A nurse is monitoring a client who has type 2 diabetes mellitus and is receiving repaglinide.
Which of the following lab tests should the nurse plan to review to obtain information about
the long-term therapeutic effect of this medication? - ANSWER Glycosylated HbA1c
A nurse is reinforcing teaching with a client who is to start therapy using a nitroglycerin
transdermal patch. Which of the following instructions should the nurse include? -
ANSWER Place the patch on a different site for each application.
A nurse is reinforcing teaching with a client who is using phenylephrine nasal spray three
times daily and reports rebound congestion. Which of the following instructions should the
nurse include to reduce the effects of rebound congestion? - ANSWER "Discontinue
use in the left nostril, then in the right nostril."
A nurse is caring for a client who has chronic kidney disease and has been receiving epoetin
for 2 weeks. Which of the following findings should indicate to the nurse that the client's
medication is having the desired therapeutic effect? - ANSWER Hemoglobin rises 0.5
g/dL
A nurse is collecting data from a client who is post-op and taking morphine for pain. Which
of the following findings is the priority for the nurse to report to the provider? -
ANSWER Oxygen saturation 87%
A nurse is reinforcing teaching with a client who has a new prescription for propranolol.
Which of the following information should the nurse include in the teaching? -
ANSWER "If your pulse rate is less than 50 beats per minute, notify your provider."
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, A nurse is contributing to the plan of care for a client who has schizophrenia and a new
prescription for clozapine. The nurse should include in the plan to monitor the client for
which of the following adverse effects of this medication? - ANSWER Agranulocytosis
A nurse is reviewing medication prescriptions for a group of clients. The nurse should
recognize that which of the following prescriptions can result in a medication administration
error? - ANSWER Furosemide 10.0 mg PO daily
A nurse is reinforcing teaching with a client who has a prescription for alendronate. Which of
the following client responses indicates to the nurse an understanding of the teaching? -
ANSWER "I will take the mediation with 8 ounces of water."
A nurse is reviewing the history of a client who is to start taking cefotetan to treat a bacterial
infection. Which of the following information from the client's medical record should the
nurse report to the provider before the client begins receiving this medication? -
ANSWER Penicillin allergy
A nurse is preparing to administer a PRN medication to a group of clients. Which of the
following clients should the nurse administer medication to first? - ANSWER A client
who is attending post-op physical therapy and requests pain medication.
A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The client's
temperature increase to 39.1'C (102.4'F). Which of the following actions should the nurse
take first? - ANSWER Stop the transfusion
A nurse is reinforcing teaching about comfort measures with the parent of a 10 yr old child
who has a viral infection. The nurse should plan to tell the parent that aspirin is
contraindicated because of the risk for which of the following conditions? -
ANSWER Reye syndrome
A nurse is reinforcing teaching with a client who has HIV and a new prescription for
zidovudine. Which of the following client statements should indicate to the nurse an
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Which of the following lab tests should the nurse plan to review to obtain information about
the long-term therapeutic effect of this medication? - ANSWER Glycosylated HbA1c
A nurse is reinforcing teaching with a client who is to start therapy using a nitroglycerin
transdermal patch. Which of the following instructions should the nurse include? -
ANSWER Place the patch on a different site for each application.
A nurse is reinforcing teaching with a client who is using phenylephrine nasal spray three
times daily and reports rebound congestion. Which of the following instructions should the
nurse include to reduce the effects of rebound congestion? - ANSWER "Discontinue
use in the left nostril, then in the right nostril."
A nurse is caring for a client who has chronic kidney disease and has been receiving epoetin
for 2 weeks. Which of the following findings should indicate to the nurse that the client's
medication is having the desired therapeutic effect? - ANSWER Hemoglobin rises 0.5
g/dL
A nurse is collecting data from a client who is post-op and taking morphine for pain. Which
of the following findings is the priority for the nurse to report to the provider? -
ANSWER Oxygen saturation 87%
A nurse is reinforcing teaching with a client who has a new prescription for propranolol.
Which of the following information should the nurse include in the teaching? -
ANSWER "If your pulse rate is less than 50 beats per minute, notify your provider."
1
, A nurse is contributing to the plan of care for a client who has schizophrenia and a new
prescription for clozapine. The nurse should include in the plan to monitor the client for
which of the following adverse effects of this medication? - ANSWER Agranulocytosis
A nurse is reviewing medication prescriptions for a group of clients. The nurse should
recognize that which of the following prescriptions can result in a medication administration
error? - ANSWER Furosemide 10.0 mg PO daily
A nurse is reinforcing teaching with a client who has a prescription for alendronate. Which of
the following client responses indicates to the nurse an understanding of the teaching? -
ANSWER "I will take the mediation with 8 ounces of water."
A nurse is reviewing the history of a client who is to start taking cefotetan to treat a bacterial
infection. Which of the following information from the client's medical record should the
nurse report to the provider before the client begins receiving this medication? -
ANSWER Penicillin allergy
A nurse is preparing to administer a PRN medication to a group of clients. Which of the
following clients should the nurse administer medication to first? - ANSWER A client
who is attending post-op physical therapy and requests pain medication.
A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The client's
temperature increase to 39.1'C (102.4'F). Which of the following actions should the nurse
take first? - ANSWER Stop the transfusion
A nurse is reinforcing teaching about comfort measures with the parent of a 10 yr old child
who has a viral infection. The nurse should plan to tell the parent that aspirin is
contraindicated because of the risk for which of the following conditions? -
ANSWER Reye syndrome
A nurse is reinforcing teaching with a client who has HIV and a new prescription for
zidovudine. Which of the following client statements should indicate to the nurse an
2
