QUESTION WITH COMPLETE SOLUTION
A nurse is administering the first dose of ramipril to a client who has hypertension. The
client reports feeling dizzy and lightheaded. Which of the following should the nurse
administer? - ANS IV Fluid Bolus
A nurse is caring for a client who is immunosuppressed. The nurse should identify that
which of the following immunizations is contraindicated for this client? - ANS Varicella
A nurse is reinforcing teaching with a client who is to start therapy with digoxin for artrial
fibrillation. Which of the following instructions should the nurse include in the teaching? -
ANS Notify your provider if you develop blurred vision
A nurse in a providers office is collecting date from a client who continues to have a
migraine headache after taking sumatriptan orally 2 hours ago. Which of the following
findings is the priority for the nurse to report? - ANS Tingling sensation
The nurse is caring for a client who has a history of an anaphylaxis reaction to
amoxicillin. The provider prescribes amoxicillin/clavulamic acid for the patient. Which of
the following actions should the nurse take? - ANS Request a prescription for a
different medication
The nurse is collecting data from a client who has a history of alcohol use disorder.
Which of the following findings indicates the client is experiencing alcohol withdraw? -
ANS Tremors
The nurse is assisting in the care of a client who is to receive a transfusion of packed
RBC's. Which of the following actions should the nurse take? - ANS Obtain 0.9%
sodium chloride solution for IV solution
The nurse is collecting data from a client who has been taking diazepam several times
per day but recently ran out of the medication. Which of the following findings should the
nurse recognize as a manifestation of withdrawal from diazepam? - ANS Tremors
The nurse is reinforcing teaching with a newly licensed nurse about age related
changes that affect medication administration for older adult patients. Which of the
, following information should the nurse include? - ANS Renal excretion time slows for
medication
The nurse is caring for a client who has hypertension and has been taking
hydrochlorothiazide. Which of the following laboratory values should the nurse
evaluate? - ANS Serum electrolyte levels
A nurse is reinforcing teaching with a client who is to start therapy with Furosemide. The
nurse determines that the teaching is effective when the client states he will increase
intake of which of the following food? - ANS Baked potato
The nurse is preparing the administer an IM injection to a client who has Gonorrhea.
Which of the following actions should the nurse take? - ANS Use the Z track method
A nurse in a mental health facility is collecting data from a client who is taking lithium.
Which of the following findings should the nurse report to the provider are an indication
of lithium toxicity? - ANS Slurred speech
A nurse is collecting data from a client who has taken an overdose of oxycodone. Which
of the following findings should the nurse except? - ANS Sedation
A nursing is reinforcing teaching about the PLEDGE program with a female client who
has a new prescribed an Isotretinoin. The nurse should tell the client that which
following is a requirement of the program? - ANS sexually active female clients must
use two forms of birth control during treatment
A nurse is caring for a client who is postoperative. For which of the following findings
should the administer ondansetron? - ANS Client reports nausea
A nurse administered ketorolac 30mg IM to the client who is postoperative active. Which
of the following information should the nurse document? Select all that apply. - ANS
Dose of medication administered
Time of administration
Site of injection
A nurse in a provider's office is reviewing the laboratory results of a client who is taking
omeprazole for GERD and a thiazide diuretic for hypertension. Which of the following
laboratory findings should the nurse report? - ANS Magnesium 1.0