Verified Study Solutions
The nurse has mistakenly administered diclofenac (Voveran) instead of acetaminophen (Tylenol) to a patient.
The nurse completes an incident report as required by the agency. Later, when the nurse is providing a teaching
session about the need to maintain a healthy weight, the patient becomes tearful. What information should be
included in the nurse's charting? ANS The nurse should document that diclofenac was administered by
mistake.
The nurse is caring for a patient who has been prescribed ciprofloxacin (Cipro). What must the nurse teach the
patient? ANS "Wait 2 hours after taking the medication before taking a multivitamin."
The patient has been prescribed trimethoprim-sulfamethoxazole (Bactrim, Septra). The patient complains of
experiencing abdominal cramping. What is the highest priority instruction for the nurse to give to the patient?
ANS "Take the medication with food or milk."
A patient is prescribed penicillin G potassium (Pfizerpen) for treating a respiratory infection. What would be
the appropriate nursing interventions for this patient? Select all that apply. ANS -Monitoring for
superinfection
-Monitoring the patient for respiratory distress
-Having availability of epinephrine to treat severe allergic reaction
A patient is taking digoxin (Lanoxin) 0.25 mg and furosemide (Lasix) 40 mg. The patient tells the nurse,
"There are yellow halos around the lights." Which action will the nurse take? ANS Evaluate digoxin levels.
A patient has taken an excess dose of acetaminophen (Actamin) for pain management. Which adverse effects
associated with acetaminophen (Actamin) are likely to be found in the patient? Select all that apply. ANS -
Nausea
-Vomiting
-Hepatotoxicity
In which patient can metoprolol (Lopressor) be safely administered? ANS A patient with elevated serum
renin levels
A patient has been taking morphine (Roxanol) for postoperative pain. Before discharge, what patient teaching
should be provided? Select all that apply. ANS -Increase fluid intake throughout the day.
, -Take a stool softener.
When assessing a patient for adverse effects related to morphine sulfate, which effects would the nurse expect
to find? Select all that apply. ANS -Decreased peristalsis
-Delayed gastric emptying
-Urinary retention
-Nausea
When developing a plan of care for a postoperative client receiving morphine sulfate, which nursing diagnosis
has the highest priority? ANS Risk for impaired gas exchange related to respiratory depression
A patient informs the nurse she must take her iron with a meal to avoid stomach upset. To increase uptake of
oral iron, which food group will the nurse instruct the patient to avoid? ANS Dairy
What side effects will the nurse monitor after administering lisinopril (Prinivil) to a patient? Select all that
apply. ANS -Dry cough
-Hyperkalemia
Which is a side effect of the nonbenzodiazepine drug zolpidem (Ambien)? ANS Sleepwalking
The primary health care provider prescribes promethazine (Phenergan) for a pregnant patient. Which nursing
action would help ensure safe and effective drug delivery? ANS Administering the diluted medication via
the intravenous route
What are the effects of furosemide (Lasix) on the electrolyte levels in the body? Select all that apply. ANS
-Decreased calcium levels
-Decreased potassium levels
-Decreased magnesium levels
What is a common adverse reaction to iron supplements? ANS Epigastric pain
Which is an appropriate nursing intervention for the patient who is taking hydrochlorothiazide? ANS
Encourage intake of foods rich in potassium.