Questions with Approved Answers
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A burn client is receiving treatments of topical mafenide acetate to the site of injury. The nurse monitors
the client, knowing that which finding indicates that a systemic effect has occurred? - Answer -
hypeventilation
A client being treated for heart failure is administered intravenous bumetanide. Which outcome
indicates that the medication has achieved the expected effect? - Answer -Urine output increases
from 10 mL/hour to greater than 50 mL hourly.
A client has a new prescription for metoclopramide. On review of the chart, the nurse identifies that this
medication can be safely administered with which condition? - Answer -Vomiting following cancer
chemotherapy
A client has a prescription to take guaifenesin. The nurse determines that the client understands the
proper administration of this medication if the client states that he or she will perform which action? -
Answer -Take the tablet with a full glass of water
A client has an as needed prescription for loperamide hydrochloride. For which condition should the
nurse administer this medication? - Answer -An episode of diarrhea
A client has an as needed prescription for ondansetron. For which condition(s) should the nurse
administer this medication? - Answer -Nausea and vomiting
A client has been started on long-term therapy with rifampin. The nurse should provide which
information to the client about the medication? - Answer -Causes orange discoloration of sweat,
tears, urine, feces
A client has been taking isoniazid for 2 months. The client complains to the nurse about numbness,
paresthesias, and tingling in the extremities. The nurse interprets that the client is experiencing which
problem? - Answer -Peripheral neuritis
A client has been taking omeprazole for 4 weeks. The ambulatory care nurse evaluates that the client is
receiving the optimal intended effect of the medication if the client reports the absence of which
symptom? - Answer -Heartburn
A client has begun medication therapy with pancrelipase. The nurse evaluates that the medication is
having the optimal intended benefit if which effect is observed? - Answer -Reduction of
steatorrhea
, A client has begun therapy with theophylline. The nurse should plan to teach the client to limit the
intake of which items while taking this medication? - Answer -coffee, cola, chocolate
A client in preterm labor (31 weeks) who is dilated to 4 cm has been started on magnesium sulfate and
contractions have stopped. If the client's labor can be inhibited for the next 48 hours, the nurse
anticipates a prescription for which medication? - Answer -Betamethasone
A client is being treated with procainamide for a cardiac dysrhythmia. Following intravenous
administration of the medication, the client complains of dizziness. What intervention should the nurse
take first? - Answer -Auscultate the client's apical pulse and obtain a blood pressure.
A client is diagnosed with an ST segment elevation myocardial infarction (STEMI) and is receiving a tissue
plasminogen activator, alteplase. Which action is a priority nursing intervention? - Answer -
monitor signs of bleeding
A client is prescribed nicotinic acid for hyperlipidemia and the nurse provides instructions to the client
about the medication. Which statement by the client indicates an understanding of the instructions? -
Answer -"Ibuprofen IB taken 30 minutes before the nicotinic acid should decrease the flushing."
A client is taking Humulin NPH insulin and regular insulin every morning. The nurse should provide which
instructions to the client? Select all that apply. - Answer -Hypoglycemia may be experienced before
dinnertime
The insulin should be administered at room temperature
A client is to begin a 6-month course of therapy with isoniazid. The nurse should plan to teach the client
to take which action? - Answer -Report yellow eyes or skin immediately
A client who has a cold is seen in the emergency department with an inability to void. Because the client
has a history of benign prostatic hyperplasia, the nurse determines that the client should be questioned
about the use of which medication? - Answer -Decongestants
A client who is receiving digoxin daily has a serum potassium level of 3 mEq/L (3 mmol/L) and is
complaining of anorexia. The health care provider prescribes a serum digoxin level to be done. The nurse
checks the results and should expect to note which level that is outside of the therapeutic range? -
Answer -1.0 ng/ml
(digoxin therapeutic range 0.5-0.8 ng/ml)
A client who uses nonsteroidal antiinflammatory drugs (NSAIDs) has been taking misoprostol. The nurse
determines that the misoprostol is having the intended therapeutic effect if which finding is noted? -
Answer -Relief of epigastric pain
A client with a clot in the right atrium is receiving a heparin sodium infusion at 1000 units/hour and
warfarin sodium 7.5 mg at 5:00 p.m. daily. The morning laboratory results are as follows: activated
partial thromboplastin time (aPTT), 32 seconds; international normalized ratio (INR), 1.3. The nurse
should take which action based on the client's laboratory results? - Answer -Collaborate with the
HCP to obtain a prescription to increase the heparin infusion and administer the warfarin sodium as
prescribed.