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1. A nurse is collecting data from a client who is post- Oxygen saturation
operative and taking morphine for pain. Which of the 87%
following findings is the priority for the nurse to report
to the provider?
2. A nurse is caring for a client who has a new prescrip- Tremors
tion for sumatriptan. The nurse notes that the client
takes fluxetine. The nurse should notify the provider
that the combination of these medications will place
the client at risk for which of the following adverse
effects?
3. A nurse is reinforcing teaching with the parent of a "Give aceta-
preschooler who has otitis media. The child has had minophen as
a low-grade fever and irritability for 2 days. Which of needed for dis-
the following instructions should the nurse include in comfort and fever."
the teaching?
4. A nurse is collecting data from the parent of a toddler Gelatin
who is about to receive the varicella immunization.
The nurse should identify that an anaphylactic reac-
tion to which of the following substances is a con-
traindication for receiving this immunization?
5. A nurse is caring for a client who is receiving 0.9% 31 gtt/min
sodium chloride 1,000 mL to infuse over 8 hr. The drop
factor on the manual IV tubing is 15 gtt/mL. The nurse Math steps:
should ensure that the manual IV infusion is set to 1. convert 8 hr to
deliver how many gtt/min? (Round the answer to the min (8hr = 480
nearest whole number. Use a leading zero if it applies. min)
Do not use a trailing zero.) 2. set up a
proportion to
solve for X gtt/min
(1,000mL/480min
multiplied by 15
gtt/1mL)
3. solve proportion
(mL unit cancels
out; 1,000*15 gtt
1/9
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= 15000 gtt; 480
min*1 = 480 min;
15,000 gtt/480 min
= 31.25 gtt/min;
rounds down to 31
gtt/min)
6. A nurse is collecting data from a client who is asking History of myocar-
about taking celecoxib for treatment of joint pain. The dial infarction
nurse should identify that which of the following find-
ings is a contraindication to receiving celecoxib?
7. A nurse is collecting data from a client who has Dark urine
Parkinson's disease and is taking levodopa/car-
bidopa. The nurse should identify which of the follow-
ing findings as an adverse effect of this medication?
8. A nurse is reinforcing teaching with a client who Swallow the med-
has a new prescription for omeprazole oral capsules. ication whole.
Which of the following instructions should the nurse
include?
9. A nurse is caring for a client who has multiple scle- Decreased muscle
rosis and a new prescription for baclofen. Which of spasticity
the following findings indicates to the nurse that the
medication is having a therapeutic effect?
10. A nurse is reinforcing teaching about comfort mea- Reye syndrome
sures with the parent of a 10-year-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?
11. At 0800 a nurse assists with initiating a 1,000mL IV 375 mL
infusion for a client, which is running at 125 ml/hr. How
much fluid is left in the IV bag at 1300? (Round the Math Steps:
answer to the nearest whole number. Use a leading 1. determine how
zero if it applies. Do not use a trailing zero.) many hours be-
tween 0800 and
1300 (5 hr)
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