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A nurse is assisting with the care of a client who has a myasthenia gravis and is
experiencing a cholinergic crisis. Which of the following medications should the nurse
expect the RN to administer?
Bethanechol
Propranolol
Atropine
Epinephrine - Answer: Atropine
A nurse is caring for a client who has bipolar disorder and a new prescription for lithium.
Which of the following laboratory values should the nurse plan to monitor for potential
adverse effects?
Prothrombin Time
Hematocrit
Sodium
Potassium - Answer: Sodium
A nurse is reinforcing teaching with a client who has a prescription for rosuvastatin to
treat high cholesterol levels. For which of the following adverse effects should the nurse
instruct the client to monitor and report to the provider immediately?
Muscle weakness
Headache
Abdominal pain
Insomnia - Answer: Muscle weakness
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APPHIA - Crafted with Care and Precision for Academic Excellence.
,A nurse is reinforcing teaching with a newly licensed nurse regarding safe procedures
for medication administration. Which of the following statements by the newly licensed
nurse indicates an understanding of the teaching?
"I will identify the client by verifying the client's name using the room number."
"I can administer antibiotics 1 hour before the scheduled time."
"I will check the label on the client's medication three times before administering it."
"I will leave the client's medication at the client's bedside." - Answer: "I will check the
label on the client's medication three times before administering it."
A nurse is preparing to administer Lactated Ringer's solution 350 ml to infuse over 1 hr.
The drop factor of the tubing is 10 gtt/ml. The nurse should set the manual IV infusion to
deliver how many gtt/min? (Round answer to the nearest whole number.) - Answer:
ANSWER: 58 gtt/min.
Rationale: 350ml divided by 60 minutes times drop factor of 10 = 58.333
A nurse is collecting data from a client who is receiving morphine to relieve
postoperative pain. The client's respiratory rate is 9/min. The nurse should notify the
provider and expect a stat prescription for which of the following medications?
Naloxone
Glucagon
Flumazenil
Protamine - Answer: Naloxone
A nurse is reinforcing teaching with a client who has a new prescription for insulin. The
client is taking propranolol. The nurse should teach the client to monitor for which of the
following findings as a manifestation of hypoglycemia?
Tachycardia
Difficulty breathing
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APPHIA - Crafted with Care and Precision for Academic Excellence.
, Sleep disturbance
Hunger - Answer: Hunger
A nurse is reinforcing dietary teaching with a client who is taking furosemide. Which of
the following foods should the nurse recommend as the best source of potassium?
1 cup baked potatoes
1 cup fresh blueberries
1 cup fresh watermelon
1 cup raw chopped cabbage - Answer: 1 cup baked potatoes
A nurse is reinforcing teaching with a client who has been prescribed isoniazid. Which of
the following client statements indicates an understanding of the teaching?
"I should expect my urine to turn reddish in color."
"I will have a skin test to determine when I am no longer contagious."
"I should notify my provider if I develop numbness in my feet."
"I should expect to take this medication for 6 weeks." - Answer: "I should notify my
provider if I develop numbness in my feet."
A nurse is assisting with the care of a client who has oral benzodiazepine toxicity. The
client has an IV infusing and is nonresponsive. Which of the following interventions
should the nurse anticipate first?
Administering norepinephrine via continuous IV infusion
Administering IV flumazenil
Performing gastric lavage
Preparing the client for mechanical ventilation - Answer: Administering IV flumazenil
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APPHIA - Crafted with Care and Precision for Academic Excellence.