A nurse is reinforcing teaching to a client who is to start using a nitroglycerine transdermal
unit for angina. Which of the following instructions should the nurse include? -
ANSWER remove the patch each evening to have 10 hr without medication
A nurse is preparing to administer timolol ophthalmic drops to a client who has glaucoma.
Which of the following actions should the nurse plan to take? - ANSWER drop
prescribed amt of med into the conjunctival sac
A nurse is administering morning medications and realizes that nifedipine was administered
to the wrong client. Which of the following is the priority nursing action? -
ANSWER check the clients vital sign
A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily for heart
failure. The client's current vital signs are: BP 144/96, heart rate 54/min, respirations
18/min, and temperature 37° C (98.6° F). Which of the following actions should the nurse
take? - ANSWER withhold the digoxin for decreased heart rate
A nurse is caring for a client who is taking ranitidine. Which of the following client
statements indicates to the nurse that ranitidine treatment has been effective? (Select all
that apply.) - ANSWER "i dont have as much heartburn after i eat anymore"
"i can sleep while lying flat"
1
, A nurse is collecting data from a client who is postoperative and receiving IV morphine 1 mg
every 10 min via PCA. For which of the following manifestations should the nurse withhold
the morphine? - ANSWER the clients resp rate in 9/min
A nurse is reviewing the laboratory values of a client who is receiving total parenteral
nutrition (TPN): glucose 72 mg/dL, chloride 100 mEq/L, sodium 138 mEq/L, and potassium
3.0 mEq/L. Which of the following actions should the nurse plan to take? -
ANSWER request a potassium replacement
A nurse is reviewing the medication administration records of a group of clients who have
been newly admitted to a long-term care facility. Which of the following clients should the
nurse monitor for extrapyramidal symptoms? - ANSWER a client who has
schizophrenia and is taking an antipsychotic med.
A nurse is preparing a medication for a client and is converting grams to milligrams. Which of
the following actions should the nurse take? - ANSWER move the decimal point 3
places to the right.
A nurse is monitoring a client's IV site. The nurse should report which of the following
findings as manifestations of phlebitis? (Select all that apply.) - ANSWER erythema at
the insertion site
warmth at insertion site
streak formation along the vein
A nurse is reinforcing teaching with a client who is about to start taking captopril to treat
hypertension. Which of the following instructions should the nurse include to help the client
manage this medication's adverse effects? - ANSWER take the med on an empty
stomach
2
unit for angina. Which of the following instructions should the nurse include? -
ANSWER remove the patch each evening to have 10 hr without medication
A nurse is preparing to administer timolol ophthalmic drops to a client who has glaucoma.
Which of the following actions should the nurse plan to take? - ANSWER drop
prescribed amt of med into the conjunctival sac
A nurse is administering morning medications and realizes that nifedipine was administered
to the wrong client. Which of the following is the priority nursing action? -
ANSWER check the clients vital sign
A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily for heart
failure. The client's current vital signs are: BP 144/96, heart rate 54/min, respirations
18/min, and temperature 37° C (98.6° F). Which of the following actions should the nurse
take? - ANSWER withhold the digoxin for decreased heart rate
A nurse is caring for a client who is taking ranitidine. Which of the following client
statements indicates to the nurse that ranitidine treatment has been effective? (Select all
that apply.) - ANSWER "i dont have as much heartburn after i eat anymore"
"i can sleep while lying flat"
1
, A nurse is collecting data from a client who is postoperative and receiving IV morphine 1 mg
every 10 min via PCA. For which of the following manifestations should the nurse withhold
the morphine? - ANSWER the clients resp rate in 9/min
A nurse is reviewing the laboratory values of a client who is receiving total parenteral
nutrition (TPN): glucose 72 mg/dL, chloride 100 mEq/L, sodium 138 mEq/L, and potassium
3.0 mEq/L. Which of the following actions should the nurse plan to take? -
ANSWER request a potassium replacement
A nurse is reviewing the medication administration records of a group of clients who have
been newly admitted to a long-term care facility. Which of the following clients should the
nurse monitor for extrapyramidal symptoms? - ANSWER a client who has
schizophrenia and is taking an antipsychotic med.
A nurse is preparing a medication for a client and is converting grams to milligrams. Which of
the following actions should the nurse take? - ANSWER move the decimal point 3
places to the right.
A nurse is monitoring a client's IV site. The nurse should report which of the following
findings as manifestations of phlebitis? (Select all that apply.) - ANSWER erythema at
the insertion site
warmth at insertion site
streak formation along the vein
A nurse is reinforcing teaching with a client who is about to start taking captopril to treat
hypertension. Which of the following instructions should the nurse include to help the client
manage this medication's adverse effects? - ANSWER take the med on an empty
stomach
2
