Saunders NCLEX RN NGN Newest 2025/2026 Version
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Laboratory analysis of a urine sample for culture and sensitivity
reveals a bacterial infection, and the client is diagnosed with
cystitis. Nitrofurantoin is prescribed for the client. Which is the
priority nursing assessment before administering this
medication?
A) Checking lung sounds
B) Checking the blood pressure
C) Checking the apical heart rate
D) Checking the bowel sounds in all 4 quadrants
A) Checking lung sounds
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Rationale; - Nitrofurantoin is an antibacterial used to treat
urinary tract infections.
- Although rare, the medication can cause an asthmatic
exacerbation in those with a history of asthma.
- Therefore, the priority baseline assessment should include
questioning the client about a history of asthma and checking
lung sounds.
The nurse provides instructions regarding the administration of
liquid oral cyclosporine solution to a client. Which statement, if
made by the client, would indicate the need for further teaching?
A) "I need to mix the concentrate well and drink it
immediately."
B) "I will mix the concentrate with orange juice to improve the
taste."
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C) "I will purchase a dropper from the pharmacy to calibrate the
amount of medication that I need."
D) "After taking the medication, I need to rinse the container
with diluent and drink it to ensure that I have taken the complete
dose."
C) "I will purchase a dropper from the pharmacy to calibrate the
amount of medication that I need."
Rationale; - The client needs to be instructed to dispense the oral
liquid into a glass container using a specially calibrated pipette.
- The client should not use any other type of dropper to calibrate
the amount of prescribed medication.
- The remaining options identify correct procedure for
administering this medication.
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Nitrofurantoin is prescribed for a client with urinary tract
infection. The nurse is instructing the client regarding the
administration of the medication. Which information about the
best time to take this medication should be included in the
client's education?
A) At bedtime
B) With meals
C) One hour before the dinner meal
D) In the morning, 2 hours after breakfast
B) With meals
Rationale; - Nitrofurantoin is an antibacterial used to treat
urinary tract infections.
- The nurse would instruct the client to take the medication with
food to reduce any gastrointestinal upset that the medication can
cause.