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1. A nurse is reviewing a client's 0800 Laboratory values aPTT 90 seconds
at 1100. The nurse notes that the client received he-
parin at 1100. Which of the following laboratory values
warrants an incident report ?
2. A nurse is caring for a client who develops an anaphy- Administer Epinephrine
lactic reaction to IV antibiotic administration. After as- IM
sessing a client's respiratory status and stopping the
medication infusion, which of the following actions
should the nurse take next?
3. A nurse is caring for a client who is taking triamterene. Potassium 5.3 mEq/ L
For which of the following laboratory values should
the nurse withhold the medication?
4. A nurse is preparing to administer digoxin orally to a Obtain the client's apical
client. Identify the sequence of steps the nurse should heart rate
take. (Move the steps into the box on the right, placing Remove the medication
them in the order of performance. Use all the steps) from the dispensing sys-
tem
Open the medication
package
Compare the client's
wristband to the med-
ication administration
record
Document administration
of the medication
5. A nurse is reviewing the list of current medications estrogen-containing con-
for a client who is to start a new prescription for car- traceptives
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bamazepine. The nurse should identify which of the
following medications interacts with carbamazepine?
6. A nurse is providing teaching to a client who has a Notify your provider if you
new prescription for clozapine. Which of the following develop a fever while tak-
statements should the nurse include in the teaching? ing this medication"
you should have your WBC
monitor every week
7. A nurse is reviewing the medication list of a client nitroglycerin
who has erectile dysfunction and is requesting for pre-
scription for sildenafil. the nurse should identify which
of the following medications is a contraindication for
receiving medication?
8. A nurse in a medical surgical unit is preparing to ad- the influenza vaccine this
minister an influenza vaccine to a client. The client tells strongly and coverage but
the nurse I no longer want this vaccine. Which of the I understand you would
following responses should the nurse make? like to decline right now
9. A nurse is discussing adverse reactions to pain med- multiple health problems
ications in older adults clients with a newly licensed decrease percentage of
nurse. Which of the following findings should the body fat
nurse include as risk factors for an adverse drug re- decreased renal function
action? select all that applies
10. A nurse is reviewing a client's medical record be- history of alcohol use dis-
fore administering acetaminophen 650 mg by mouth order
every 6 hours. Which of the following findings indicate
a need for the nurse to notify the provider?
11. a nurse is caring for a client who has hyponatremia improve cognition
and is receiving an infusion of a prescribed hypertonic
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solution. Which of the following findings should indi-
cate to the nurse that the treatment is effective?
12. A nurse is reviewing the laboratory results of a client fasting blood glucose 130
who is receiving genital medicine for Staphylococcus. mg
Which of the following findings should the nurse re-
port to there immediately?
13. A nurse is reviewing the laboratory results of a client aPTT 90 sec
who is receiving Heparin by continuous IV infusion.
Which of the following Results indicates the nurse
should decrease the infusion rate?
14. The nurse is caring for a client who has diabetes orthostatic hypotension
mellitus and is taking Pioglitazone. The nurse should
plan to monitor the client for which of the following
adverse effects?
15. A nurse is caring for a client who is receiving ceftriax- Hypotension
one intravenously. Which of the following manifesta-
tions should the nurse identify as an allergic reaction?
16. A nurse is reviewing the laboratory results of a client calcium 8 mg- under nor-
who received a dose of sodium polystyrene sulfonate. mal range
Which of the following findings should a nurse identify potassium 4.6 meq- in
as an indication that the medication has been effec- normal range
tive?
17. A nurse is caring for a client who has heart failure and hypokalemia
is taking hydrochlorothiazide. The nurse should moni-
tor the client for which of the following manifestations
has an adverse effect of the medication?