse effect.
Sumatriptan can also cause fatigue. Oral sumatriptan begins to alleviate
migraine pain within one hour and a second dose can be taken at least
two hours later if manifestations persist.
,a nurse is reviewing assessment findings for a client who has a new
prescription for ceftazidime via intermittent IV bolus. which of the
following findings should the nurse identify as a contraindication to this
medication? - ANSWER-allergy to cephalosporin
a nurse is providing teaching to the client who has multiple sclerosis and
new prescription for methylprednisolone. which of the following
instructions should the nurse include? (select all that apply) - ANSWER-
Blood glucose levels will be monitored during therapy.
Avoid contact with people who have known infections.
Grapefruit juice can increase the effects of the medication.
A nurse is monitoring a client after administering their prescribed
medications
2000:Client is alert to person, place, time, and situation. Client reports
headache and occasional anxiety.
Client reports nausea. Abdomen soft and rounded, non-distended. Bowel
sounds are normoactive in all 4 quadrants.
Bladder non-distended; continent. Urine output of 25 mL/hr.
, Skin cool, dry and intact.
Small pinpoint petechiae is present on bilateral extremities.
1600:Temperature 37.7° C (99.9° F)Heart rate 100/minRespiratory rate
20/minBlood pressure 134/64 mm HgOxygen Saturation 96% on room
air2000:Temperature 38.4° C (101.2° F)Heart rate 106/minRespiratory
rate 20/minBlood pressure 140/64 mm HgOxygen Saturation 97% on
room air
Enoxaparin 40 mg Subcutaneous daily
Click to highlight the findings from the client's medical record that
indicates a potential adverse reaction to their prescribed medication and
requires the nurse to - ANSWER-the client's report of headache, nausea,
and small pinpoint petechiae is present on bilateral extremities
A nurse is caring for a client in a clinic and is reviewing their electronic
medical record (EMR).
3 months ago:Client was prescribed atorvastatin by provider. Client was
educated to continue eating a diet low in saturated fats and to participate
in regular exercise. Client is to return to the office in 3 months for a
follow-up visit.Today:Client here for a follow-up visit. Client reports last
bowel movement was 1 day ago, increased appetite, and dark urine upon
urination. Client reports having some muscle weakness when working