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A client receiving digoxin reports nausea, blurred vision, and palpitations. What is the priority
nursing action?
✔✔Hold the medication and check the client’s digoxin level.
A nurse is caring for a client receiving vancomycin IV. What should the nurse monitor to prevent
nephrotoxicity?
✔✔Serum creatinine and BUN levels.
A client prescribed lisinopril reports a dry, persistent cough. What should the nurse do?
✔✔Notify the provider; the medication may need to be changed to an ARB.
A nurse is administering furosemide. What is the priority assessment before giving the
medication?
✔✔Check the client’s potassium level and blood pressure.
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,A client taking warfarin reports black tarry stools. What is the nurse’s next action?
✔✔Notify the provider; this may indicate gastrointestinal bleeding.
A nurse is educating a client taking levothyroxine. What instruction should the nurse give?
✔✔Take the medication on an empty stomach every morning.
A client is prescribed insulin glargine. What should the nurse teach about its administration?
✔✔Do not mix with any other insulin in the same syringe.
A client is prescribed albuterol via inhaler. What side effect should the nurse teach the client to
expect?
✔✔Tremors and increased heart rate.
A nurse is caring for a client prescribed heparin. What is the appropriate antidote in case of
overdose?
✔✔Protamine sulfate.
A client prescribed prednisone asks about long-term effects. What is the nurse’s best response?
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, ✔✔Long-term use can lead to osteoporosis, weight gain, and increased risk of infection.
A nurse is giving instructions to a client taking nitroglycerin sublingually. What is the correct
way to take it during chest pain?
✔✔Place one tablet under the tongue; repeat every 5 minutes for up to 3 doses if pain persists.
A client taking phenytoin for seizures reports bleeding gums. What should the nurse suggest?
✔✔Practice good oral hygiene and see a dentist regularly.
A client is prescribed lithium. What is the therapeutic serum range for this medication?
✔✔0.6 to 1.2 mEq/L.
A nurse is caring for a client prescribed enoxaparin. What is an appropriate site for
administration?
✔✔Administer subcutaneously in the abdomen at least 2 inches from the umbilicus.
A client is prescribed gentamicin. What adverse effect should the nurse monitor for?
✔✔Hearing loss or ringing in the ears indicating ototoxicity.
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