Medication and IV Administration Exam latest update with 100% accurate solutions(verified by experts)

A client has been prescribed digoxin. Which symptom should the nurse tell the client to report as a potential indication of digoxin toxicity? visual disturbances The physician has prescribed amiodarone for a client with cardiomyopathy. The nurse should monitor the client's rhythm to determine the effectiveness of the medication in controlling: Life-threatening ventricular dysrhythmias. The nurse is preparing to administer a preoperative medication that includes a sedative to a client who is having abdominal surgery. What should the nurse do first? Have the client empty the bladder. A client will receive IV midazolam hydrochloride during surgery. Which finding indicates a therapeutic effect? amnesia For a client with rib fractures and a pneumothorax, the health care provider (HCP) prescribes morphine sulfate, 1 to 2 mg/h, given IV as needed for pain. The nursing care goal is to provide adequate pain control so that the client can breathe effectively. Which finding indicates the goal has been met? pain rating of 0 on a scale of 0 to 10 by the client The nurse is preparing to administer 4 units of regular insulin to a client with type 1 diabetes mellitus. Which of the following equipment does the nurse need to perform the injection? Select all that apply. Medication administration record 27-gauge, ½" needle Which statement indicates that a new graduate nurse understands central venous pressure (CVP) measurement when used on a client? "The test will assess pressure and volume changes in the right atrium." A client has sustained a head injury and is to receive mannitol by I.V. push. In evaluating the effectiveness of the drug, the nurse should expect to find: decreased cerebral edema. A nurse is preparing to administer intravenous cefazolin 1 gram in 50 mL of normal saline over 30 minutes. How many mLs per hour will the client receive? Record your answer using a whole number. 100 The nurse is preparing to administer a chemotherapy infusion to a client with esophageal cancer. The client has an implanted port that was last accessed 7 days ago. The insertion site is clean and dry and without erythema. Which is the appropriate action by the nurse? Access the port using a Huber needle. A client is scheduled for surgery at 8 a.m.(0800). While completing the preoperative checklist, the nurse sees that the surgical consent form isn't signed. It's time to administer the preoperative analgesic. Which nursing action takes the highest priority in this situation? notifying the surgeon that the client hasn't signed the consent form When assessing a client's I.V. insertion site, a nurse notes normal color and temperature at the site and no swelling. However, the I.V. solutions haven't infused at the ordered rate; the flow rate is slow even with the roller clamp wide open. When the nurse lowers the I.V. fluid bag, no blood returns to the tubing. What should the nurse do first? Check the tubing for kinks and reposition the client's wrist and elbow. A client is to be discharged on daily medication delivered by a transdermal disk. Which statement indicates the need for further medication teaching? "I'll place the disk on the same spot each day." A client is taking iron supplements. What information should the nurse give the client? The stools will become darker. The nurse administers an intradermal injection to a client. Proper technique has been used if the injection site has which appearance? evidence of a bleb A client taking oral contraceptives is placed on a 10-day course of antibiotics for an infection. Which instruction should the nurse include in the teaching plan? "Use a barrier method of birth control for the rest of your cycle." A client reports pain in the right heel and is requesting medication. The nurse assesses the client and administers an analgesic. The client experiences no pain relief and states that the heel pain is worse. What is an appropriate intervention by the nurse? Call the physician to report the finding. A nurse administers morphine sulfate to a client in the recovery room. Within 15 minutes after receiving the dose of morphine, the client is very lethargic; respiratory rate is 7 breaths per minute and shallow. What is the appropriate action of the nurse? Administer naloxone. The nurse is caring for a client with a blood pressure of 210/94 mm Hg. The health care provider prescribes enalapril 20 mg b.i.d. Which nursing action is best when instructing on the new medication regimen? State the new medication, including name, use, and reason for the new medication. While monitoring a client following moderate sedation, the nurse administers pain medication for a pain score of 8 out of 10. The client becomes hard to rouse with a respiratory rate of 7 breaths/minute. Which medication should the nurse be prepared to administer? naloxone A nurse is administering two drugs to a client at the same time. The nurse knows the most probable reason for giving the drugs together is synergism. The maximum transfusion time for a unit of packed red blood cells (RBCs) is 4 hours. After instructing a 20-year-old nulligravid client about adverse effects of oral contraceptives, the nurse determines that further instruction is needed when the client states which as an adverse effect? ovarian cancer Clients who are receiving parenteral nutrition (PN) are at risk for development of which complication? fluid imbalances The postoperative nursing assessment of a client's ability to swallow fluids before providing oral fluids is based on the type of anesthesia given. Which client would not have delayed fluid restrictions? a repair of carpal tunnel syndrome under local anesthesia. The nurse notes grapefruit juice on the breakfast tray of a client who is taking repaglinide. What should the nurse do next? Remove the grapefruit juice from the client's tray and bring another juice of the client's preference. A client who is 1 day postoperative is using a morphine patient-controlled analgesia (PCA) pump. The client is confused and disoriented. What is the priority intervention by the nurse? Check respiratory rate and depth as well as oxygen saturation levels. A physician writes an order for a nurse to administer an I.V. medication which, according to hospital policy, is not a nursing protocol. The nurse informs the physician that it is not a nursing protocol, and the physician states, "Give it, and I will cover you." What should the nurse do in this situation? Refuse to administer the medication. A nurse is supervising a student during medication administration to a client. Which action by the student would cause the nurse to intervene during the med pass at the bedside? Check the room number and the client's name on the bed. The nurse is reviewing laboratory values on a client with heart failure and atrial fibrillation. The client has a potassium level of 2.8 mEq/L (2.8 mmol/L). The client is scheduled to receive their 0900 dose of digoxin. What is the nurse's best action? Withhold the dose of digoxin and notify the healthcare provider. A physician orders an infusion of 2,400 ml of I.V. fluid over 24 hours, with half this amount to be infused over the first 10 hours. During the first 10 hours, a client should receive how many milliliters of I.V. fluid per hour? 120 ml/hour What information must a medication order include? physician's signature A client has been on long-term prednisone therapy. What should the nurse instruct the client to include in the diet? Select all that apply. protein potassium calcium vitamin D After undergoing small-bowel resection, a client is prescribed metronidazole 500 mg intravenously. The mixed solution is 100 ml. The nurse is to administer the drug over 30 minutes. The drop factor of the available intravenous tubing is 15 gtt/ml. What is the drip rate in drops per minute? Record your answer using a whole number. (For example: 62) 50 The nurse is caring for a client on a patient-controlled analgesia (PCA) pump. What additional interventions by the nurse would be effective for pain relief? Select all that apply. gentle massage of the area with positioning encouraging relaxing of inflamed muscles and performing distraction exercises A nurse inadvertently transcribes a client's medication order that was written as "Ampicillin 250 mg four times a day" as "Ampicillin 2500 mg four times a day." The nurse gives two doses as transcribed to the client. Another nurse gives one dose before the pharmacist questions the reorder of the medication. What should the two nurses do in this situation? Both nurses must acknowledge making the medication error.