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A client is scheduled for a spiral computed tomography (CT)
with contrast to evaluate for pulmonary embolism. Which
information in the client's history requires follow-up by the
nurse? - ANSWER Takes metformin hydrochloride for type 2
diabetes mellitus
A client recently diagnosed with multiple sclerosis who self
administers beta-1a interferon reports feeling depressed.
Which action should the nurse implement? - ANSWER Notify
the healthcare provider of findings immediately.
Before administering the initial dose of sumatriptan succinate
to a client with migraine headache. It is most important to
determine if the client's history includes which protein? -
ANSWER Coronary artery disease
A client receives a prescription of ciprofloxacin 400 mg
intravenously (IV) every 12 hours, which is to be infused over
an hour. The IV bag contains ciprofloxacin 400 mg in dextrose
5% water (D,W) 200 mL. How many mL/hr should the nurse
program the infusion pump to deliver? (Enter numerical value
only.) - ANSWER
,Before administering a laxative to a bedfast client, it is most
important for the nurse to perform which assessment? -
ANSWER Determine the frequency and consistently of bowel
movements.
Hormone replacement therapy with levothyroxine sodium is
prescribed for a client with hypothyroidism. The nurse should
instruct the client to report which symptom because it indicates
that the client is taking too much of the hormonal agent,
levothyroxine sodium? - ANSWER Restlessness
A male client reports to the nurse that he is experiencing
gastrointestinal distress from high dose of corticosteroid and
planning to stop taking the medication. In response the client's
statement, which nursing action is most important for the
nurse to implement? - ANSWER Advise the client that the
medication should be stopped gradually rather than abruptly.
A client is receiving pilocarpine hydrochloride ophthalmic drops
for glaucoma. The client calls the clinic nurse and reports
difficulty seeing at night. Which explanation should the nurse
provide? - ANSWER The eye drops slow pupil response to
accommodate darkness.
A client is receiving rifampin and antitubercular medication.
Which statement by this client should prompt the nurse to
notify the healthcare provider of potential problem? - ANSWER
Complains of persistent tinnitus.
, Which action should the nurse implement to assess the
effectiveness of the calcium channel blocker amlodipine? -
ANSWER Measure the client's blood pressure.
A male client has been receiving the antibiotic gentamicin
sulfate, IV piggyback every 12 hours for several days. Which
observation by the nurse indicates that the client may be
experiencing an adverse effect of gentamicin? - ANSWER
Hearing has decreased.
An older adult client with restless legs syndrome begins taking
melatonin at bedtime. When evaluating effectiveness of the
herb, which client assessment should the nurse to complete? -
ANSWER Determine sleep patterns
The nurse prepares to administer a scheduled dose of labetaol
by mouth to a client with hypertension. The client's vital signs
are temperature 99 F (37.2 C) heart rate 48 beats/minute
respirations 16 breaths/minute, and blood pressure 150/90
mmHg. Which action should the nurse take? - ANSWER
Withhold the scheduled dose and notify the healthcare
provider
To evaluate the effectiveness of a client's prescription of
rosuvastatin, which action should the nurse implement? -
ANSWER Evaluate the client's serum cholesterol level results.
The nurse is planning teaching for a client with diabetes
mellitus who has prescription of insulin. Which action should