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Risk for injury
Which nursing diagnosis is important to include in the plan of care
for a client receiving the angiotensin-2 receptor antagonist irbesartan
(Avapro)?
Serum glucose
A client is receiving methylprednisolone (Solu-Medrol) 40 mg IV
daily. The nurse anticipates an increase in which laboratory value as the
result of this medication?
benzodiazepines
Which medications should the nurse caution the client about taking
while receiving an opioid analgesic?
dizziness
A client with heart failure (HF) is being discharged with a new
prescription for the angiotensin-converting enzyme (ACE) inhibitor
captopril (Capoten). The nurse's discharge instruction should include
reporting which problem to the healthcare provider?
discontinue the IV fluids
A client receiving Doxorubicin (Adriamycin) intravenously (IV)
complains of pain at the insertion site, and the nurse notes edema at the
site. Which intervention is most important for the nurse to implement?
administer the dose with a snack
A client receiving albuterol (Proventil) tablets complains of nausea
every evening with her 9:00 p.m. dose. What action can the nurse take to
alleviate this side effect?
Epiniphrine
, The nurse is assessing a client who is experiencing anaphylaxis from
an insect sting. Which prescription should the nurse prepare to administer
this client?
tachycardia and chest pain
A 43-year-old female client is receiving thyroid replacement hormone
following a thyroidectomy. What adverse effects associated with thyroid
hormone toxicity should the nurse instruct the client to report promptly to
the healthcare provider?
apply continuous cardiac monitoring
Which action is most important for the nurse to implement prior to
the administration of the antiarrhythmic drug adenosine (Adenocard)?
Use a reliable form of birth control.
A category X drug is prescribed for a young adult female client.
Which instruction is most important for the nurse to teach this client?
The rate and depth of the client's respirations.
The nurse is reviewing the use of the patient-controlled analgesia
(PCA) pump with a client in the immediate postoperative period. The client
will receive morphine 1 mg IV per hour basal rate with 1 mg IV every 15
minutes per PCA to total 5 mg IV maximally per hour. What assessment
has the highest priority before initiating the PCA pump?
Bismuth subsalicylate (Pepto Bismol).
Which antidiarrheal agent should be used with caution in clients
taking high dosages of aspirin for arthritis?
This medication is a blood thinner given to prevent blood clot formation.
After abdominal surgery, a male client is prescribed low molecular
weight heparin (LMWH). During administration of the medication, the
client asks the nurse why he is receiving this medication. Which is the best
response for the nurse to provide?
Every 12 hours.
Which dosing schedule should the nurse teach the client to observe
for a controlled-release oxycodone prescription?
respiratory rate is 16 breaths/minute.