100% Correct.
A nurseis reviewinga client's0800Laboratoryvaluesat 1100.The nursenotesthattheclientreceived
heparinat 1100.Which of thefollowinglaboratoryvalueswarrantsan incidentreport? - ANSWER
aPTT 90 seconds
A nurseis caring for a clientwhodevelopsan anaphylacticreactionto IV antibioticadministration.
After assessinga client'srespiratorystatusand stoppingthemedicationinfusion,whichof the
followingactionsshouldthenursetakenext?- ANSWER Administer
EpinephrineIM
A nurseis caring for a clientwhois takingtriamterene.For whichof thefollowinglaboratoryvalues
shouldthenursewithholdthemedication?- ANSWER Potassium5.3 mEq/L
A nurseis preparingto administerdigoxin orallyto a client.Identifythesequenceof stepsthenurse
shouldtake.(Movethestepsinto thebox on theright, placingthemin theorderof performance.Use
all thesteps)- ANSWER Obtaintheclient'sapicalheartrate
Removethemedicationfrom thedispensingsystemOpen the
medicationpackage
Comparetheclient'swristbandto themedicationadministrationrecordDocument
administrationof themedication
A nurseis reviewingthelist of currentmedicationsfor a clientwhois to starta newprescriptionfor
carbamazepine.The nurseshouldidentifywhichof thefollowingmedicationsinteractswith
carbamazepine?- ANSWER estrogen-containingcontraceptives
A nurse is providing teachingto a client who has a new prescriptionfor clozapine.Which of the
followingstatementsshouldthe nurseincludein the teaching?- ANSWER Notify your providerif
you developa feverwhiletaking this medication"
you shouldhaveyour WBC monitoreveryweek
A nurseis reviewingthemedicationlist of a clientwhohas erectiledysfunctionand is requesting
for prescriptionfor sildenafil.thenurseshouldidentifywhichof thefollowingmedicationsis a
contraindicationfor receivingmedication?- ANSWER nitroglycerin
,A nurse in a medicalsurgical unit is preparingto administeran influenzavaccineto a client. The
clienttellsthenurseI no longerwantthis vaccine.Which of thefollowingresponses
, shouldthenursemake?- ANSWER theinfluenzavaccinethis stronglyand coveragebutI
understandyou wouldlike to declineright now
A nurseis discussingadversereactionsto pain medicationsin olderadultsclientswitha newlylicensed
nurse.Which of thefollowingfindings shouldthenurseincludeas risk factorsfor an adversedrug
reaction?selectall thatapplies- ANSWER multiplehealthproblems
decreasepercentageof bodyfat
decreasedrenalfunction
A nurseis reviewinga client'smedicalrecordbeforeadministeringacetaminophen650mg by mouth
every6 hours.Which of thefollowingfindings indicatea needfor thenurseto notifytheprovider?-
ANSWER historyof alcoholusedisorder
a nurseis caring for a clientwhohashyponatremiaand is receivingan infusionof a prescribed
hypertonicsolution.Which of thefollowingfindings shouldindicateto thenursethatthetreatmentis
effective?- ANSWER improvecognition
A nurseis reviewingthelaboratoryresultsof a clientwhois receivinggenitalmedicinefor
Staphylococcus.Which of thefollowingfindings shouldthenursereportto thereimmediately?-
ANSWER fastingbloodglucose130 mg
A nurseis reviewingthelaboratoryresultsof a clientwhois receivingHeparinby continuousIV
infusion.Which of thefollowingResultsindicatesthenurseshoulddecreasetheinfusionrate?-
ANSWER aPTT 90 sec
The nurseis caring for a clientwhohasdiabetesmellitusand is takingPioglitazone.The nurseshouldplan
to monitortheclientfor whichof thefollowingadverseeffects?- ANSWER orthostatichypotension
A nurseis caring for a clientwhois receivingceftriaxoneintravenously.Which of thefollowing
manifestationsshouldthenurseidentifyas an allergicreaction?- ANSWER Hypotension
A nurseis reviewingthelaboratoryresultsof a client whoreceiveda doseof sodiumpolystyrene
sulfonate.Which of thefollowingfindingsshoulda nurseidentifyas an indicationthatthemedication
has beeneffective?- ANSWER calcium8 mg- undernormalrange
potassium4.6meq- in normalrange
A nurse is caring for a client who has heartfailure and is taking hydrochlorothiazide.The nurse
should monitor the client for which of the followingmanifestationshas an adverseeffectof the
medication?- ANSWER hypokalemia