A client taking atorvastatin develops an increased serum creatine phosphokinase (CK) level. The
nurse should assess the client for the onset of which problem?
A. Muscle tenderness.
B. Nausea and vomiting.
C. Excessive bruising.
D. Peripheral edema.
A. Muscle tenderness.
An increase in which serum laboratory value indicates to the nurse that a prescription for
atorvastatin is having the desired effect for a client at risk for coronary artery disease?
A. LDL (Low-density lipoprotein)
B. Triglycerides (Type of fat)
C. HDL (High-density lipoprotein)
D. VLDL (Very low-density lipoprotein)
C. HDL (High-density lipoprotein)
NGN - Patient Data
History and Physical:
,The client is a 36-year-old female with moderate persistent asthma. She takes fluticasone/salmeterol
250 mcg/50 mcg 1 inhalation twice daily and albuterol 90 mcg/inhalation 2 inhalations every 4-6
hours as needed.
Nurses notes:
The client states that she has had more severe asthma symptoms than usual in the past week. Her
forced expiratory volume has been 60-65% even with multiple doses of albuterol for several days in a
row. She came to the hospital feeling dizzy, lightheaded, and complaining of “heart palpitations”.
Upon assessment, no wheezes were found. Her oxygen saturation is 99%.
Review H and P, and nurse’s note. Identify from the choices below which condition the client is most
likely experiencing, two actions the nurse should take to address that condition, and two parameters
the nurse should monitor to assess the client’s progress.
Potential Condition:
Methemoglobinemia
Actions to Take:
1. Draw blood for a complete blood count
2. Administer methylene blue
Parameters to Monitor:
1. Methemoglobin level
2. Heart rate and rhythm
,The nurse provide discharge instructions to a client who has been prescribed gabapentin 300 mg by
mouth three times a day for post herpetic neuralgia. Which symptoms should the nurse tell the client
to report to the healthcare provider?
A. Sexual dysfunction
B. Gastric irritation
C. Rapid weight gain
D. Photosensitivity
B. Gastric irritation
A client with chronic lower back pain has been taking non steroidal anti-inflammatory (NSAID)
drug ibuprofen by mouth twice a day for several months. Which assessment is most important for
the nurse to complete?
A. Assess back pain using numeric scale
B. Palpate volume of pedal pulses
C. Determine presence of abdominal pain
D. Evaluate ongoing sleep patterns
C. Determine presence of abdominal pain
, The nurse administers risedrineate to a client with osteoporosis at 0700. The client asks for a glass of
milk to drink with the medication. Which action should the nurse take?
A. Instruct the client that it is necessary to take nothing but water with the medication.
B. Assign an unlicensed assistive personnel (UAP) to bring the client a glass of low fat milk.
C. Withhold the medication until the client's breakfast tray is available on the unit.
D. Consult with a pharmacist about scheduling the dose one hour after the client eats.
A. Instruct the client that it is necessary to take nothing but water with the medication.
Which action should the nurse implement to assess the effectiveness of calcium channel blocker
amlodipine?
A. Note the clients serum calcium levels
B. Monitor the clients serum electrolytes
C. Review the clients intake and output
D. Measure the clients blood pressure
D. Measure the clients blood pressure
nurse should assess the client for the onset of which problem?
A. Muscle tenderness.
B. Nausea and vomiting.
C. Excessive bruising.
D. Peripheral edema.
A. Muscle tenderness.
An increase in which serum laboratory value indicates to the nurse that a prescription for
atorvastatin is having the desired effect for a client at risk for coronary artery disease?
A. LDL (Low-density lipoprotein)
B. Triglycerides (Type of fat)
C. HDL (High-density lipoprotein)
D. VLDL (Very low-density lipoprotein)
C. HDL (High-density lipoprotein)
NGN - Patient Data
History and Physical:
,The client is a 36-year-old female with moderate persistent asthma. She takes fluticasone/salmeterol
250 mcg/50 mcg 1 inhalation twice daily and albuterol 90 mcg/inhalation 2 inhalations every 4-6
hours as needed.
Nurses notes:
The client states that she has had more severe asthma symptoms than usual in the past week. Her
forced expiratory volume has been 60-65% even with multiple doses of albuterol for several days in a
row. She came to the hospital feeling dizzy, lightheaded, and complaining of “heart palpitations”.
Upon assessment, no wheezes were found. Her oxygen saturation is 99%.
Review H and P, and nurse’s note. Identify from the choices below which condition the client is most
likely experiencing, two actions the nurse should take to address that condition, and two parameters
the nurse should monitor to assess the client’s progress.
Potential Condition:
Methemoglobinemia
Actions to Take:
1. Draw blood for a complete blood count
2. Administer methylene blue
Parameters to Monitor:
1. Methemoglobin level
2. Heart rate and rhythm
,The nurse provide discharge instructions to a client who has been prescribed gabapentin 300 mg by
mouth three times a day for post herpetic neuralgia. Which symptoms should the nurse tell the client
to report to the healthcare provider?
A. Sexual dysfunction
B. Gastric irritation
C. Rapid weight gain
D. Photosensitivity
B. Gastric irritation
A client with chronic lower back pain has been taking non steroidal anti-inflammatory (NSAID)
drug ibuprofen by mouth twice a day for several months. Which assessment is most important for
the nurse to complete?
A. Assess back pain using numeric scale
B. Palpate volume of pedal pulses
C. Determine presence of abdominal pain
D. Evaluate ongoing sleep patterns
C. Determine presence of abdominal pain
, The nurse administers risedrineate to a client with osteoporosis at 0700. The client asks for a glass of
milk to drink with the medication. Which action should the nurse take?
A. Instruct the client that it is necessary to take nothing but water with the medication.
B. Assign an unlicensed assistive personnel (UAP) to bring the client a glass of low fat milk.
C. Withhold the medication until the client's breakfast tray is available on the unit.
D. Consult with a pharmacist about scheduling the dose one hour after the client eats.
A. Instruct the client that it is necessary to take nothing but water with the medication.
Which action should the nurse implement to assess the effectiveness of calcium channel blocker
amlodipine?
A. Note the clients serum calcium levels
B. Monitor the clients serum electrolytes
C. Review the clients intake and output
D. Measure the clients blood pressure
D. Measure the clients blood pressure
